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Variations in Acute...
Variations in Acute Hospital Stroke Care and Factors Influencing Adherence to Quality Indicators in 6 European Audits
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Wiedmann, Silke (author)
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Hillmann, Steffi (author)
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Abilleira, Sonia (author)
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Dennis, Martin (author)
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Hermanek, Peter (author)
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Niewada, Maciej (author)
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- Norrving, Bo (author)
- Lund University,Lunds universitet,Neurologi, Lund,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Neurology, Lund,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine
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- Asplund, Kjell (author)
- Umeå universitet,Medicin
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Rudd, Anthony G. (author)
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Wolfe, Charles D. A. (author)
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Heuschmann, Peter U. (author)
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(creator_code:org_t)
- 2015
- 2015
- English.
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In: Stroke. - 0039-2499 .- 1524-4628. ; 46:2, s. 579-581
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http://www.ncbi.nlm....
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http://dx.doi.org/10...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://lup.lub.lu.s...
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Abstract
Subject headings
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- Background and Purpose-We compared compliance with standards of acute stroke care between 6 European audits and identified factors associated with delivery of appropriate care. Methods-Data were derived from stroke audits in Germany, Poland, Scotland, Catalonia, Sweden, and England/Wales/Northern-Ireland participating within the European Implementation Score (EIS) collaboration. Associations between demographic and clinical characteristics with adherence to predefined quality indicators were investigated by hierarchical logistic regression analyses. Results-In 2007/2008 data from 329 122 patients with stroke were documented. Substantial variations in adherence to quality indicators were found; older age was associated with a lower probability of receiving thrombolytic therapy, anticoagulant therapy, or stroke unit treatment and a higher probability of being tested for dysphagia. Women were less likely to receive anticoagulant or antiplatelet therapy or stroke unit treatment. No major weekend effect was found. Conclusions-Detected variations in performance of acute stroke services were found. Differences in adherence to quality indicators might indicate population subgroups with specific needs for improving care delivery.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Neurologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Neurology (hsv//eng)
Keyword
- health services research
- quality indicators
- health care
- quality of healthcare
- stroke care
Publication and Content Type
- ref (subject category)
- art (subject category)
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Stroke
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To the university's database
- By the author/editor
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Wiedmann, Silke
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Hillmann, Steffi
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Abilleira, Sonia
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Dennis, Martin
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Hermanek, Peter
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Niewada, Maciej
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show more...
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Norrving, Bo
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Asplund, Kjell
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Rudd, Anthony G.
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Wolfe, Charles D ...
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Heuschmann, Pete ...
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show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Public Health Gl ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Neurology
- Articles in the publication
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Stroke
- By the university
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Umeå University
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Lund University