Improved Functional Outcomes With Adoption of GWTG-Stroke

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Improved Functional Outcomes With Adoption of GWTG-Stroke
Improved Functional Outcomes With Adoption of GWTG-Stroke

FRIDAY, April 14, 2016 (HealthDay News) -- Adoption of the Get With The Guidelines (GWTG)-Stroke program is associated with improved functional outcomes at discharge and reduced post-discharge mortality for Medicare beneficiaries with acute stroke, according to a study published online April 14 in Stroke.

Sarah Song, M.D., M.P.H., from the Rush University Medical Center in Chicago, and colleagues matched hospitals that joined the GWTG-Stroke program with similar hospitals that did not. They analyzed whether hospital participation in GWTG-Stroke correlated with a greater improvement in clinical outcomes compared with the underlying secular change using a difference-in-differences design.

The researchers identified 366 GWTG-Stroke-adopting hospitals and 366 non-GWTG-Stroke-adopting hospitals that cared for 88,584 and 85,401 acute ischemic stroke admissions, respectively. At zero to six months after implementation, GWTG-Stroke hospitals had accelerated increases in discharge to home and reduced mortality at 30 days and one year compared with the period 18 to six months before program implementation. The accelerated reduction in mortality at one year was sustained six to 18 months after program implementation, with a trend toward sustained accelerated increase in discharge home.

"Hospital adoption of the GWTG-Stroke program was associated with improved functional outcomes at discharge and reduced post-discharge mortality," the authors write.

Several authors and their institutions disclosed financial ties to the biopharmaceutical and medical device industries; GWTG-Stroke receives funding from pharmaceutical companies.

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