The quality of treatment of hyperacute ischemic stroke in Canada: a retrospective chart audit.

ABSTRACT:

Background

The use of thrombolysis in acute stroke is an important indicator of the quality of stroke care, because it requires health care providers to work collaboratively, rapidly and accurately to optimize patient outcomes. We sought to assess the quality of hyperacute stroke care in Canada using the rate of thrombolysis as the key indicator.

Methods

We used national administrative data and a chart audit in a retrospective cohort design. We identified discharge diagnoses of stroke in the 10 Canadian provinces between 2008 and 2009. We drew a sample (over-weighted by population and hospital size) for a detailed chart review that was focused on identifying indicators of acute stroke care. We determined the proportions of thrombolysis use, complications and outcomes, adjust

SUBMITTER: Ganesh A 

PROVIDER: S-EPMC4251514 | biostudies-literature | 2014 Oct

REPOSITORIES: biostudies-literature