Quality Indicators and Clinical Outcomes of Acute Stroke: Results from a Prospective Multicenter Registry in Greece (SUN4P)
Aim: The Stroke Units Necessity for Patients (SUN4P) project aims to provide essential data on stroke healthcare in Greece. Herein, we present results on established quality indicators and outcomes after first-ever stroke occurrences. Methods: This prospective multicenter study included consecutive...
| Main Authors: | , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2024-02-01
|
| Series: | Journal of Clinical Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2077-0383/13/3/917 |
| _version_ | 1797318544883449856 |
|---|---|
| author | Eleni Korompoki George Ntaios Argyro Tountopoulou Georgios Mavraganis Evangelos Tsampalas Ioannis Kalliontzakis Sofia Vassilopoulou Efstathios Manios Christos Savopoulos Haralampos Milionis Athanasios Protogerou Nikolaos Kakaletsis Petros Galanis Daphne Kaitelidou Olga Siskou Konstantinos Vemmos on behalf of the SUN4P Project Collaborators |
| author_facet | Eleni Korompoki George Ntaios Argyro Tountopoulou Georgios Mavraganis Evangelos Tsampalas Ioannis Kalliontzakis Sofia Vassilopoulou Efstathios Manios Christos Savopoulos Haralampos Milionis Athanasios Protogerou Nikolaos Kakaletsis Petros Galanis Daphne Kaitelidou Olga Siskou Konstantinos Vemmos on behalf of the SUN4P Project Collaborators |
| author_sort | Eleni Korompoki |
| collection | DOAJ |
| description | Aim: The Stroke Units Necessity for Patients (SUN4P) project aims to provide essential data on stroke healthcare in Greece. Herein, we present results on established quality indicators and outcomes after first-ever stroke occurrences. Methods: This prospective multicenter study included consecutive patients admitted to nine hospitals across Greece in 2019–2021. Descriptive statistics were used to present patients’ characteristics, key performance measures and stroke outcomes. Results: Among 892 patients, 755 had ischemic stroke (IS) (mean age 75.6 ± 13.6, 48.7% males) and 137 had hemorrhagic stroke (HS) (mean age 75.8 ± 13.2, 57.7% males). Of those, 15.4% of IS and 8% of HS patients were treated in the acute stroke unit (ASU) and 20.7% and 33.8% were admitted to the intensive care unit (ICU) or high-dependency unit (HDU), respectively. A total of 35 (4.6%) out of 125 eligible patients received intravenous alteplase with a door-to needle time of 60 min (21–90). The time to first scan for IS patients was 60 min (31–105) with 53.2% undergoing a CT scan within 60 min post presentation. Furthermore, 94.4% were discharged on antiplatelets, 69.8% on lipid-lowering therapy and 61.6% on antihypertensives. Oral anticoagulants (OAC) were initiated in 73.2% of the 153 IS patients with atrial fibrillation (AF). Among the 687 IS patients who survived, 85.4% were discharged home, 12% were transferred to rehabilitation centers, 1.2% to nursing homes and 1.3% to another hospital. Conclusions: The SUN4P Registry is the first study to provide data from a prospectively collected cohort of consecutive patients from nine representative national hospitals. It represents an important step in the evaluation and improvement of the quality of acute stroke care in Greece. |
| first_indexed | 2024-03-08T03:53:59Z |
| format | Article |
| id | doaj.art-b5af5783ae5445b299166353cb70d976 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-08T03:53:59Z |
| publishDate | 2024-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-b5af5783ae5445b299166353cb70d9762024-02-09T15:16:54ZengMDPI AGJournal of Clinical Medicine2077-03832024-02-0113391710.3390/jcm13030917Quality Indicators and Clinical Outcomes of Acute Stroke: Results from a Prospective Multicenter Registry in Greece (SUN4P)Eleni Korompoki0George Ntaios1Argyro Tountopoulou2Georgios Mavraganis3Evangelos Tsampalas4Ioannis Kalliontzakis5Sofia Vassilopoulou6Efstathios Manios7Christos Savopoulos8Haralampos Milionis9Athanasios Protogerou10Nikolaos Kakaletsis11Petros Galanis12Daphne Kaitelidou13Olga Siskou14Konstantinos Vemmos15on behalf of the SUN4P Project CollaboratorsDepartment of Clinical Therapeutics, National and Kapodistrian University of Athens, 11528 Athens, GreeceDepartment of Internal Medicine, Faculty of Medicine, School of Health Sciences, University of Thessaly, 41334 Larissa, Greece1st Department of Neurology, Eginition Hospital, National and Kapodistrian University of Athens, 11528 Athens, GreeceDepartment of Clinical Therapeutics, National and Kapodistrian University of Athens, 11528 Athens, GreeceDepartment of Medicine, Arcadia General Hospital, 22100 Tripoli, GreeceDepartment of Neurology, General Hospital of Chania, 73300 Chania, Greece1st Department of Neurology, Eginition Hospital, National and Kapodistrian University of Athens, 11528 Athens, GreeceDepartment of Clinical Therapeutics, National and Kapodistrian University of Athens, 11528 Athens, GreeceFirst Propaedeutic Internal Medicine Department, Aristotle University of Thessaloniki, AHEPA Hospital, 54636 Thessaloniki, GreeceDepartment of Internal Medicine, School of Medicine, University of Ioannina, 45500 Ioannina, GreeceClinic-Laboratory of Pathophysiology, First Department of Propeadeutic Internal Medicine, Laiko Hospital, Medical School, National and Kapodistrian University of Athens, 11527 Athens, GreeceSecond Propedeutic Department of Internal Medicine, Aristotle University of Thessaloniki, Hippokrateion General Hospital of Thessaloniki, 54643 Thessaloniki, GreeceCenter for Health Services Management and Evaluation, Nursing Department, National and Kapodistrian University of Athens, 11527 Athens, GreeceCenter for Health Services Management and Evaluation, Nursing Department, National and Kapodistrian University of Athens, 11527 Athens, GreeceCenter for Health Services Management and Evaluation, Nursing Department, National and Kapodistrian University of Athens, 11527 Athens, GreeceHellenic Cardiovascular Research Society, 11528 Athens, GreeceAim: The Stroke Units Necessity for Patients (SUN4P) project aims to provide essential data on stroke healthcare in Greece. Herein, we present results on established quality indicators and outcomes after first-ever stroke occurrences. Methods: This prospective multicenter study included consecutive patients admitted to nine hospitals across Greece in 2019–2021. Descriptive statistics were used to present patients’ characteristics, key performance measures and stroke outcomes. Results: Among 892 patients, 755 had ischemic stroke (IS) (mean age 75.6 ± 13.6, 48.7% males) and 137 had hemorrhagic stroke (HS) (mean age 75.8 ± 13.2, 57.7% males). Of those, 15.4% of IS and 8% of HS patients were treated in the acute stroke unit (ASU) and 20.7% and 33.8% were admitted to the intensive care unit (ICU) or high-dependency unit (HDU), respectively. A total of 35 (4.6%) out of 125 eligible patients received intravenous alteplase with a door-to needle time of 60 min (21–90). The time to first scan for IS patients was 60 min (31–105) with 53.2% undergoing a CT scan within 60 min post presentation. Furthermore, 94.4% were discharged on antiplatelets, 69.8% on lipid-lowering therapy and 61.6% on antihypertensives. Oral anticoagulants (OAC) were initiated in 73.2% of the 153 IS patients with atrial fibrillation (AF). Among the 687 IS patients who survived, 85.4% were discharged home, 12% were transferred to rehabilitation centers, 1.2% to nursing homes and 1.3% to another hospital. Conclusions: The SUN4P Registry is the first study to provide data from a prospectively collected cohort of consecutive patients from nine representative national hospitals. It represents an important step in the evaluation and improvement of the quality of acute stroke care in Greece.https://www.mdpi.com/2077-0383/13/3/917strokequalityregistrythrombolysisGreece |
| spellingShingle | Eleni Korompoki George Ntaios Argyro Tountopoulou Georgios Mavraganis Evangelos Tsampalas Ioannis Kalliontzakis Sofia Vassilopoulou Efstathios Manios Christos Savopoulos Haralampos Milionis Athanasios Protogerou Nikolaos Kakaletsis Petros Galanis Daphne Kaitelidou Olga Siskou Konstantinos Vemmos on behalf of the SUN4P Project Collaborators Quality Indicators and Clinical Outcomes of Acute Stroke: Results from a Prospective Multicenter Registry in Greece (SUN4P) Journal of Clinical Medicine stroke quality registry thrombolysis Greece |
| title | Quality Indicators and Clinical Outcomes of Acute Stroke: Results from a Prospective Multicenter Registry in Greece (SUN4P) |
| title_full | Quality Indicators and Clinical Outcomes of Acute Stroke: Results from a Prospective Multicenter Registry in Greece (SUN4P) |
| title_fullStr | Quality Indicators and Clinical Outcomes of Acute Stroke: Results from a Prospective Multicenter Registry in Greece (SUN4P) |
| title_full_unstemmed | Quality Indicators and Clinical Outcomes of Acute Stroke: Results from a Prospective Multicenter Registry in Greece (SUN4P) |
| title_short | Quality Indicators and Clinical Outcomes of Acute Stroke: Results from a Prospective Multicenter Registry in Greece (SUN4P) |
| title_sort | quality indicators and clinical outcomes of acute stroke results from a prospective multicenter registry in greece sun4p |
| topic | stroke quality registry thrombolysis Greece |
| url | https://www.mdpi.com/2077-0383/13/3/917 |
| work_keys_str_mv | AT elenikorompoki qualityindicatorsandclinicaloutcomesofacutestrokeresultsfromaprospectivemulticenterregistryingreecesun4p AT georgentaios qualityindicatorsandclinicaloutcomesofacutestrokeresultsfromaprospectivemulticenterregistryingreecesun4p AT argyrotountopoulou qualityindicatorsandclinicaloutcomesofacutestrokeresultsfromaprospectivemulticenterregistryingreecesun4p AT georgiosmavraganis qualityindicatorsandclinicaloutcomesofacutestrokeresultsfromaprospectivemulticenterregistryingreecesun4p AT evangelostsampalas qualityindicatorsandclinicaloutcomesofacutestrokeresultsfromaprospectivemulticenterregistryingreecesun4p AT ioanniskalliontzakis qualityindicatorsandclinicaloutcomesofacutestrokeresultsfromaprospectivemulticenterregistryingreecesun4p AT sofiavassilopoulou qualityindicatorsandclinicaloutcomesofacutestrokeresultsfromaprospectivemulticenterregistryingreecesun4p AT efstathiosmanios qualityindicatorsandclinicaloutcomesofacutestrokeresultsfromaprospectivemulticenterregistryingreecesun4p AT christossavopoulos qualityindicatorsandclinicaloutcomesofacutestrokeresultsfromaprospectivemulticenterregistryingreecesun4p AT haralamposmilionis qualityindicatorsandclinicaloutcomesofacutestrokeresultsfromaprospectivemulticenterregistryingreecesun4p AT athanasiosprotogerou qualityindicatorsandclinicaloutcomesofacutestrokeresultsfromaprospectivemulticenterregistryingreecesun4p AT nikolaoskakaletsis qualityindicatorsandclinicaloutcomesofacutestrokeresultsfromaprospectivemulticenterregistryingreecesun4p AT petrosgalanis qualityindicatorsandclinicaloutcomesofacutestrokeresultsfromaprospectivemulticenterregistryingreecesun4p AT daphnekaitelidou qualityindicatorsandclinicaloutcomesofacutestrokeresultsfromaprospectivemulticenterregistryingreecesun4p AT olgasiskou qualityindicatorsandclinicaloutcomesofacutestrokeresultsfromaprospectivemulticenterregistryingreecesun4p AT konstantinosvemmos qualityindicatorsandclinicaloutcomesofacutestrokeresultsfromaprospectivemulticenterregistryingreecesun4p AT onbehalfofthesun4pprojectcollaborators qualityindicatorsandclinicaloutcomesofacutestrokeresultsfromaprospectivemulticenterregistryingreecesun4p |