SciELO - Scientific Electronic Library Online

 
vol.38 issue1Ischemic stroke management - Experience in two third-level hospitals in Ibague (Colombia) from June 2019 to June 2020 author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google

Share


Acta Neurológica Colombiana

Print version ISSN 0120-8748On-line version ISSN 2422-4022

Abstract

MARTFNEZ-VILLOTA, Viviana Alexandra et al. Quality of health care in stroke in a reference hospital in Colombia. Acta Neurol Colomb. [online]. 2022, vol.38, n.1, pp.2-11.  Epub Apr 26, 2022. ISSN 0120-8748.  https://doi.org/10.22379/24224022395.

INTRODUCTION:

The evaluation of the quality of care for Stroke is a priority for health systems, given its relationship with disability and death. In this study, Stroke quality markers are analyzed in stroke in a referral hospital in Narino, Colombia.

OBJECTIVE:

To evaluate the markers of quality of care in stroke in the Hospital Departamental Universitario de Narino E.S.E between June 2018 and December 2019. As a reference, the outcomes were compared with the Colombian registries on RES-Q platform.

MATERIALS AND METHODS:

A retrospective descriptive study of patients treated in-hospital with stroke, data collection was performed using the RES-Q platform. The analysis was carried out using descriptive statistics and absolute and relative frequencies and the differences with analytical tests.

RESULTS:

457patients were evaluated, with ischemic stroke predominance, endovenous thrombolysis was performed in 7.2 % in 2018, and 9.2 % in 2019, 27.7 % of patients had door to needle time less than 60 minutes in 2018 and 42.8 % in 2019. Among the quality markers evaluated, an improvement was found in the performance of NIHSS, dysphagia evaluation, and carotid doppler performance in ischemic stroke. Compared with Colombian registry, a lower percentage was found in endovenous thrombolysis and thrombectomy. Most of Stroke Care Markers are similar to national average.

CONCLUSIONS:

The improvement in compliance of standard of Stroke Care Quality Markers reflects the impact of stroke care programs. The monitoring of quality parameters allows the generation of comprehensivestroke care programs in the region.

Keywords : Stroke; Thrombolytic therapy; Developing countries; Tissue plasminogen activator; Quality of health care; Quality indicators, health care (MeSH).

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )