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Table 2 Duration of Registry Participation as a Predictor of Care

From: Duration of hospital participation in a nationwide stroke registry is associated with improved quality of care

 

Univariate Analysis

Multivariable Analysis‡

Quality Measure

Year 1 (n = 7879) N (%)

Year 2 (n = 5734) N (%)

Year 3 (n = 2313) N (%)

Year 4 (n = 375) N (%)

P value*

OR§

95% CI

P value*

Optimal Treatment (those who received therapy or had valid contraindication)

   Antithrombotic therapy within 48 hours

7244 (91.9)

5365 (93.6)

2214 (95.7)

358 (95.5)

0.001

1.11

(1.04–1.20)

0.003

   DVT prophylaxis within 48 hours†

4607 (76.4)

3595 (85.0)

1596 (92.7)

269 (94.7)

0.01

1.19

(1.02–1.40)

0.03

   Antithrombotic medication at discharge**

6502 (86.8)

5146 (94.5)

2148 (96.5)

355 (98.1)

<0.0001

1.46

(1.24–1.71)

<0.0001

Actual Treatment (those who actually received therapy)

   Antithrombotic therapy within 48 hours

7154 (90.8)

5284 (92.2)

2174 (94.0)

349 (93.1)

0.03

1.06

(0.99–1.14)

0.08

   DVT prophylaxis within 48 hours†

2516 (41.7)

2015 (47.7)

923 (53.6)

169 (59.5)

0.85

0.94

(0.75–1.18)

0.62

   Antithrombotic medication at discharge**

6236 (83.2)

4877 (89.6)

2026 (91.0)

332 (91.7)

0.003

1.20

(1.06–1.36)

0.005

  1. * Both univariate and multivariate analyses were performed using GEE to adjust for hospital differences
  2. ** Excludes patients who died in-hospital (n = 774)
  3. † Analyses included only ischemic stroke patients (n = 12,263)
  4. ‡ Adjusted for age, gender, race, type of facility, diagnosis, presence of stroke team, discharge disposition
  5. §Change in outcome for each 6-months in registry