Absence of July Phenomenon in Acute Ischemic Stroke Care Quality and Outcomes.

ABSTRACT:

Background

Lower care quality and an increase in adverse outcomes as a result of new medical trainees is a concept well rooted in popular belief, termed the "July phenomenon." Whether this phenomenon occurs in acute ischemic stroke has not been well studied.

Methods and results

We analyzed data from patients admitted with ischemic stroke in 1625 hospitals participating in the Get With The Guidelines-Stroke program for the 5-year period between January 2009 and December 2013. We compared acute stroke treatment processes and in-hospitals outcomes among the 4 quarters (first quarter: July-September, last quarter: April-June) of the academic year. Multivariable logistic regression models were used to evaluate the relationship between academic year transition and processes measur

SUBMITTER: Gonzalez-Castellon M 

PROVIDER: S-EPMC5850252 | biostudies-literature | 2018 Jan

REPOSITORIES: biostudies-literature