Abstract
Objective To estimate the relations between the organisation of stroke
services, process measures of care quality, and 30 day mortality in
patients admitted with acute ischaemic stroke.
Design Prospective cohort study.
Setting Hospitals (n=106) admitting patients with acute stroke in England
and participating in the Stroke Improvement National Audit Programme
and 2010 Sentinel Stroke Audit.
Participants 36 197 adults admitted with acute ischaemic stroke to a
participating hospital from 1 April 2010 to 30 November 2011.
Main outcome measure Associations between process of care (the
assessments, interventions, and treatments that patients receive) and
30 day all cause mortality, adjusting for patient level characteristics.
Process of care was measured using six individual measures of stroke
care and summarised into an overall quality score.