Assessment of the quality of inpatient stroke care delivery according to the data of RES-Q

Background. The REgistry of Stroke Care Quality (RES-Q) enables to evaluate the quality of care provided to the stroke patients in hospitals and to compare it with the quality in other countries. Objective: to evaluate the quality of inpatient care for patients with stroke in Ukraine. Materials and methods. Since 2017, information about 14,305 patients from 90 hospitals in Ukraine has been entered in the RES-Q. Results. The average age of patients was 68 years. 85.08 % of persons had ischemic stroke, 10.53 % — intracerebral hemorrhage, 1.98 % — subarachnoid hemorrhage, 0.01 % — venous thrombosis, 0.27 % — cryptogenic stroke, 2.13 % — transient ischemic attack. In 19.33 % of patients, cerebral stroke was recurrent. Results. 67.9 % of patients were treated in stroke units, the rest — in intensive care units, wards of general neurology and neurosurgery. Computed tomography, magnetic resonance imaging were performed in 92.1 % of patients. National Institutes of Health Stroke Scale was used to assess the severity of stroke in 88.5 % of individuals (mean score — 9). The dysphagia test was performed in 86.71 % of patients. Recanalization was carried out in 5.94 % of persons with ischemic stroke (thrombolytic therapy — 5.33 %, mechanical thrombectomy — 0.61 %). 0.29 % of patients underwent hemicraniectomy. Removal of intracranial hematoma was performed in 2.7 % of persons with intracerebral hemorrhages. 71.98 % of patients received rehabilitation care. Conclusions. Completing the RES-Q allowed us to assess the quality of treatment on a small number of patients (5 % of the total number of stroke patients for 3 years in Ukraine) and to admit that it required a significant improvement and changes in the care organization.