Abstract:
OBJECTIVE:Evidence-based performance measures have been increasingly used to evaluate hospital quality of stroke care, but their impact on stroke outcomes has not been verified. We aimed to evaluate the correlations between hospital performance measures and outcomes among patients with acute ischaemic stroke in a Chinese population. METHODS:Data were derived from a prospective cohort, which included 120 hospitals participating in the China National Stroke Registry between September 2007 and August 2008. Adherence to nine evidence-based performance measures was examined, and the composite score of hospital performance measures was calculated. The primary stroke outcomes were hospital-level, 30-day and 1-year risk-standardised mortality (RSM). Associations of individual performance measures and composite score with stroke outcomes were assessed using Spearman correlation coefficients. RESULTS:One hundred and twenty hospitals that recruited 12 027 patients with ischaemic stroke were included in our analysis. Among 12 027 patients, 61.59% were men, and the median age was 67 years. The overall composite score of performance measures was 63.3%. The correlation coefficients between individual performance measures ranged widely from 0.01 to 0.66. No association was observed between the composite score and 30-day RSM. The composite score was modestly associated with 1-year RSM (Spearman correlation coefficient, 0.34; p<0.05). The composite score explained only 2.53% and 10.18% of hospital-level variation in 30-day and 1-year RSM for patients with acute stroke. CONCLUSIONS:Adherence to evidence-based performance measures for acute ischaemic stroke was suboptimal in China. There were various correlations among hospital individual performance measures. The hospital performance measures had no correlations with 30-day RSM rate and modest correlations with 1-year RSM rate.
journal_name
BMJ Openjournal_title
BMJ openauthors
Zhang X,Li Z,Zhao X,Xian Y,Liu L,Wang C,Wang C,Li H,Prvu Bettger J,Yang Q,Wang D,Jiang Y,Bao X,Yang X,Wang Y,Wang Ydoi
10.1136/bmjopen-2017-020467subject
Has Abstractpub_date
2018-08-01 00:00:00pages
e020467issue
7issn
2044-6055pii
bmjopen-2017-020467journal_volume
8pub_type
杂志文章相关文献
BMJ Open文献大全abstract:OBJECTIVES:Implementation studies are often poorly reported and indexed, reducing their potential to inform the provision of healthcare services. The Standards for Reporting Implementation Studies (StaRI) initiative aims to develop guidelines for transparent and accurate reporting of implementation studies. METHODS:An...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-013318
更新日期:2017-04-03 00:00:00
abstract:INTRODUCTION:Children with acute respiratory tract infections (ARTIs) are prescribed up to 11.4 million unnecessary antibiotic prescriptions annually. Inadequate parent-provider communication is a chief contributor, yet efforts to reduce overprescribing have only indirectly targeted communication or been impractical. T...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2017-020981
更新日期:2018-05-09 00:00:00
abstract:OBJECTIVES:This study aims to identify the sources of funding for investigator-initiated clinical trials (IICTs) in Portugal, and to recommend ways to improve the quality of information collected from clinical trial databases about funding. DESIGN AND METHODS:A systematic search of trial registrations over the last 13...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-023394
更新日期:2019-05-14 00:00:00
abstract:OBJECTIVES:Prevalence estimates of multimorbidity vary widely due to inconsistent definitions and measurement methods. This study examines the independent effects on prevalence estimates of how 'disease entity' is defined-as a single chronic condition or chapters/domains in the International Classification of Primary C...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2013-004694
更新日期:2014-07-11 00:00:00
abstract:OBJECTIVE:To examine the role of dietary intake and physical activity in muscle strength among adolescents. DESIGN:Cross-sectional analysis. SETTING:The Malaysian Health and Adolescents Longitudinal Research Team (MyHeART) study. PARTICIPANTS:Fifteen-year-old secondary school children who have given consent and who ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-026275
更新日期:2019-06-27 00:00:00
abstract:INTRODUCTION:Unprecedented global efforts to prevent malaria morbidity and mortality in sub-Saharan Africa have saved hundreds of thousands of lives across the continent in the last two decades. This study aims to determine how the comparative efficacy and safety of available malaria control interventions intended to i...
journal_title:BMJ open
pub_type: 杂志文章,meta分析
doi:10.1136/bmjopen-2018-024313
更新日期:2019-02-22 00:00:00
abstract:INTRODUCTION:Eye diseases and visual impairment more commonly affect elderly adults, thus, the majority of ophthalmic cohort studies have focused on older adults. Cohort studies on the ocular health of younger adults, on the other hand, have been few. The Raine Study is a longitudinal study that has been following a co...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033440
更新日期:2020-03-25 00:00:00
abstract:OBJECTIVES:To assess the relationship between occupational health and safety (OH&S)-related behaviours of migrating workers in China and their knowledge regarding OH&S laws and regulations (L&Rs). MATERIALS AND METHODS:We sampled 1282 migrant workers from 12 labour-intensive manufacturers in Guangdong, China, with a r...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-040143
更新日期:2020-12-01 00:00:00
abstract:INTRODUCTION:Pancreatic cancer is a devastating disease with an exceptionally poor prognosis. Complete resection of the primary tumour followed by adjuvant chemotherapy is the current standard treatment for patients with resectable disease and the only curative treatment option. However, long-term survival remains rare...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-028696
更新日期:2019-08-20 00:00:00
abstract:OBJECTIVE:To examine individual, situational and organisational aspects that influence psychological impact and recovery of a patient safety incident on physicians, nurses and midwives. DESIGN:Cross-sectional, retrospective surveys of physicians, midwives and nurses. SETTING:33 Belgian hospitals. PARTICIPANTS:913 cl...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2016-011403
更新日期:2016-08-31 00:00:00
abstract:OBJECTIVES:(1) To establish the likelihood of dying within 12 months for a cohort of hospital inpatients in New Zealand (NZ) on a fixed census date; (2) to identify associations between likelihood of death and key sociodemographic, diagnostic and service-related factors and (3) to compare results with, and extend findi...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-016880
更新日期:2017-12-06 00:00:00
abstract:OBJECTIVES:To seek the experiences and perspectives of parents caring for children with dysphagia, with emphasis on their experiences of working within their child's multidisciplinary team (MDT). SETTING:This research was completed in community settings, within families' homes across the UK. PARTICIPANTS:14 families ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-005934
更新日期:2014-10-17 00:00:00
abstract:INTRODUCTION:Many studies have assessed the predictors of morbidity/mortality of patients with traumatic brain injury (TBI) in acute care. However, with the increasing rate of survival after TBI, more attention has been given to discharge destinations from acute care as an important measure of clinical priorities. This...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2017-016694
更新日期:2017-08-31 00:00:00
abstract:BACKGROUND:Physicians working in prehospital care are expected to handle radio communication both within their own sector as well as with other divisions of the National Emergency Services. To date, no study has been conducted on the level of training received by physicians in the use of the equipment provided or on th...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-015017
更新日期:2017-06-30 00:00:00
abstract:PURPOSE:The goal of the Pregnancy, Race, Environment, Genes study was to understand how social and environmental determinants of health (SEDH), pregnancy-specific environments (PSE) and biological processes influence the timing of birth and account for the racial disparity in preterm birth. The study followed a raciall...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-019721
更新日期:2018-05-09 00:00:00
abstract:INTRODUCTION:Emergency admission risk prediction models are increasingly used to identify patients, typically with one or more chronic conditions, for proactive management in primary care to avoid admissions, save costs and improve patient experience. AIM:To identify and review the published evidence on the costs, eff...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-009653
更新日期:2016-03-01 00:00:00
abstract:OBJECTIVES:To explore the association of dietary behaviour factors on obesity among city, township and rural area adults. SETTING:A stratified cluster sampling technique was employed in the present cross-sectional study. On the basis of socioeconomic characteristics, two cities, two townships and two residential villa...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-008417
更新日期:2015-07-15 00:00:00
abstract:OBJECTIVE:To estimate the effectiveness and safety of laparoscopic surgical excision of rectovaginal endometriosis. DESIGN:A multicentre, prospective cohort study. SETTING:51 hospitals accredited as specialist endometriosis centres. PARTICIPANTS:5162 women of reproductive age with rectovaginal endometriosis of which...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2017-018924
更新日期:2018-04-09 00:00:00
abstract:INTRODUCTION:The association between long-chain omega-3 polyunsaturated fatty acids (PUFAs), brain health, cognitive function and mood has been the subject of intensive research. Marine-derived omega-3 PUFAs, such as docosahexaenoic acid and eicosapentaenoic acid, are highly concentrated in neuronal membranes and affec...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-027167
更新日期:2019-06-22 00:00:00
abstract:INTRODUCTION:Recent studies demonstrate that cardiovascular diseases and associated complications are the leading cause of morbidity and mortality in individuals with spinal cord injury (SCI). Abnormal arterial stiffness, defined by a carotid-to-femoral pulse wave velocity (cfPWV) ≥10 m/s, is a recognised risk factor f...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-023540
更新日期:2019-01-04 00:00:00
abstract:OBJECTIVE:To identify, summarise and synthesise available literature on the effectiveness of implementation strategies for optimising implementation of complex interventions in primary care. DESIGN:Systematic review of reviews. DATA SOURCES:MEDLINE, EMBASE, CINAHL, Cochrane Library and PsychINFO were searched, from f...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2015-009993
更新日期:2015-12-23 00:00:00
abstract:INTRODUCTION:Mild obstructive sleep-disordered breathing (oSDB), characterised by habitual snoring without frequent apnoeas and hypopnoeas on polysomnography, is prevalent in children and commonly treated with adenotonsillectomy (AT). However, the absence of high-level evidence addressing the role of AT in improving he...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033889
更新日期:2020-03-15 00:00:00
abstract:OBJECTIVE:To explore patients' experience of receiving pain relief injection for suspected hip fracture from paramedics at the location of the injury. DESIGN:Qualitative interviews within a feasibility trial about an alternative to routine prehospital pain management for patients with suspected hip fracture. SETTING:...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033398
更新日期:2019-12-19 00:00:00
abstract:OBJECTIVES:To estimate the clinical and economic impact of intensive care unit-acquired bloodstream infections in Taiwan. DESIGN:Retrospective cohort study. SETTING:Nationwide Taiwanese population in the National Health Insurance Research Database and the Taiwan Nosocomial Infections Surveillance (2007-2015) dataset....
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-037484
更新日期:2020-11-26 00:00:00
abstract:OBJECTIVES:The Maine Diversion Alert Program grants healthcare providers access to law enforcement data on drug charges. The objectives of this report were to analyse variations in drug charges by demographics and examine recent trends in arrests, prescriptions of controlled substances and overdoses. DESIGN:Observatio...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-027117
更新日期:2019-04-29 00:00:00
abstract:BACKGROUND:Osteoporosis is an age-related disease with progressive loss of bone, leading to fragile bone. It is one of the major health issues in older adults and causes medical, social and economic impacts globally. Patients with osteoporosis have high risk of osteoporotic fractures. Low-magnitude high-frequency vibra...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038578
更新日期:2020-12-15 00:00:00
abstract:INTRODUCTION:Vitamin D is related to resistance to chronic diseases, physiological parameters and functional measures. All of these relationships underscore the potential benefits of cholecalciferol or D3 (nutritional vitamin D) in cancer. This is the first study designed to obtain conclusive evidence on the effect of ...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2014-006128
更新日期:2014-12-31 00:00:00
abstract:INTRODUCTION:Low-cost interventions providing self-management support are needed for people with coronary artery disease (CAD) and diabetes. Mobile phone text messaging provides a potential vehicle for this. The SupportMe Trial aims to assess the feasibility of embedding a text messaging programme into routine clinical...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-025923
更新日期:2019-06-19 00:00:00
abstract:OBJECTIVES:To investigate an association between fatty liver disease (FLD) and erosive oesophagitis. DESIGN AND SETTING:This was a cross-sectional study of subjects selected from examinees who underwent health check-up, including oesophagogastroduodenoscopy in one hospital between 2004 and 2011. Erosive oesophagitis w...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-023585
更新日期:2019-01-30 00:00:00
abstract:OBJECTIVES:To investigate the epidemiology of influenza-like illness (ILI) by general practice and patient characteristics, and explore whether sociodemographic variables or comorbidities affect antiviral or antibiotic prescribing. DESIGN:Open cohort study. SETTING:A representative sample of 550 Australian general pr...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2018-026396
更新日期:2019-05-01 00:00:00