Deans' stroke musings: Electronic health records not associated with better outcomes in stroke care

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Saturday, May 9, 2015

Electronic health records not associated with better outcomes in stroke care

Everything in stroke is a failure, EHRs are not going to improve the failure rates.
EHRs will not fix all the problems in stroke, or how screwed current stroke survivors are.
http://www.healio.com/cardiology/stroke/news/online/%7B0557f98e-c023-4015-9e82-e13f4aa2e8f5%7D/electronic-health-records-not-associated-with-better-outcomes-in-stroke-care?
Electronic health records were not associated with higher-quality care or better clinical outcomes for stroke care in a study of hospitals in the Get With the Guidelines–Stroke program.

Researchers compared whether hospitals with electronic health records (EHRs) differed in quality or outcome measures of ischemic stroke care vs. hospitals without EHRs.
They studied 626,473 patients from 1,236 U.S. hospitals participating in the Get With the Guidelines–Stroke program between 2007 and 2010. By the end of the study period, 511 hospitals had EHRs. Hospitals with EHRs were larger and more likely to be teaching hospitals or stroke centers than hospitals without EHRs, according to the researchers.
The quality outcome of interest was a composite measure requiring that a patient receive each achievement measure for which he or she was eligible (“all or none” care). The main clinical outcomes of interest were length of stay of longer than 4 days, discharge home and in-hospital mortality.
The researchers found no difference between hospitals with or without EHRs in patient odds of receiving “all or none” care (OR = 1.03; 95% CI, 0.99-1.06), of discharge home (OR = 1.02; 95% CI, 0.99-1.04) or of in-hospital mortality (OR = 1.01; 95% CI, 0.96-1.05).