Criteria for Stroke Center
Certification
Quality Indicators
1a. Door-to-needle time (median)______ min
% of patients with door-to-needle time< 60 min _______ (target >50%)
% of patients with door-to-needle time<45 min _______
1b. Door-to-puncture time (median) _____ min
% of patients with door-to-puncture < 120 min _____ (target > 50%)
% of patients with door-to-puncture < 90 min ______
2. Elegibility for reperfusion
Total elegibility _____% (number of patients reperfused / total number of ischemic stroke patients)
Elegibility within the window for IV thrombolysis ____% (number of thrombolyzed patients / number of ischemic stroke patients arriving ≤ 4.5h of symptom onset)
3a. % Final TICI 2b-3 _____ (for Advanced Centers only)
3b. Puncture-to-recanalization time ___ (Advanced Centers)
4. Dysphagia assessment _________ %
5. Patients with suspected stroke who performed NCCT/MRI______%
6. Discharge with prescription of antiplatelets in ischemic stroke patients _____% (target 100%)
7. Discharge with prescription of oral anticoagulants in patients with AF ________ % (target 90%)
8. Stroke patients attended in a stroke unit _______ (number of patients with “U-AVC = sim” / total number of patients with ischemic stroke, hemorrhagic stroke or TIA (target 90%)
9. Median length of stay _____days (IQR 25-75)
10. Inhospital mortality _______%
Deaths by ischemic stroke/TIA_____%
Deaths by hemorrhagic stroke _____%
11. Mean of the Modified Rankin Score in 90 days _____
Modified Rankin Score 0 to 1 in 90 days ______%
Modified Rankin Score 0 to 2 in 90 days ______%
Modified Rankin Score 6 in 90 days _____%
Documents that must be sent by the platform
Document No. 1
Center Structure:
Document No. 2
Professional Documents of the Stroke Service (Physicians / Nursing / Physiotherapy)
Document No. 3
Nursing Team Training
Document No. 4
Stroke Nursing Team Training
Document No. 5
Training for Emergency Department Physicians
Document No. 6
Training for Physicians of the Stroke Unit, Angiosuite, and Neurological ICU
Document No. 7
Training for Physiotherapists and Occupational Therapy
Document No. 8
Implemented Care Protocol
Document No. 9
Stroke Patient Care Pathway
Document No. 10
Performance Measures Record
Document No. 11
Person Responsible for the Center’s Quality Indicators – Training Certificate (Diploma)
Document No. 12
Strategic Plan Used to Improve Quality of Care
Document No. 13
Attendance List of Stroke Center Meetings
Document No. 14
Stroke Network and Pre-Hospital Care (description, if available)
Organização
Colaboradores
Patrocinadores
Nossos parceiros e patrocinadores
Alcançar nosso propósito de uma vida sem AVC é uma tarefa que não podemos realizar sozinhos. Estamos empenhados em construir nossas parcerias globais, regionais e nacionais para expandir e entregar melhorias na prevenção, tratamento e apoio para reduzir o impacto do AVC.