Abstract WP361: Temporal Variation in Facility Performance of Process Measures After Transient Ischemic Attack in the Veterans Health Administration: Predictors and Association With Ischemic Stroke Incidence
| العنوان: | Abstract WP361: Temporal Variation in Facility Performance of Process Measures After Transient Ischemic Attack in the Veterans Health Administration: Predictors and Association With Ischemic Stroke Incidence |
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| المؤلفون: | Dawn M. Bravata, Jason J. Sico, Michael S. Phipps, Anthony J. Perkins, Ying Zhang, Deborah Levine, Jared Ferguson, Laura J. Myers |
| المصدر: | Stroke. 50 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Advanced and Specialized Nursing, medicine.medical_specialty, business.industry, Incidence (epidemiology), Emergency medicine, Ischemic stroke, Medicine, cardiovascular diseases, Neurology (clinical), Cardiology and Cardiovascular Medicine, business, Veterans health, Process Measures |
| الوصف: | Background: Little is known about facility factors that contribute to change in facility performance and how temporal variation in facility performance of transient ischemic attack (TIA) process measures contributes to variation in facility-level ischemic stroke incidence. Methods: Prospective study of 7760 veterans (mean age, 70; 95% male) with TIA presenting to 53 VA facilities in 2014-2018. We examined process measures (high/moderate potency statin and anti-thrombotics Results: Facilities significantly increased statin use and anti-thrombotic use, but not hypertension control over the 4-year study period (Table). Facilities who admitted more TIA patients had significantly greater use of statins and anti-thrombotics. Facilities with higher facility complexity had significantly greater use of statins. Facilities with higher rates of Neurology consultation had significantly lower stroke incidence. Conclusion: Facility characteristics, namely percentage of TIA patients admitted, are independently associated with changes in performance of process measures for TIA. Neurology consultations were associated with lower 90-day stroke incidence over time. |
| تدمد: | 1524-4628 0039-2499 |
| DOI: | 10.1161/str.50.suppl_1.wp361 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::44c7812824db2861cbadeb1e72808f69 https://doi.org/10.1161/str.50.suppl_1.wp361 |
| رقم الانضمام: | edsair.doi...........44c7812824db2861cbadeb1e72808f69 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15244628 00392499 |
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| DOI: | 10.1161/str.50.suppl_1.wp361 |