Get with the guidelines-stroke performance indicators: Surveillance of Stroke Care in the Taiwan Stroke Registry: Get with the guidelines-stroke in Taiwan

Fang I. Hsieh, Li Ming Lien, Sien Tsong Chen, Chyi Huey Bai, Mu Chien Sun, Hung Pin Tseng, Yu Wei Chen, Chih Hung Chen, Jiann Shing Jeng, Song Yen Tsai, Huey Juan Lin, Chung Hsiang Liu, Yuk Keung Lo, Han Jung Chen, Hou Chang Chiu, Ming Liang Lai, Ruey Tay Lin, Ming Hui Sun, Bak Sau Yip, Hung Yi ChiouChung Y. Hsu

Research output: Contribution to journalArticle

155 Citations (Scopus)

Abstract

Background-: Stroke is a leading cause of death around the world. Improving the quality of stroke care is a global priority, despite the diverse healthcare economies across nations. The American Heart Association/American Stroke Association Get With the Guidelines-Stroke program (GWTG-Stroke) has improved the quality of stroke care in 790 US academic and community hospitals, with broad implications for the rest of the country. The generalizability of GWTG-Stroke across national and economic boundaries remains to be tested. The Taiwan Stroke Registry, with 30 599 stroke admissions between 2006 and 2008, was used to assess the applicability of GWTG-Stroke in Taiwan, which spends ≈1/10 of what the United States does in medical costs per new or recurrent stroke. Methods and Results-: Taiwan Stroke Registry, sponsored by the Taiwan Department of Health, engages 39 academic and community hospitals and covers the entire country with 4 steps of quality control to ensure the reliability of entered data. Five GWTG-Stroke performance measures and 1 safety indicator are applicable to assess Taiwan Stroke Registry quality of stroke care. Demographic and outcome figures are comparable between GWTG-Stroke and Taiwan Stroke Registry. Two indicators (early and discharge antithrombotics) are close to GWTG-Stroke standards, while 3 other indicators (intravenous tissue plasminogen activator, anticoagulation for atrial fibrillation, lipid-lowering medication) and 1 safety indicator fall behind. Preliminary analysis shows that compliance with selected GWTG-Stroke guidelines is associated with better outcomes. Conclusions-: Results suggest that GWTG-Stroke performance measures, with modification for ethnic factors, can become global standards across national and economic boundaries for assessing and improving quality of stroke care and outcomes. GWTG-Stroke can be incorporated into ongoing stroke registries across nations.

Original languageEnglish
Pages (from-to)1116-1123
Number of pages8
JournalCirculation
Volume122
Issue number11
DOIs
Publication statusPublished - 2010 Sep 14

Fingerprint

Taiwan
Registries
Stroke
Guidelines
Quality of Health Care
Community Hospital
Economics
Safety
Tissue Plasminogen Activator

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

Cite this

Hsieh, Fang I. ; Lien, Li Ming ; Chen, Sien Tsong ; Bai, Chyi Huey ; Sun, Mu Chien ; Tseng, Hung Pin ; Chen, Yu Wei ; Chen, Chih Hung ; Jeng, Jiann Shing ; Tsai, Song Yen ; Lin, Huey Juan ; Liu, Chung Hsiang ; Lo, Yuk Keung ; Chen, Han Jung ; Chiu, Hou Chang ; Lai, Ming Liang ; Lin, Ruey Tay ; Sun, Ming Hui ; Yip, Bak Sau ; Chiou, Hung Yi ; Hsu, Chung Y. / Get with the guidelines-stroke performance indicators : Surveillance of Stroke Care in the Taiwan Stroke Registry: Get with the guidelines-stroke in Taiwan. In: Circulation. 2010 ; Vol. 122, No. 11. pp. 1116-1123.
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abstract = "Background-: Stroke is a leading cause of death around the world. Improving the quality of stroke care is a global priority, despite the diverse healthcare economies across nations. The American Heart Association/American Stroke Association Get With the Guidelines-Stroke program (GWTG-Stroke) has improved the quality of stroke care in 790 US academic and community hospitals, with broad implications for the rest of the country. The generalizability of GWTG-Stroke across national and economic boundaries remains to be tested. The Taiwan Stroke Registry, with 30 599 stroke admissions between 2006 and 2008, was used to assess the applicability of GWTG-Stroke in Taiwan, which spends ≈1/10 of what the United States does in medical costs per new or recurrent stroke. Methods and Results-: Taiwan Stroke Registry, sponsored by the Taiwan Department of Health, engages 39 academic and community hospitals and covers the entire country with 4 steps of quality control to ensure the reliability of entered data. Five GWTG-Stroke performance measures and 1 safety indicator are applicable to assess Taiwan Stroke Registry quality of stroke care. Demographic and outcome figures are comparable between GWTG-Stroke and Taiwan Stroke Registry. Two indicators (early and discharge antithrombotics) are close to GWTG-Stroke standards, while 3 other indicators (intravenous tissue plasminogen activator, anticoagulation for atrial fibrillation, lipid-lowering medication) and 1 safety indicator fall behind. Preliminary analysis shows that compliance with selected GWTG-Stroke guidelines is associated with better outcomes. Conclusions-: Results suggest that GWTG-Stroke performance measures, with modification for ethnic factors, can become global standards across national and economic boundaries for assessing and improving quality of stroke care and outcomes. GWTG-Stroke can be incorporated into ongoing stroke registries across nations.",
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Hsieh, FI, Lien, LM, Chen, ST, Bai, CH, Sun, MC, Tseng, HP, Chen, YW, Chen, CH, Jeng, JS, Tsai, SY, Lin, HJ, Liu, CH, Lo, YK, Chen, HJ, Chiu, HC, Lai, ML, Lin, RT, Sun, MH, Yip, BS, Chiou, HY & Hsu, CY 2010, 'Get with the guidelines-stroke performance indicators: Surveillance of Stroke Care in the Taiwan Stroke Registry: Get with the guidelines-stroke in Taiwan', Circulation, vol. 122, no. 11, pp. 1116-1123. https://doi.org/10.1161/CIRCULATIONAHA.110.936526

Get with the guidelines-stroke performance indicators : Surveillance of Stroke Care in the Taiwan Stroke Registry: Get with the guidelines-stroke in Taiwan. / Hsieh, Fang I.; Lien, Li Ming; Chen, Sien Tsong; Bai, Chyi Huey; Sun, Mu Chien; Tseng, Hung Pin; Chen, Yu Wei; Chen, Chih Hung; Jeng, Jiann Shing; Tsai, Song Yen; Lin, Huey Juan; Liu, Chung Hsiang; Lo, Yuk Keung; Chen, Han Jung; Chiu, Hou Chang; Lai, Ming Liang; Lin, Ruey Tay; Sun, Ming Hui; Yip, Bak Sau; Chiou, Hung Yi; Hsu, Chung Y.

In: Circulation, Vol. 122, No. 11, 14.09.2010, p. 1116-1123.

Research output: Contribution to journalArticle

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AU - Hsieh, Fang I.

AU - Lien, Li Ming

AU - Chen, Sien Tsong

AU - Bai, Chyi Huey

AU - Sun, Mu Chien

AU - Tseng, Hung Pin

AU - Chen, Yu Wei

AU - Chen, Chih Hung

AU - Jeng, Jiann Shing

AU - Tsai, Song Yen

AU - Lin, Huey Juan

AU - Liu, Chung Hsiang

AU - Lo, Yuk Keung

AU - Chen, Han Jung

AU - Chiu, Hou Chang

AU - Lai, Ming Liang

AU - Lin, Ruey Tay

AU - Sun, Ming Hui

AU - Yip, Bak Sau

AU - Chiou, Hung Yi

AU - Hsu, Chung Y.

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N2 - Background-: Stroke is a leading cause of death around the world. Improving the quality of stroke care is a global priority, despite the diverse healthcare economies across nations. The American Heart Association/American Stroke Association Get With the Guidelines-Stroke program (GWTG-Stroke) has improved the quality of stroke care in 790 US academic and community hospitals, with broad implications for the rest of the country. The generalizability of GWTG-Stroke across national and economic boundaries remains to be tested. The Taiwan Stroke Registry, with 30 599 stroke admissions between 2006 and 2008, was used to assess the applicability of GWTG-Stroke in Taiwan, which spends ≈1/10 of what the United States does in medical costs per new or recurrent stroke. Methods and Results-: Taiwan Stroke Registry, sponsored by the Taiwan Department of Health, engages 39 academic and community hospitals and covers the entire country with 4 steps of quality control to ensure the reliability of entered data. Five GWTG-Stroke performance measures and 1 safety indicator are applicable to assess Taiwan Stroke Registry quality of stroke care. Demographic and outcome figures are comparable between GWTG-Stroke and Taiwan Stroke Registry. Two indicators (early and discharge antithrombotics) are close to GWTG-Stroke standards, while 3 other indicators (intravenous tissue plasminogen activator, anticoagulation for atrial fibrillation, lipid-lowering medication) and 1 safety indicator fall behind. Preliminary analysis shows that compliance with selected GWTG-Stroke guidelines is associated with better outcomes. Conclusions-: Results suggest that GWTG-Stroke performance measures, with modification for ethnic factors, can become global standards across national and economic boundaries for assessing and improving quality of stroke care and outcomes. GWTG-Stroke can be incorporated into ongoing stroke registries across nations.

AB - Background-: Stroke is a leading cause of death around the world. Improving the quality of stroke care is a global priority, despite the diverse healthcare economies across nations. The American Heart Association/American Stroke Association Get With the Guidelines-Stroke program (GWTG-Stroke) has improved the quality of stroke care in 790 US academic and community hospitals, with broad implications for the rest of the country. The generalizability of GWTG-Stroke across national and economic boundaries remains to be tested. The Taiwan Stroke Registry, with 30 599 stroke admissions between 2006 and 2008, was used to assess the applicability of GWTG-Stroke in Taiwan, which spends ≈1/10 of what the United States does in medical costs per new or recurrent stroke. Methods and Results-: Taiwan Stroke Registry, sponsored by the Taiwan Department of Health, engages 39 academic and community hospitals and covers the entire country with 4 steps of quality control to ensure the reliability of entered data. Five GWTG-Stroke performance measures and 1 safety indicator are applicable to assess Taiwan Stroke Registry quality of stroke care. Demographic and outcome figures are comparable between GWTG-Stroke and Taiwan Stroke Registry. Two indicators (early and discharge antithrombotics) are close to GWTG-Stroke standards, while 3 other indicators (intravenous tissue plasminogen activator, anticoagulation for atrial fibrillation, lipid-lowering medication) and 1 safety indicator fall behind. Preliminary analysis shows that compliance with selected GWTG-Stroke guidelines is associated with better outcomes. Conclusions-: Results suggest that GWTG-Stroke performance measures, with modification for ethnic factors, can become global standards across national and economic boundaries for assessing and improving quality of stroke care and outcomes. GWTG-Stroke can be incorporated into ongoing stroke registries across nations.

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