Poster presentation

1. RESEARCH POSTER PRESENTATION DESIGN © 2012
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The Malaysian National Stroke Registry (NSR) was
initiated in 2009 incorporating nine stroke key
performance indicators (KPIs) based on performance
measures of acute stroke care , developed by Centres
for Disease Control and Prevention (CDC), the American
Heart Association, and the Joint Commission in 2008.
The quality of ischemic stroke care in the participating
hospital was evaluated using this performance
measures.
INTRODUCTION
OBJECTIVE
1. Malaysian Clinical Practice Guideline on Management of Stroke 2012
2. H.Y. CHIOU, F.I. HSIEH, L.M. LIEN, C.H. BAI, S.T. CHEN,C.Y. HSU, Get With The Guidelines-Stroke Performance Indicators:
Surveillance of Stroke Care in the Taiwan Stroke Registry Get With The Guidelines-Stroke in Taiwan.
Circulation.2010; 122: 1116-1123
3. Use of a Registry to Improve Acute Stroke Care—Seven States, 2005-2009 . JAMA. 2011;305(16):1649-1653
Stroke KPI is a useful tool for assessing and improving
quality of stroke care. Apart from registry purpose, it
also functional as an audit to assess and improve the
stroke management performance and quality.
Table 1: Patient Characteristics, n= 2500
We aim to review and compare our performance trend
with regards to 9 Stroke KPI
REFERENCES
CONCLUSION
1Hospital Sultanah Nur Zahirah, Kuala Terengganu, Malaysia, 2Pfizer Malaysia, Kuala Lumpur, Malaysia
3Hospital Seberang Jaya, Pulau Pinang, Malaysia,4Hospital Kuala Lumpur , Kuala Lumpur, Malaysia
5Universiti Putra Malaysia, Kuala Lumpur, Malaysia
Sidek NN1, Abdul Aziz Z1, Lee Y2 , 3Looi I , 4Rafia MR , 5 Basri H
Lessons from the Malaysian National Stroke Registry on
acute stroke care: Experience of East Coast Hospital
METHOD
RESULTS
Age ,median (IQR) 63.1 (18.0)year old
Gender Frequency (n) Percentage (%)
Male 1350 54
Female 1150 46
Ethnic
Malay 2395 95.8
Chinese 77 3.1
Indian 9 0.4
Others 19 0.7
STUDY DESIGN:
Method : Observational study
Subject : Acute ischemic stroke patients admitted
to participating hospital within two weeks of onset.
 Study period: 1st Jan 2010 to 31th December 2014
 Study location; Hospital Sultanah Nur Zahirah, Kuala
Terengganu, Malaysia
DATA COLLECTION TOOL:
 Standardized NSR case report forms.
 Demographic data
 Stroke 9 KPI
 Stroke Outcome
DATA ANALYSIS:
Data from NSR web application had been extracted
retrospectively and transferred to Statistical Package for
the Social Sciences version 18 (SPSS 18).
Chi squared test was used to compare the performance
Results were considered statistically significant at the
5% level
Indicator
2010
(%)
2011
(%)
2012
(%)
2013
(%)
2014
(%)
Anti thrombotic therapy within 48
hours of admission
90.6 91.6 97.2 96.5 95.8
Deep vein thrombosis (DVT)
prophylaxis
41.6 72.6 85.6 88.2 88.6
Anticoagulation therapy for atrial
fibrillation (AF)
21.7 50.0 36.4 55.8 35.2
Discharged on antithrombotic
therapy
88.1 87.1 95.7 99.1 99.6
Discharged on cholesterol
reduction medication
89.6 87.3 91.3 98.9 99.5
Dysphagia screening 92.1 97.4 99.1 99.2 99.2
Assessed for rehabilitation 81.1 78.5 89.2 91.0 93.7
Stroke education 72.4 74.0 97.4 97.9 97.9
Table 3: 9 Stroke KPI
Stroke characteristic Frequency (n) Percentage ,%
OCSP
TACI 418 16.7
PACI 1088 43.5
LACI 722 28.9
POCI 264 10.6
NIHSS
None 110 6.8
Mild 616 38.0
Moderate 559 34.5
Moderate Severe 113 7.0
Severe 223 13.8
MRS
<3 569 29.9
=>3 1334 70.1
Table 2: 9 Stroke characteristic and outcome