Adherence to American Heart Association/American Stroke Association Clinical Performance Measures in a Peruvian Neurological Reference Institute.
Adherence to American Heart Association/American Stroke Association Clinical Performance Measures in a Peruvian Neurological Reference Institute.
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DOI：
10.1016/j.jstrokecerebrovasdis.2020.105285
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发表时间：
2020-11
期刊：
影响因子：
--
通讯作者：
Zunt J
中科院分区：
文献类型：
--
作者：
Abanto C;Ulrich AK;Valencia A;Dueñas V;Montano S;Tirschwell D;Zunt J
Little is known about adherence to American Heart Association/American Stroke Association (AHA/ASA) stroke performance measures in developing countries like Peru. We assessed adherence and determined factors associated with adherence to the AHA/ASA stroke performance measures at a reference center for neurological diseases in Lima, Peru. We conducted a retrospective chart review of 150 stroke patients admitted to the Neurological Institute of Neurological Science from 2014-2016 to ascertain adherence to 15 different AHA/ASA stroke performance measures. Adherence was measured as a simple proportion, with both single and composite measures. Associations were analyzed with nonparametric statistics and multivariate logistic regression. Mean adherence to AHA/ASA stroke performance measures was 47%. We observed a statistically significant relationship between adherence to ischemic stroke performance measures and being married (OR = 3.78, 95% CI: 1.05-13.55), as well as an inverse relationship with an onset of symptoms of greater than 4.5 hours prior to arrival at the hospital compared to those with ≤ 4.5 hours (OR = 0.14, 95% CI: 0.02-0.97). Compared to patients with a lower National Institutes of Health Stroke Scale (NIHSS) score (<13), those with a score of ≥13 were less likely to have good adherence (OR = 0.11, 95% CI: 0.04-0.31). The mean composite measure of adherence to internationally recognized standards of stroke management in our Peruvian institution was below the level needed for an achievement award by AHA/ASA. An intervention targeted toward stroke prevention and training could lead to improved outcomes of stroke patients in Peru.
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影响因子：
8.3
作者：
Smith, Eric E.;Saver, Jeffrey L.;Williams, Linda S.
通讯作者：
Williams, Linda S.
影响因子：
5.4
作者：
Ovbiagele B;Schwamm LH;Smith EE;Grau-Sepulveda MV;Saver JL;Bhatt DL;Hernandez AF;Peterson ED;Fonarow GC
通讯作者：
Fonarow GC
影响因子：
1.9
作者：
de Carvalho FA;Schwamm LH;Kuster GW;Bueno Alves M;Cendoroglo Neto M;Sampaio Silva G
通讯作者：
Sampaio Silva G
影响因子：
4.8
作者：
Smaha, LA
通讯作者：
Smaha, LA
DOI：
10.1161/circoutcomes.115.001775
发表时间：
2015-10-01
影响因子：
6.9
作者：
Reeves, Matthew J.;Smith, Eric E.;Olson, DaiWai
通讯作者：
Olson, DaiWai