ReviewEuropean stroke journal2017
Association between patient outcomes and key performance indicators of stroke care quality: A systematic review and meta-analysis.
Review in European stroke journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07627399 (Effectiveness of Implementing Best Care Practices in the Management of Patients With Acute Stroke in Conventional Hospitalization), which is not on this map. Cited by 21 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Effectiveness of Implementing Best Care Practices in the Management of Patients With Acute Stroke in Conventional Hospitalization: A Cluster-Randomized, Open, Stepped-Wedge Controlled Trial.
Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Organised inpatient (stroke unit) care for stroke: network meta-analysis.The Cochrane database of systematic reviews · 2020Pooled it
- Intensive, Multi-Technology Rehabilitation Programme for Chronic Stroke Survivors: Outcomes of a Phase I Single-Arm Repeated-Measures Study.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026Article
- European Stroke Organisation survey on reperfusion therapy practices.European stroke journal · 2026Article
- Changing trends in epidemiology, care and outcome of ischemic stroke over 25 years: a large population-based study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026Article
- Quality of rehabilitation care in Portuguese stroke units: findings from 2017-2018 and 2023 national cross‑sectional surveys.Journal of rehabilitation medicine · 2026Article
- The Lithuanian Stroke Database: selection of national stroke care performance measures.Frontiers in neurology · 2025Article
- The effect of patients' socioeconomic status in rehabilitation centers on the efficiency and performance.European journal of physical and rehabilitation medicine · 2024Article
- Article
- Pragmatic solutions to reduce the global burden of stroke: a World Stroke Organization-Lancet Neurology Commission.The Lancet. Neurology · 2023Review
- Interventions for the uptake of evidence-based recommendations in acute stroke settings.The Cochrane database of systematic reviews · 2023Review
- Stroke unit and Neurocritical Care Unit for acute neurological diseases in the USL Toscana Centro: a pilot model of Santo Stefano Hospital in Prato.Frontiers in stroke · 2023Article
- Article
- An introduction to key performance indicators for medical physicists.Journal of applied clinical medical physics · 2022Article
- Quality of acute ischemic stroke care at a tertiary Hospital in Ghana.BMC neurology · 2022Article
- Characteristics of stroke service implementation in Armenia.Frontiers in neurology · 2022Article
- Delayed Comprehensive Stroke Unit Care Attributable to the Evolution of Infection Protection Measures across Two Consecutive Waves of the COVID-19 Pandemic.Life (Basel, Switzerland) · 2021Article
- Stroke 20 20: Implementation goals for intravenous thrombolysis.European stroke journal · 2021Article
- Enhancing and accelerating stroke treatment in Eastern European region: Methods and achievement of the ESO EAST program.European stroke journal · 2020Article
- Impact of Evidence-Based Stroke Care on Patient Outcomes: A Multilevel Analysis of an International Study.Journal of the American Heart Association · 2019Article
- Action Plan for Stroke in Europe 2018-2030.European stroke journal · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTranslating research evidence into clinical practice often uses key performance indicators to monitor quality of care. We conducted a systematic review to identify the stroke key performance indicators used in large registries, and to estimate their association with patient outcomes.
methodWe sought publications of recent (January 2000-May 2017) national or regional stroke registers reporting the association of key performance indicators with patient outcome (adjusting for age and stroke severity). We searched Ovid Medline, EMBASE and PubMed and screened references from bibliographies. We used an inverse variance random effects meta-analysis to estimate associations (odds ratio; 95% confidence interval) with death or poor outcome (death or disability) at the end of follow-up.
findingsWe identified 30 eligible studies (324,409 patients). The commonest key performance indicators were swallowing/nutritional assessment, stroke unit admission, antiplatelet use for ischaemic stroke, brain imaging and anticoagulant use for ischaemic stroke with atrial fibrillation, lipid management, deep vein thrombosis prophylaxis and early physiotherapy/mobilisation. Lower case fatality was associated with stroke unit admission (odds ratio 0.79; 0.72-0.87), swallow/nutritional assessment (odds ratio 0.78; 0.66-0.92) and antiplatelet use for ischaemic stroke (odds ratio 0.61; 0.50-0.74) or anticoagulant use for ischaemic stroke with atrial fibrillation (odds ratio 0.51; 0.43-0.64), lipid management (odds ratio 0.52; 0.38-0.71) and early physiotherapy or mobilisation (odds ratio 0.78; 0.67-0.91). Reduced poor outcome was associated with adherence to swallowing/nutritional assessment (odds ratio 0.58; 0.43-0.78) and stroke unit admission (odds ratio 0.83; 0.77-0.89). Adherence with several key performance indicators appeared to have an additive benefit. DISCUSSION: Adherence with common key performance indicators was consistently associated with a lower risk of death or disability after stroke.
conclusionPolicy makers and health care professionals should implement and monitor those key performance indicators supported by good evidence.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.