Hernán Bayona, Pablo Amaya, José Luis Bustos, Liliana M Giraldo-Tapias, Andrés Betancourt, Catalina Vallejo, Julián Rivillas, Natalia Llanos-Leyton, Katherine Mantilla, Tony Fabián Álvarez, Carlos Martinez, Jaime Eduardo Rodriguez Orozco, Claudio Jimenez, Javier Torres, Carolina Isaza, Juliana Coral, H Mauricio Patiño-Rodriguez, Hugo Macareno, Daniel Mantilla, Ángel Basilio Corredor-Quintero, Zulma Urbina, Liliana de la Cruz, Juan Guillermo Mejía, Viviana Martinez, Miguel Silva, Luis Afonso Chavarro, Jorge Revelo, Benjamin Márquez, Alexander Aroca, Sandra Jurado Lopez, Diana Gómez-Mesa, Jóse Vladimir Tobón, Daniela Jiménez, Federico Silva, Germán E Perez-Romero, Mario Muñoz-Collazos
{"title":"Quality indicators of stroke care in Colombia based on the RES-Q registry.","authors":"Hernán Bayona, Pablo Amaya, José Luis Bustos, Liliana M Giraldo-Tapias, Andrés Betancourt, Catalina Vallejo, Julián Rivillas, Natalia Llanos-Leyton, Katherine Mantilla, Tony Fabián Álvarez, Carlos Martinez, Jaime Eduardo Rodriguez Orozco, Claudio Jimenez, Javier Torres, Carolina Isaza, Juliana Coral, H Mauricio Patiño-Rodriguez, Hugo Macareno, Daniel Mantilla, Ángel Basilio Corredor-Quintero, Zulma Urbina, Liliana de la Cruz, Juan Guillermo Mejía, Viviana Martinez, Miguel Silva, Luis Afonso Chavarro, Jorge Revelo, Benjamin Márquez, Alexander Aroca, Sandra Jurado Lopez, Diana Gómez-Mesa, Jóse Vladimir Tobón, Daniela Jiménez, Federico Silva, Germán E Perez-Romero, Mario Muñoz-Collazos","doi":"10.1016/j.jstrokecerebrovasdis.2025.108249","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>This study seeks to outline the epidemiological patterns and quality of care indicators of ischemic stroke in Colombia. It serves as a pioneering effort, offering crucial national-level insights to inform evidence-based stroke policies in Colombia.</p><p><strong>Materials and methods: </strong>Using data from the Registry of Stroke Care-Quality (RES-Q) spanning the years 2017 to 2021, a multicenter descriptive study was conducted in Colombia. A survival analysis using Kaplan-Meier curves was planned for the time from symptom onset to hospital arrival, hospital stay and mortality, stratified by pre-established geographic regions.</p><p><strong>Results: </strong>A total of 7,963 patients were included in 4 geographic regions: Amazon, Andean, Caribbean and Pacific. The main data provider was the Andean region with 6,402 patients (80.3%). 49% were women. The median age was 72 years (IQR 61-81). The NIHSS scale was a median of 7 IQR (3-15). 14.5% (994) received intravenous thrombolysis therapy. The door to needle time was 53 minutes IQR (36-70). 53% were hospitalized in a standard bed, 41% in intensive care/stroke unit. 33.4% patients had a Rankin score at discharge between 0-2.</p><p><strong>Conclusion: </strong>First study conducted using RES-Q data at the national level in Colombia. A reduction of door-to-needle times by at least 50% compared to historical levels is evident. Low reperfusion rates persist. Secondary prevention measures are needed with the implementation of national stroke policies.</p>","PeriodicalId":54368,"journal":{"name":"Journal of Stroke & Cerebrovascular Diseases","volume":" ","pages":"108249"},"PeriodicalIF":2.0000,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Stroke & Cerebrovascular Diseases","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jstrokecerebrovasdis.2025.108249","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NEUROSCIENCES","Score":null,"Total":0}
引用次数: 0
Abstract
Objectives: This study seeks to outline the epidemiological patterns and quality of care indicators of ischemic stroke in Colombia. It serves as a pioneering effort, offering crucial national-level insights to inform evidence-based stroke policies in Colombia.
Materials and methods: Using data from the Registry of Stroke Care-Quality (RES-Q) spanning the years 2017 to 2021, a multicenter descriptive study was conducted in Colombia. A survival analysis using Kaplan-Meier curves was planned for the time from symptom onset to hospital arrival, hospital stay and mortality, stratified by pre-established geographic regions.
Results: A total of 7,963 patients were included in 4 geographic regions: Amazon, Andean, Caribbean and Pacific. The main data provider was the Andean region with 6,402 patients (80.3%). 49% were women. The median age was 72 years (IQR 61-81). The NIHSS scale was a median of 7 IQR (3-15). 14.5% (994) received intravenous thrombolysis therapy. The door to needle time was 53 minutes IQR (36-70). 53% were hospitalized in a standard bed, 41% in intensive care/stroke unit. 33.4% patients had a Rankin score at discharge between 0-2.
Conclusion: First study conducted using RES-Q data at the national level in Colombia. A reduction of door-to-needle times by at least 50% compared to historical levels is evident. Low reperfusion rates persist. Secondary prevention measures are needed with the implementation of national stroke policies.
期刊介绍：
The Journal of Stroke & Cerebrovascular Diseases publishes original papers on basic and clinical science related to the fields of stroke and cerebrovascular diseases. The Journal also features review articles, controversies, methods and technical notes, selected case reports and other original articles of special nature. Its editorial mission is to focus on prevention and repair of cerebrovascular disease. Clinical papers emphasize medical and surgical aspects of stroke, clinical trials and design, epidemiology, stroke care delivery systems and outcomes, imaging sciences and rehabilitation of stroke. The Journal will be of special interest to specialists involved in caring for patients with cerebrovascular disease, including neurologists, neurosurgeons and cardiologists.
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