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Contact: Michael Burton
American Heart Association

Chinese stroke patients fare better when hospitals follow guidelines

American Heart Association meeting report abstract 8

Chinese stroke patients were less likely to acquire pneumonia or die from the stroke when hospitals followed treatment guidelines, according to research presented at the American Heart Association's Quality of Care and Outcomes Research Scientific Sessions 2014.

Closer adherence to the American Heart Association/American Stroke Association's Get With The Guidelines®-Stroke led to a drop in pneumonia from 20 percent to almost 5 percent.

However, only 55.5 percent of patients received all guideline-recommended treatments for which they were eligible.

Developed with the goal to save lives and hasten recovery, Get With The Guidelines programs have touched the lives of nearly 5 million patients since 2001. Studies show that consistent application of these programs can lead to better recoveries and lower risks of ending up back in the hospital.

"In China, stroke is the major cause of death and long-term disability and improving the quality of stroke care is a national priority," said Zixiao Li, M.D., the study's lead author and a neurologist at Capital Medical University's teaching hospital in Beijing, Beijing Tiantan Hospital. "Practitioners should make efforts to increase adherence to all stroke performance measures."

Researchers looked at 24,597 stroke patients in 221 Chinese hospitals from January 2012-February 2013. They found that:

Several factors contribute to the low rate of tPA use, Li said:


Co-authors are Yongjun Wang, M.D.; Yilong Wang, M.D.; Xingquan Zhao, M.D.; Chunxue Wang, M.D.; Liping Liu, M.D.; Chunjuan Wang, M.D.; Changqing Zhang, M.D.; Yuesong Pan, M.D.; and Xiaomeng Yang. Author disclosures are on the abstract.

Beijing Municipal S & T Commission and the National Science and Technology Major Project of China funded the study.

Additional Resources:

NOTE: Presentation is 11:15 a.m. ET Tuesday, June 3, 2014.

Statements and conclusions of study authors presented at American Heart Association scientific meetings are solely those of the study authors and do not necessarily reflect the association's policy or position. The association makes no representation or guarantee as to their accuracy or reliability. The association receives funding primarily from individuals; foundations and corporations (including pharmaceutical, device manufacturers and other companies) also make donations and fund specific association programs and events. The association has strict policies to prevent these relationships from influencing the science content. Revenues from pharmaceutical and device corporations are available at http://www.heart.org/corporatefunding.

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