Table 6.
Secular trends in quality of care for acute ischemic stroke
| Quality of stroke care* | 2008 | 2010 | 2011 | 2013 | 2014 |
|---|---|---|---|---|---|
| IV tPA in patients who arrived <3.5 hr after symptom onset, treated ≤4.5 hr (%) | 81.0 | 78.1 | 79.7 | 76.8 | 94.4 |
| IV tPA door-to-needle time ≤60 min (%) | 61.1 | 67.3 | 81.9 | 84.4 | 82.6 |
| Antithrombotic agents <48 hr after admission (%) | 96.4 | 99.4 | 99.8 | 99.97 | 99.95 |
| Antithrombotic agents at discharge (%) | 84.9 | 84.7 | 87.5 | 90.6 | 90.5 |
| Anticoagulation at discharge in patients with atrial fibrillation (%) | 63.2 | 68.4 | 72.5 | 80.3 | 77.0 |
IV tPA, intravenous infusion of tissue plasminogen activator.
*
Data on quality indicators were obtained from the Acute Stroke Quality Assessment Program (ASQAP) database from 2nd (2008) to 6th (2014).