Impact of Evidence-Based Stroke Care on Patient Outcomes: A Multilevel Analysis of an International Study.

ABSTRACT: Background The uptake of proven stroke treatments varies widely. We aimed to determine the association of evidence-based processes of care for acute ischemic stroke ( AIS ) and clinical outcome of patients who participated in the HEADPOST (Head Positioning in Acute Stroke Trial), a multicenter cluster crossover trial of lying flat versus sitting up, head positioning in acute stroke. Methods and Results Use of 8 AIS processes of care were considered: reperfusion therapy in eligible patients; acute stroke unit care; antihypertensive, antiplatelet, statin, and anticoagulation for atrial fibrillation; dysphagia assessment; and physiotherapist review. Hierarchical, mixed, logistic regression models were performed to determine associations with good outcome (modified Rankin Scale scores 0-2) at

SUBMITTER: Munoz Venturelli P 

PROVIDER: S-EPMC6662356 | biostudies-literature | 2019 Jul

REPOSITORIES: biostudies-literature