Deans' stroke musings: National stroke registries for monitoring and improving the quality of hospital care: A systematic review

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.

Wednesday, March 16, 2016

National stroke registries for monitoring and improving the quality of hospital care: A systematic review

Pretty much complete and total crap from the WSO(World Stroke Organization). Monitoring registries, access and care!!! What the hell shit is that? You monitor RESULTS, you fucking idiots.
And Bo Norrving used to be the president of the WSO. You can see why our stroke organizations need to be destroyed.
Someday I'll really tell you what I think.
http://wso.sagepub.com/content/11/1/28.long
Dominique A Cadilhac1,2, Joosup Kim1,2, Natasha A Lannin3,4,Moira K Kapral5, Lee H Schwamm6, Martin S Dennis7,Bo Norrving8 and Atte Meretoja2,9,10
Abstract
Background:
Routine monitoring of the quality of stroke care is becoming increasingly important since patient out-comes could be improved with better access to proven treatments.(There are no proven treatments otherwise known as protocols) It remains unclear how many countries have established a national registry for monitoring stroke care.
Aims:
To describe the current status of national, hospital-based stroke registries that have a focus on monitoring access to evidence-based care and patient outcomes and to summarize the main features of these registries.
Summary of review:
We undertook a systematic search of the published literature to identify the registries that are
considered in their country to represent a national standardized dataset for acute stroke care and outcomes. Our initial keyword search yielded 5002 potential papers, of which we included 316 publications representing 28 national stroke registries from 26 countries. Where reported, data were most commonly collected with a waiver of patient consent(70%). Most registries used web-based systems for data collection (57%) and 25% used data linkage. Few variables weremeasured consistently among the registries reflecting their different local priorities. Funding, resource requirements, and coverage also varied.
Conclusions:
This review provides an overview of the current use of national stroke registries, a description of their common features relevant to monitoring stroke care in hospitals. Formal registration and description of registries would facilitate better awareness of efforts in this field.