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. 2013 Oct 25;2(5):e000451. doi: 10.1161/JAHA.113.000451

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.