October 1, 2015Circulation Cardiovascular Quality and Outcomes
Quality of Care and Ischemic Stroke Risk After Hospitalization for Transient Ischemic Attack
Why the study?
Does the derived Risk Score predict 1-year ischemic stroke risk, and is inpatient quality of care associated with outcomes in TIA patients >65 years?
Population
67,892 TIA Get With The Guidelines-Stroke patients >65 years (2003-2008) linked to Medicare inpatient claims
Design
Cohort
Follow-up
1 year
Authors
Discussion
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Member takes
Implication
High-risk TIA patients receive less optimal care; observational findings leave open whether targeting mismatch improves outcomes.
Structured PICO
Does the derived Risk Score predict 1-year ischemic stroke risk, and is inpatient quality of care associated with outcomes in TIA patients >65 years?
P
Population
67,892 TIA Get With The Guidelines-Stroke patients >65 years (2003-2008) linked to Medicare inpatient claims
I
Intervention
Derivation of a prediction rule (Get With The Guidelines Ischemic Stroke after TIA Risk Score) and assessment of inpatient quality of care (defect-free care measure)
O
Outcome
Hospital admission for ischemic stroke during the year post-TIAhard clinical
TIA patients with high estimated ischemic stroke risk are paradoxically less likely to receive optimal defect-free care, highlighting a significant risk-treatment mismatch.
Cite This Study
O’Brien et al. (2015) studied this question.