Cerebrovascular Disorders, Hyperglycemia, Hypertension, Quality of Care, Troponin
Conditions
Brief summary
The intention is to study presumed changes in daily practice, probably due to New Guidelines concerning stroke patients. The impression is more frequent measurements of blood pressure, serum glucose, troponin and supplementary computer tomography or magnetic resonance imaging.
Detailed description
There is in general a focus on misuse of health resources. An increasing amount of guidelines is produced to reduce the variation in treatment of patients with the same diagnosis. Many recommendations are weak but seems though to have considerable impact on in hospital care. The issues to be studied are all grounded on weak clinical evidence. A pilot study confirmed the suspicion of very frequent measurements of blood pressure, glucose, troponin and frequent supplementary CT and MRI. The intention is to study these issues in a larger population including an evaluation of utility of the different examinations and evaluations.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with a diagnosis of stroke according to ICD 10th revision (code I61 I63 and I64) * Hospitalized between January 1 and December 31, 2015
Exclusion criteria
* Previous hospitalization with a diagnosis of stroke in 2015. * Foreigners and patients from other regions of Norway.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of supplementary computer tomography and magnetic resonance imaging of the brain. | 3 months | Number |
| The number of blood sugar measurements | 72 hours after admission to hospital | Number |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Troponin measurement, | 72 hours | frequency and level of max value |
| Number of blood pressure measurement | 72 hours | Number |
| Transfer to tertiary center | 72 hours | Number |
Countries
Norway