Differences in acute ischemic stroke treatment: A cross-sectional study from international Registry of Stroke Care Quality (RES-Q)

作者：Robert Mikulík, Geraldo de Albuquerque Maranhão Neto, Rupal Sedani, Sebastián F. Ameriso, Nargiz Mammadova, Sergey Marchenko, Sheila Martins, Ivan Milanov, Freddy Constanzo, Mário Fernando Cerón-Muñoz, Hrvoje Budinčević, Martin Šrámek, Cristina Ramos, Magd Zakaria, Janika Kõrv, Georgios Tsivgoulis, László Szapáry, Jeyaraj Pandian, Adin Nulkhasanah, Waleed Batayha, Sabina Medukhanova, Kunduz Karbozova, Evija Miglāne, Aleksandras Vilionskis, Hoo Fan Kee, Fernando Góngora‐Rivera, Carlos Cantú, Stanislav Groppa, Natalia Ciobanu, Raju Paudel, Carlos Abanto, Maria Epifania Collantes, María José, Adam Kobayashi, Ana Rita Gomes, Cristina Tiu, N. А. Shamalov, Milija Mijajlović, Zuzana Gdovinová, Louis Kroon, Sung‐Il Sohn, Francisco Moniche, Somchai Towanabut, Sergii Moskovko, Ammar Al Omar, Thang Huy Nguyen, Sandy Middleton, José Domingo Barrientos-Guerra · 发表于：International Journal of Stroke · 年份：2025 · DOI：10.1177/17474930251364082 · 被引用次数：6 · 研究领域：Acute Ischemic Stroke Management、Intracerebral and Subarachnoid Hemorrhage Research、Stroke Rehabilitation and Recovery

BACKGROUND: Stroke globally impacts mortality and disability. Compliance with international standards and evidence-based practices for acute stroke management would improve patient outcomes. OBJECTIVES: We aimed to present a descriptive analysis of the quality of acute stroke care across different countries using the Registry of Stroke Care Quality (RES-Q). METHOD: In a cross-sectional study, data from key quality indicators such as Emergency Medical Services (EMS) deployment rates, hospital arrival to imaging time (door-to-imaging: DIT), hospital arrival to thrombolysis time (door-to-needle: DNT), and Stroke Unit Care/Intensive Care Unit (SU/ICU) admission frequencies were examined. The analysis employed descriptive statistics and Spearman correlation tests. RESULTS: Of 334,184 patients from 1130 hospitals in 70 countries, 218,832 patients (65.5%) from 47 countries were diagnosed with acute ischemic stroke after exclusions. The number of patients per country ranged from 226 to 62,080. International variability in care quality was observed: EMS (7-97%); SU/ICU (12-100%); and median DIT (7-41 min); and DNT (20-75 min). IVT rates varied markedly across countries, ranging from <1% to 52%. Higher patient volumes were positively correlated with SU/ICU admission and negatively with DIT and DNT (ρ = 0.10, -0.22, -0.42, respectively). CONCLUSION: This study demonstrates substantial international variation in the use of quality monitoring in clinical practice as well as in key indicat...