Table 3.
The Influence of Performance and Defect‐Free Measures of Care Among NEP Patients With AIS (n=259)
| Provided PMI Services (n=147) | Not Provided PMI Services (n=112) | P Value | |
|---|---|---|---|
| In‐hospital treatment | |||
| Defect‐free stroke carea | 73.9 (105) | 61.5 (67) | 0.04 |
| Performance measuresb | |||
| Arrive by 2 h, treat by 3 h | 100 (20) | 90.9 (10) | 0.17 |
| Early antithrombotics | 100 (108) | 100 (82) | NA |
| VTE prophylaxis | 100 (113) | 100 (69) | NA |
| Antithrombotics | 100 (134) | 98.9 (91) | 0.24 |
| Anticoagulants for atrial fibrillation | 93.3 (14) | 100 (12) | 0.36 |
| Smoking cessation counseling | 77.8 (7) | 85.7 (6) | 0.69 |
| Statin therapy | 91.4 (64) | 84.2 (48) | 0.21 |
| Dysphagia screening | 82.5 (104) | 77.3 (68) | 0.34 |
| Stroke education | 71.2 (40) | 50.0 (26) | 0.04 |
| Rehabilitation considered | 96.9 (127) | 87.5 (77) | 0.007 |
Data are shown as percentage (count). AIS indicates acute ischemic stroke; NA, not applicable; NEP, non–English‐preferring; PMI, professional medical interpreter; VTE, venous thromboembolism.
Defect‐free care represents the proportion of patients who received all measures for which they were eligible.
Performance measures represent patients presenting within 2 h of symptom onset who received thrombolytics within 3 h of symptom onset; antithrombotics prescribed within 48 h of hospitalization, including antiplatelet or anticoagulant treatments; patients at risk of deep vein thrombosis (non‐ambulatory) who received venous thromboembolism prophylaxis within 48 hours of hospitalization such as warfarin, heparin, other anticoagulants, or pneumatic pressure devices; antithrombotics prescribed at discharge; anticoagulants such as warfarin or heparin prescribed at discharge for patients with atrial fibrillation documented during hospitalization; smoking cessation intervention (medication or counseling) provided at discharge; lipid‐lowering agents prescribed at discharge for eligible patients defined as having a low‐density lipoprotein level >100 or if already being taken on admission; dysphagia or swallow screening before being given anything by mouth; given stroke education before discharge; assessment or receipt of rehabilitation services.