Table 3.
Stroke Measure Conformity by Hospital PAA Recognition and PSC Certification Status
| Variable | PAA+/PSC+ | PAA+/PSC− | PAA−/PSC+ | PAA−/PSC− | P Value* (PAA+/PSC+ vs PAA−/PSC−) | P Value* (PAA+/PSC− vs PAA−/PSC−) | P‐Value* (PAA−/PSC+ vs PAA−/PSC−) | P Value* (PAA+/PSC+ vs PAA+/PSC−) | P Value* (PAA+/PSC− vs PAA−/PSC+) | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| n=169 302 | % | n=129 454 | % | n=26 386 | % | n=75 565 | % | ||||||
| Acute performance measures, % | |||||||||||||
| IV TPA arrived by 2 hours and used to treat by 3 hours | 12 905 | 88.76 | 8868 | 88.02 | 1893 | 63.97 | 5583 | 47.91 | <0.0001 | <0.0001 | <0.0001 | 0.097 | <0.0001 |
| Early antithrombotics | 97 698 | 97.43 | 78 045 | 97.72 | 15 980 | 96.41 | 47 334 | 95.11 | <0.0001 | <0.0001 | <0.0001 | <0.0001 | <0.0001 |
| DVT prophylaxis | 67 574 | 94.83 | 51 372 | 94.98 | 9015 | 90.42 | 24 280 | 86.12 | <0.0001 | <0.0001 | <0.0001 | 0.239 | <0.0001 |
| Discharge performance measures, % | |||||||||||||
| Antithrombotics | 139 909 | 99.02 | 106 875 | 98.91 | 21 903 | 97.69 | 63 034 | 97.12 | <0.0001 | <0.0001 | <0.0001 | 0.010 | <0.0001 |
| Anticoagulant for AF | 21 305 | 96.58 | 15 523 | 96.40 | 3308 | 91.38 | 9349 | 86.89 | <0.0001 | <0.0001 | <0.0001 | 0.342 | <0.0001 |
| Statin LDL 100 or ND | 92 938 | 93.87 | 72 162 | 93.87 | 14 658 | 89.68 | 45 421 | 83.63 | <0.0001 | <0.0001 | <0.0001 | 0.995 | <0.0001 |
| Smoking cessation | 27 182 | 98.34 | 20 761 | 98.25 | 4514 | 96.96 | 12 621 | 93.44 | <0.0001 | <0.0001 | <0.0001 | 0.453 | <0.0001 |
| Summary of performance measures | |||||||||||||
| All‐or‐none measure, % | 155 086 | 91.22 | 118 748 | 91.22 | 24 219 | 84.31 | 69 691 | 76.87 | <0.0001 | <0.0001 | <0.0001 | 0.998 | <0.0001 |
| Composite measure, mean | 155 086 | 96.61 | 118 748 | 96.64 | 24 219 | 93.82 | 69 691 | 90.68 | <0.0001 | <0.0001 | <0.0001 | 0.969 | <0.0001 |
| Additional stroke measures, % | |||||||||||||
| IV TPA arrived by 3 hours and used to treat by 4.5 hours | 20 717 | 67.65 | 14 994 | 63.94 | 3240 | 49.97 | 9816 | 35.78 | <0.0001 | <0.0001 | <0.0001 | <0.0001 | <0.0001 |
| Door to BI ≤25 minutes | 34 696 | 51.71 | 24 811 | 51.36 | 5070 | 50.54 | 12 828 | 45.19 | <0.0001 | <0.0001 | <0.0001 | 0.407 | 0.237 |
| DTN time ≤60 minutes | 14 642 | 33.93 | 10 111 | 32.82 | 1725 | 21.97 | 3856 | 25.05 | <0.0001 | <0.0001 | 0.0129 | 0.068 | <0.0001 |
| Dysphagia screen | 145 764 | 85.86 | 111 592 | 83.68 | 22 962 | 78.85 | 67 089 | 62.95 | <0.0001 | <0.0001 | <0.0001 | <0.0001 | <0.0001 |
| LDL testing | 146 382 | 91.63 | 112 009 | 90.39 | 22 791 | 87.02 | 65 105 | 81.47 | <0.0001 | <0.0001 | <0.0001 | <0.0001 | <0.0001 |
| Intensive statin therapy | 55 436 | 25.72 | 41 952 | 29.41 | 8326 | 22.82 | 23 649 | 19.63 | <0.0001 | <0.0001 | <0.0001 | <0.0001 | <0.0001 |
| Weight loss counseling | 64 836 | 64.28 | 50 124 | 58.60 | 9168 | 56.92 | 27 299 | 43.16 | <0.0001 | <0.0001 | <0.0001 | <0.0001 | 0.003 |
| Stroke education | 82 449 | 92.14 | 64 391 | 88.93 | 12 837 | 85.90 | 38 988 | 70.49 | <0.0001 | <0.0001 | <0.0001 | <0.0001 | <0.0001 |
| Stroke rehabilitation | 143 140 | 98.26 | 109 314 | 97.65 | 22 333 | 96.15 | 64 203 | 93.21 | <0.0001 | <0.0001 | <0.0001 | <0.0001 | <0.0001 |
Numbers shown represent patients eligible for each measure. AF indicates atrial fibrillation; BI, brain imaging; DTN, door‐to‐needle time; DVT, deep vein prophylaxis; IV, intravenous; ND, not documented; PAA, Performance Achievement Award; PSC, Primary Stroke Center; TPA, tissue‐type plasminogen activator.
P values are based on Pearson χ2 tests for all categorical row variables. All tests treat the column variable as nominal. See Methods section for each stroke measure and summary measures definitions.