Table 4.
Temporal trends in performance measures and DFC among patients who had a hemorrhagic stroke, Paul Coverdell National Acute Stroke Program (PCNASP) 2008–2018 (N = 1 26,454)
| Characteristic | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | RPC (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Dysphagia screening | 2,168 (69.5) | 2,992 (73.2) | 3,894 (77.3) | 4,224 (77.5) | 4,462 (79.2) | 6,721 (80.4) | 7,904 (82.7) | 7,638 (82.4) | 8,101 (82.0) | 9,628 (82.6) | 9,932 (82.4)* | 18.6 |
| Venous thromboembolism prophylaxis | 2,470 (92.8) | 3,240 (94.9) | 4,612 (84.3) | 5,363 (91.1) | 5,760 (92.6) | 9,256 (98.1) | 10,898 (98.6) | 10,576 (98.8) | 11,373 (98.8) | 12,825 (98.9) | 12,986 (98.9)* | 6.6 |
| Assessed for rehabilitation | 3,028 (94.1) | 3,929 (95.9) | 1,778 (95.7) | 4,449 (94.5) | 5,503 (94.6) | 8,344 (97.2) | 9,388 (97.7) | 9,108 (98.2) | 9,903 (98.0) | 11,315 (98.4) | 11,322 (98.3)* | 4.5 |
| Smoking cessation/ advice/ counseling | 583 (87.4) | 865 (93.8) | 399 (93.9) | 1,019 (95.5) | 1,205 (96.2) | 958 (98.4) | 897 (95.8) | 879 (97.4) | 924 (96.3) | 977 (97.5) | 929 (97.3)* | 11.3 |
| Stroke education | 1,705 (52.9) | 2,726 (66.6) | 663 (74.7) | 1,788 (79.0) | 2,473 (80.8) | 3,540 (88.7) | 3,936 (91.3) | 3,715 (92.3) | 4,009 (91.7) | 4,520 (91.7) | 4,672 (92.5)* | 74.9 |
| Defect Free Care | 1,776 (46.7) | 2,726 (56.9) | 4,417 (69.5) | 4,875 (71.0) | 5,140 (72.0) | 8,438 (80.0) | 10,059 (82.5) | 9,779 (83.0) | 10,575 (82.7) | 12,068 (82.9) | 12,236 (82.6)* | 76.9 |
RPC, relative percent change calculated as (2018–2008)/2008 × 100.
*
The P value obtained from type 3 analysis in unadjusted Generalized Estimating Equation models, all P < .0001.