Differences in Performance on Quality Measures for Thrombectomy-Capable Stroke Centers Compared With Comprehensive Stroke Centers in 2019 to 2020.

ABSTRACT:

Background

Thrombectomy-Capable Stroke Center (TSC) certification was created to improve timely access to mechanical thrombectomy (MT), where travel to a Comprehensive Stroke Center (CSC) would entail prolonged transport time. No study has evaluated the quality of MT and stroke care at TSCs compared with CSCs.

Methods

We compared performance for 3 MT measures for all TSCs and CSCs certified by The Joint Commission in 2019 and 2020: (1) time from arrival to skin puncture, (2) the percentage of patients who achieved Thrombolysis in Cerebral Infarction ≥2B perfusion, and (3) the proportion of patients with symptomatic hemorrhagic transformation following MT. Wilcoxon ranked-sum tests and signed-rank tests were used to compare TSCs and CSCs within years and changes in performanc

SUBMITTER: Baker DW 

PROVIDER: S-EPMC12778829 | biostudies-literature | 2022 Nov

REPOSITORIES: biostudies-literature