Indicatorii de calitate ai atacului cerebral în Republica Moldova – registrul RES-Q
| Title in English | Stroke care indicators in the Republic of Moldova – the RES-Q registry |
|---|---|
| Authors | |
| Year of publication | 2022 |
| Type | Article in Periodical |
| Magazine / Source | Revista de Ştiinţe ale Sănătăţii din Moldova |
| MU Faculty or unit | |
| Citation | |
| Web | https://cercetare.usmf.md/sites/default/files/inline-files/3.%20Elena%20Manole%2C%20Cristina%20Tiu%2C%20Aleksandras%20Vilionskis%2Cet.%20al.Indicatorii%20de%20calitate%20ai%20atacului%20cerebral%20%C3%AEn%20Republica%20Moldova%20%E2%80%93%20registrul%20R |
| Doi | http://dx.doi.org/10.52645/MJHS.2022.1.03 |
| Keywords | asisten?ă medicală în ictus; registru; indicatori de calitate; RES-Q; ESO-EAST |
| Description | Introduction. There were no data on in-hospital stroke care indicators until Moldova’s accession to the international Registry of Stroke Care Quality (RES-Q) platform in 2016. The aim of this paper was to assess the acute stroke care quality in Moldova based on the data of the RES-Q registry. Material and methods. We analyzed the data of all patients with acute ischemic and hemorrhagic stroke of the RES-Q from 15 Moldovan hospitals. Data were collected for one month each year, during a 3-year period (2017-2019). Data analysis was performed between hospitals according to their access to a brain CT facility for Moldovan participating hospitals. Additionally, Moldovan data were compared with other three ESO-EAST (European Stroke Organization Enhancing and Accelerating Stroke Treatment) project countries: Romania, Lithuania, and Georgia. Results. A total of 1660 patients were recruited in the study, mean age of 68 years (49% men). Moldova registered poorer results in number of brain CT performed (81% [95% CI 79-84%]), dysphagia screening (29% [95% CI 27-32%]), IV thrombolysis performed (3% [95% CI 2-4%]), administration of anticoagulants (44% [95% CI 39-49%]) and statins (42% [95% CI 39-45%]) at discharge, in-hospital stroke mortality (17% [95% CI 15- 19%]). Within Moldova the stroke care quality was driven by the access to CT scan. Conclusions. Our study highlighted some serious gaps of in-hospital stroke care performance in Moldova, such as the lack of CT scans in many public hospitals, the absence of a national stroke center network, extremely low accessibility of IV thrombolysis and unsatisfactory implementation of secondary stroke prevention treatment. |