ArticleBMC neurology2017
Stroke unit care in germany: the german stroke registers study group (ADSR).
Article in BMC neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Association of stroke unit certification with process quality in acute ischemic stroke: a registry-based study.Neurological research and practice · 2026Article
- Self-concept and depressive symptoms three years after stroke: An evaluation of predictive value, the role of subdomains and individual importance.Journal of neuropsychology · 2026Article
- Enhancing acute stroke care in Ireland: A scoping review and Delphi consensus for the Irish National Audit of Stroke (INAS) dataset.BMJ open · 2025Article
- Article
- A scoping review of stroke registers in Sub-Saharan Africa.International journal of stroke : official journal of the International Stroke Society · 2025Article
- Better functional recovery after acute stroke in older patients managed in a new dedicated post-stroke geriatric unit compared to usual management.The journal of nutrition, health & aging · 2024Observational
- [Specialization of Acute Stroke Care in Germany: Structural Changes During 2006-2017].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2023Article
- Current State of Stroke Care in Vietnam.Stroke (Hoboken, N.J.) · 2022Article
- Article
- Quality Assurance Measures and Mortality After Stroke.Deutsches Arzteblatt international · 2021Article
- Quality assurance data for regional drip-and-ship strategies- gearing up the transfer process.Neurological research and practice · 2021Article
- Trial design and pilot phase results of a cluster-randomised intervention trial to improve stroke care after hospital discharge - The structured ambulatory post-stroke care program (SANO).European stroke journal · 2021Article
- Article
- [Comparability of different data sources on stroke care in Germany].Der Nervenarzt · 2020Review
- [Care of patients with Parkinson's disease in Germany].Der Nervenarzt · 2020Review
- Article
- Only a Minority of Thrombectomy Candidates Are Admitted During Night Shift: A Rationale for Diurnal Stroke Care Planning.Frontiers in neurology · 2020Article
- Processes of Care Associated With Risk of Mortality and Recurrent Stroke Among Patients With Transient Ischemic Attack and Nonsevere Ischemic Stroke.JAMA network open · 2019Article
- Impact of intravenous thrombolysis on length of hospital stay in cases of acute ischemic stroke.Neuropsychiatric disease and treatment · 2018Article
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Authors and funding
16 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFactors influencing access to stroke unit (SU) care and data on quality of SU care in Germany are scarce. We investigated characteristics of patients directly admitted to a SU as well as patient-related and structural factors influencing adherence to predefined indicators of quality of acute stroke care across hospitals providing SU care.
methodsData were derived from the German Stroke Registers Study Group (ADSR), a voluntary network of 9 regional registers for monitoring quality of acute stroke care in Germany. Multivariable logistic regression analyses were performed to investigate characteristics influencing direct admission to SU. Generalized Linear Mixed Models (GLMM) were used to estimate the influence of structural hospital characteristics (percentage of patients admitted to SU, year of SU-certification, and number of stroke and TIA patients treated per year) on adherence to predefined quality indicators.
resultsIn 2012 180,887 patients were treated in 255 hospitals providing certified SU care participating within the ADSR were included in the analysis; of those 82.4% were directly admitted to a SU. Ischemic stroke patients without disturbances of consciousness (p < .0001), an interval onset to admission time ≤3 h (p < .0001), and weekend admission (p < .0001) were more likely to be directly admitted to a SU. A higher proportion of quality indicators within predefined target ranges were achieved in hospitals with a higher proportion of SU admission (p = 0.0002). Quality of stroke care could be maintained even if certification was several years ago.
conclusionsDifferences in demographical and clinical characteristics regarding the probability of SU admission were observed. The influence of structural characteristics on adherence to evidence-based quality indicators was low.
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