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Table 8 The effect of items on poor outcome (modified Rankin Scale 3–6)

From: Development and validation of a score for evaluating comprehensive stroke care capabilities: J-ASPECT Study

Item    ISa    ICHb    SAHc  
No Items (n = 31640) (n = 15391) (n = 4821)
   ORd 95% CIe OR 95% CI OR 95% CI
3 Endovascular physicians 1.180 0.890 1.563 0.896 0.671 1.198 1.267 0.856 1.875
17 Coiling of intracranial aneurysm 0.838 0.634 1.106 1.075 0.797 1.451 0.933 0.618 1.407
18 Intra-arterial reperfusion therapy 0.990 0.777 1.261 0.919 0.706 1.194 0.704 0.487 1.017
22 Interventional services coverage 24/7 0.969 0.725 1.295 1.145 0.844 1.555 0.928 0.615 1.400
14 Carotid endarterectomy 1.293 0.946 1.768 0.833 0.595 1.165 0.838 0.511 1.376
15 and 16 Clipping of intracranial aneurysm and hematoma removal/draining 0.763 0.427 1.364 0.537 0.266 1.088 0.553 0.065 4.693
2 Neurosurgeons 1.026 0.582 1.807 1.513 0.744 3.077 4.449 0.987 20.041
6 Rehabilitation therapy 1.000 . . 1.000 . . 1.000 . .
21 Operating room staffed 24/7 0.883 0.723 1.078 0.956 0.769 1.187 0.959 0.712 1.290
7 Stroke rehabilitation nurses 0.874 0.693 1.101 1.019 0.803 1.293 0.877 0.641 1.200
8 CTf 1.328 0.296 5.956 0.515 0.035 7.590 1.000 . .
11 CT angiography 1.227 0.931 1.617 0.820 0.608 1.107 0.877 0.579 1.329
10 Digital cerebral angiography 0.912 0.685 1.213 1.243 0.917 1.684 1.274 0.842 1.928
9 MRIg with diffusion 0.940 0.706 1.252 0.844 0.605 1.176 0.793 0.490 1.284
20 Intensive care unit 0.987 0.842 1.156 0.964 0.813 1.144 1.000 0.795 1.259
13 TCDh 0.966 0.773 1.208 0.879 0.700 1.105 1.152 0.858 1.547
12 Carotid duplex ultrasound 1.183 0.988 1.415 1.021 0.849 1.228 1.206 0.945 1.538
25 Professional education 0.892 0.737 1.079 1.061 0.868 1.296 1.015 0.782 1.317
24 Community education 1.144 0.957 1.368 0.908 0.753 1.094 0.871 0.680 1.116
23 Stroke registry 0.981 0.840 1.146 0.861 0.732 1.013 0.860 0.695 1.065
19 Stroke unit 0.783j 0.645 0.952 0.887 0.724 1.086 0.878 0.676 1.141
1 Neurologists 1.137 0.969 1.335 1.043 0.881 1.234 1.096 0.877 1.370
5 Physical medicine and rehabilitation 1.163 0.934 1.449 0.976 0.777 1.225 0.979 0.725 1.322
4 Critical care medicine 1.113 0.929 1.334 0.993 0.823 1.200 1.062 0.830 1.360
  Total CSCi score 0.995 0.977 1.014 1.007 0.984 1.030 0.978 0.950 1.008
  1. aischemic stroke; bintracerebral hemorrhage; csubarachnoid hemorrhage; d OR odds ratio adjusted by hierarchical logistic model including patient age, sex, Japan Coma Scale scores, and hospital variables; eCI: confidence interval; fcomputed tomography; gmagnetic resonance imaging; htranscranial Doppler; icomprehensive stroke center; j P < 0.05 (hierarchical logistic model)