Implementation of a Stroke Registry Is Associated with an Improvement in Stroke Performance Measures in a Tertiary Hospital in Mexico

Background Stroke registries provide a simple way for improving patient care, and its use has been associated with a better adherence to the published guidelines. Few Latin American countries had established stroke registries. Our study is the first in Mexico to report the effects of implementing a...

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Bibliographic Details
Published in:Journal of stroke and cerebrovascular diseases 2015-04, Vol.24 (4), p.725-730
Main Authors: Herrera, Ana Lucia, MD, Góngora-Rivera, Fernando, MD, Muruet, Walter, MD, Villarreal, Héctor Jorge, MD, Gutiérrez-Herrera, Mildred, MD, Huerta, Lena, MD, Carrasco, Diana, MD, Soto-García, Anally, MD, Espinosa-Ortega, Meztli, MD
Format: Article
Language:English
Subjects:
Aged
Cardiovascular
Female
Guideline Adherence - standards
Humans
ischemic
Male
Mexico
Middle Aged
Neurology
Prospective Studies
quality of care
Quality of Health Care - standards
Registries
Retrospective Studies
Stroke
Stroke - diagnosis
Stroke - therapy
stroke care
Tertiary Care Centers - statistics & numerical data
Treatment Outcome
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Summary:Background Stroke registries provide a simple way for improving patient care, and its use has been associated with a better adherence to the published guidelines. Few Latin American countries had established stroke registries. Our study is the first in Mexico to report the effects of implementing a stroke registry. To determine if the implementation of a systematized registry is associated with an improved adherence to the performance measures. Methods We compared prospective data (August 2008-November 2010) against historical controls (February 2005-July 2008). Our stroke registry (i-Registro Neurovascular) consists of a standardized clinical form that includes demographic and clinical variables (risk factors, medications, neuroimaging, etiology, acute and outpatient treatments, and neurologic scores [National Institutes of Health Stroke Scale and modified Rankin Scale]). We evaluated 9 performance measures suggested by the American Heart Association and the Joint Commission. Results We analyzed the data from 574 patients, 260 from the prospective phase and 314 from historical controls. No significant statistical differences in demographic characteristics or stroke risk factors were found. The implementation of the stroke registry was associated with a statistically significant ( P  
ISSN:1052-3057
1532-8511
DOI:10.1016/j.jstrokecerebrovasdis.2014.09.008