Physiotherapy/Occupational Therapy ≤2 Days After Admission
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of patients with documented paresis and notable functional impairment (modified Rankin scale ≥3 and/or sum Barthel index ≤ 70 within the first 24 hours after admission) with a minimum stay of ≥1 day, who were examined by and/or receiving treatment from a physiotherapist and/or occupational therapist ≤2 days after admission.
Numerator
Number of patients examined by and/or receiving treatment from a physiotherapist and/or occupational therapist ≤2 days after admission.
Denominator
Number of patients with documented paresis and notable functional impairment (modified Rankin scale ≥3 and/or sum Barthel index ≤ 70 within the first 24 hours after admission) with a minimum stay of ≥1 day.
Exclusions
Patients who are comatose at admission and patients with a diagnosis of TIA are excluded from the denominator.
Use of Risk Adjustment
Risk Adjustments
Stratifications
Data Attributes
Type of Data Collection
Data Collection Methods
German Stroke Registry Study Group (ADSR) - a voluntary network of 9 regional stroke registers monitoring quality of acute stroke care across 736 hospitals in Germany, with some mandatory reporting
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Registry
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
Haas K, Rücker V, Hermanek P, Misselwitz B, Berger K, Seidel G, et al. Association Between Adherence to Quality Indicators and 7-Day In-Hospital Mortality After Acute Ischemic Stroke. Stroke. 2020;51(12):3664-72.
Heuschmann PU, Biegler MK, Busse O, Elsner S, Grau A, Hasenbein U, et al. Development and Implementation of Evidence-Based Indicators for Measuring Quality of Acute Stroke Care. Stroke. 2006;37(10):2573-51.
The Working Group of German-speaking Stroke Registers (ADSR). Arbeitsgemeinschaft Deutschsprachiger Schlaganfall-Register. Accessed August 3, 2023. Available from: www.schlaganfallregister.org.
Technical Specifications
Link to supplement with the detail extracted: www.ahajournals.org/action/downloadSupplement?doi=10.1161%2FSTROKEAHA.120.029968&file=STRSTROKE-2020-029968supp2.pdf Manuscript: doi.org/10.1161/STROKEAHA.120.029968. Methods paper: htps://doi.org/10.1161/01.STR.0000241086.92084.c0
Arbeitsgemeinschaft Deutschsprachiger Schlaganfall-Register: www.schlaganfallregister.org, The Working Group of German-speaking Stroke Registers (ADSR) can be found in about us page