{"id":18093,"date":"2015-07-31T09:19:42","date_gmt":"2015-07-31T13:19:42","guid":{"rendered":"http:\/\/therapytoronto.ca\/news\/?p=18093"},"modified":"2015-07-31T14:32:33","modified_gmt":"2015-07-31T18:32:33","slug":"hospitals-often-overestimate-their-ability-to-deliver-fast-stroke-care","status":"publish","type":"post","link":"https:\/\/therapytoronto.ca\/news\/2015\/07\/hospitals-often-overestimate-their-ability-to-deliver-fast-stroke-care\/","title":{"rendered":"Hospitals often overestimate their ability to deliver fast stroke care"},"content":{"rendered":"<p>From the\u00a0American Heart Association media release:<\/p>\n<blockquote>\n<p id=\"first\" class=\"lead\"><a href=\"http:\/\/therapytoronto.ca\/news\/wp-content\/uploads\/2015\/06\/aspirin.jpg\"><img loading=\"lazy\" class=\"alignright size-full wp-image-17916\" src=\"http:\/\/therapytoronto.ca\/news\/wp-content\/uploads\/2015\/06\/aspirin.jpg\" alt=\"aspirin\" width=\"290\" height=\"226\" \/><\/a><strong>Hospitals often overestimate their performance in providing fast delivery of anti-clotting medication to stroke patients<\/strong>, according to new research in the\u00a0<em>Journal of the American Heart Association<\/em>.<\/p>\n<div id=\"text\">\n<p>Researchers surveyed staff in 141 hospitals who treated 48,201 stroke patients in 2009 and 2010. They found that <strong>hospital staff perception did not match up with stroke care performance<\/strong>.<\/p>\n<p>Data on patients &#8212; including the onset of their stroke symptoms, hospital arrival time, treatments, initiation of the intravenous drug called tissue plasminogen activator (tPA), and complications from the drug &#8212; were compared with hospital staff survey responses. Hospitals were categorized as high-, middle- or low-performing based on the percentage of time they appropriately administered tPA.<\/p>\n<p>Hospital performance was based on &#8220;door-to-needle&#8221; time, which is how quickly the drug is administered from the time the patient arrives at the hospital. Guidelines recommend delivering tPA within 60 minutes of the patient&#8217;s arrival to the hospital because the drug has proven to reduce both the short- and long-term effects of a stroke.<\/p>\n<p><strong>Among the researchers&#8217; findings:<\/strong><\/p>\n<ul>\n<li>Only <strong>29 percent of hospital staff accurately identified<\/strong> their door-to-needle performance.<\/li>\n<li>Forty-two percent of middle-performing hospitals and <strong>85 percent of low-performing hospitals overestimated their abilities<\/strong> to quickly administer tPA.<\/li>\n<li>Nearly 20 percent of low-performing hospitals <strong>believed their door-to-needle time was above<\/strong> the national average.<\/li>\n<li>Hospitals that overestimated their performance <strong>had lower volumes of tPA administration<\/strong>.<\/li>\n<\/ul>\n<p>The surveyed hospitals all participated in the American Heart Association&#8217;s Get With the Guidelines\u00ae-Stroke national quality improvement program designed to ensure consistency in timely stroke care.<\/p>\n<p>Factors affecting the disparity between hospital perception and performance included stroke patient volume, whereas hospital size or region did not appear to be a major factor.<\/p>\n<p>&#8220;<strong>Institutions at any performance level could benefit from making protocol changes that would better align performance with perception<\/strong>&#8221; said Cheryl Lin, M.D., lead study author and a former researcher at Duke Clinical Research Institute in Durham, N.C. &#8220;This would have a significant impact on the quality of stroke care delivered across the U.S.&#8221;<\/p>\n<p>Stroke is now the fifth-leading cause of death in the United States, <strong>claiming a life once every four minutes<\/strong>.<\/p>\n<\/div>\n<\/blockquote>\n<!-- AddThis Advanced Settings generic via filter on the_content --><!-- AddThis Share Buttons generic via filter on the_content -->","protected":false},"excerpt":{"rendered":"<p>From the\u00a0American Heart Association media release: Hospitals often overestimate their performance in providing fast delivery of anti-clotting medication to stroke patients, according to new research in the\u00a0Journal of the American&#8230; <a class=\"read-more-link\" href=\"https:\/\/therapytoronto.ca\/news\/2015\/07\/hospitals-often-overestimate-their-ability-to-deliver-fast-stroke-care\/\">Read more &raquo;<\/a><!-- AddThis Advanced Settings generic via filter on get_the_excerpt --><!-- AddThis Share Buttons generic via filter on get_the_excerpt --><\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[321,357,358],"tags":[],"_links":{"self":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/18093"}],"collection":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/comments?post=18093"}],"version-history":[{"count":1,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/18093\/revisions"}],"predecessor-version":[{"id":18098,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/18093\/revisions\/18098"}],"wp:attachment":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/media?parent=18093"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/categories?post=18093"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/tags?post=18093"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}