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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)