Effectiveness of a Quality Improvement Intervention on Reperfusion Treatment for Patients With Acute Ischemic Stroke: A Stepped-Wedge Cluster Randomized Clinical Trial.

ABSTRACT:

Importance

Reperfusion therapy is the most effective treatment for acute ischemic stroke but remains underused in China.

Objective

To evaluate the effect of a problem-oriented, culturally adapted, targeted quality improvement intervention on reperfusion therapy for patients with acute ischemic stroke in China.

Design, setting, and participants

In this stepped-wedge cluster randomized clinical trial, patients from 16 secondary and 33 tertiary hospitals in China with acute ischemic stroke within 6 hours of symptom onset were consecutively recruited between July 1, 2018, and June 30, 2020.

Interventions

Hospitals were randomly assigned to 1 of 3 sequences to receive the targeted quality improvement intervention (n = 5689), in which workflow reconstruction was prom

SUBMITTER: Wang CJ 

PROVIDER: S-EPMC10238948 | biostudies-literature | 2023 Jun

REPOSITORIES: biostudies-literature