Abstract 2820: Benchmarking Demonstrates Quality of Telestroke Network TEMPiS
Objective: The integrative telestroke network TEMPiS aims to provide high standard stroke care in non-urban areas by implementing a teleconsultation service and setting up telestroke units in the network hospitals (TSU). Since treatment in a neurological stroke unit (SU) rather than a TSU is the gold standard of stroke care in Germany, the objective of this study was to compare process and outcome parameters in TSU and accredited SU in Bavaria.
Methods: The data are collected from the Bavarian Stroke Registry (BAQ). Quality indicators have been developed by the committee of the German Stroke Registry and reflect the quality of acute in-hospital treatment. The 2010 data of the 15 TSU are compared to those of the 19 Bavarian SU.
Findings: All registered patients in 2010 (6634 in the TSU and 13.728 in the SU) were included in the study. Patients in TSU were slightly older than patients in the SU (76 vs. 74y.) and had the same stroke severity (NIH-Stroke Scale: 4). The results of the quality indicators are shown in table 1.
Five quality indicators (information, dysphagia screening, speech- and language therapy, early cerebral imaging, early platelet inhibitors) were significantly better in TSU, two (carotid artery diagnostic, rehabilitation) in the SU. All other quality indicators (9) showed no significant difference.
Conclusion: A comparison of the hospitals of the integrative telestroke network TEMPiS and the accredited stroke units in Bavaria indicates equally high quality of the processes and outcome parameters. The integrative telestroke network is a concept that implements high standard stroke care in non-urban areas.
- © 2012 by American Heart Association, Inc.