What question did this study set out to answer?

To assess whether a hospital-based quality improvement program utilizing web-based data collection and decision support enhances adherence to evidence-based acute stroke and secondary prevention measures.

February 25, 2008Archives of Internal Medicine

Hospital Treatment of Patients With Ischemic Stroke or Transient Ischemic Attack Using the “Get With The Guidelines” Program

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Authors

KLKenneth A. LaBreshPreventive Cardiology

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Implication

Intervention study reveals improved adherence to evidence-based treatments in hospitalized stroke patients, indicating standardized decision support enhances acute and secondary care.

Key Points

To assess whether a hospital-based quality improvement program utilizing web-based data collection and decision support enhances adherence to evidence-based acute stroke and secondary prevention measures.
Conducted a 1-year multicenter intervention study across 99 volunteer community and teaching hospitals participating in the Get With The Guidelines-Stroke program.
Evaluated 18,410 patients admitted with ischemic stroke or transient ischemic attack, comparing preintervention baseline care adherence with 4 subsequent post-intervention quarters across 12 acute care or secondary prevention measures and 1 composite all-or-none measure.
Significant improvements from baseline to the fourth quarter occurred in 11 of 13 quality measures, including rapid thrombolytic use within 2 hours (23.5% vs 40.8%, P < .001), early antithrombotic therapy (88.2% vs 95.2%, P < .001), and discharge antithrombotics (91.0% vs 97.9%, P < .001).
Significant increases were also observed for atrial fibrillation anticoagulation (81.4% vs 96.5%, P < .001), lipid management (58.7% vs 77.0%, P < .001), diabetes treatment (48.5% vs 83.5%, P = .001), smoking cessation counseling (38.3% vs 54.5%, P < .001), and the composite all-or-none measure (50.2% vs 58.0%, P < .001), while thrombolytic complications and deep venous thrombosis prophylaxis rates remained unchanged.

Cite This Study

Kenneth A. LaBresh (2008) studied this question.

synapsesocial.com/papers/6a16a7604bd866d2cab25517 https://doi.org/10.1001/archinternmed.2007.101

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Implication

Intervention study reveals improved adherence to evidence-based treatments in hospitalized stroke patients, indicating standardized decision support enhances acute and secondary care.

Hospital Treatment of Patients With Ischemic Stroke or Transient Ischemic Attack Using the “Get With The Guidelines” Program

Discussion

Member takes

Implication

Key Points

Cite This Study

Hospital Treatment of Patients With Ischemic Stroke or Transient Ischemic Attack Using the “Get With The Guidelines” Program

Discussion

Member takes

Implication

Key Points

Cite This Study

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