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Association between Stroke Quality Assessments and Mortality within 30 Days among Patients Who Underwent Hemorrhagic Stroke Surgeries in South Korea

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dc.contributor.author박소희-
dc.contributor.author박은철-
dc.contributor.author장성인-
dc.date.accessioned2022-03-11T06:15:13Z-
dc.date.available2022-03-11T06:15:13Z-
dc.date.issued2022-01-
dc.identifier.issn1015-9770-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/188007-
dc.description.abstractIntroduction: In South Korea, to improve the quality of medical services provided to stroke patients, stroke quality assessments have been implemented since 2006. To further promote improvement of care, financial incentives were introduced since 2012. This study aims to examine the association between stroke quality assessments and mortality within 30 days among South Korean adults who underwent hemorrhagic stroke surgeries to provide evidence of the importance of such assessments. Methods: Data from 45,741 patients from 374 healthcare organizations, derived from the 2013-2016 claims data of the Korean Health Insurance Review and Assessment Service, were examined. To ensure homogeneity, only patients who underwent hemorrhagic stroke surgeries were selected. Healthcare organizations were classified based on whether stroke quality assessments were conducted. The dependent variable of this study was death within 30 days of hospitalization. A generalized linear mixed model was constructed to analyze the association between variables. Results: Healthcare organizations without stroke quality assessments exhibited a higher risk of mortality than those that did (adjusted odds ratio [OR] = 1.53, 95% confidence interval [CI] = 1.16-2.01). Among healthcare organizations with the lowest volume, those without stroke quality assessments had a higher risk of mortality than those that did (tertile 1 [low], adjusted OR = 1.38, 95% CI = 1.04-1.84). Among rural healthcare organizations, those without assessments had a higher risk of mortality than did those that did (adjusted OR = 1.61, 95% CI = 1.06-2.43). Conclusions: The study identified a significant relationship between stroke quality assessments and 30-day mortality. Healthcare organizations without stroke quality assessments may exhibit a comparatively higher risk of mortality. Future interventions to minimize mortality and provide evidence for policymakers and healthcare leaders could involve expanding the scope of stroke quality assessment.-
dc.description.statementOfResponsibilityopen-
dc.languageEnglish-
dc.publisherKarger-
dc.relation.isPartOfCEREBROVASCULAR DISEASES-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titleAssociation between Stroke Quality Assessments and Mortality within 30 Days among Patients Who Underwent Hemorrhagic Stroke Surgeries in South Korea-
dc.typeArticle-
dc.contributor.collegeGraduate School of Public Health (보건대학원)-
dc.contributor.departmentGraduate School of Public Health (보건대학원)-
dc.contributor.googleauthorMi-Na Lee-
dc.contributor.googleauthorWonjeong Jeong-
dc.contributor.googleauthorSung-In Jang-
dc.contributor.googleauthorSohee Park-
dc.contributor.googleauthorEun-Cheol Park-
dc.identifier.doi10.1159/000517904-
dc.contributor.localIdA01531-
dc.contributor.localIdA01618-
dc.contributor.localIdA03439-
dc.relation.journalcodeJ00506-
dc.identifier.eissn1421-9786-
dc.identifier.pmid34333493-
dc.subject.keywordHemorrhagic stroke-
dc.subject.keywordMortality-
dc.subject.keywordQuality assessment-
dc.subject.keywordStroke-
dc.subject.keywordVolume performance-
dc.contributor.alternativeNamePark, So Hee-
dc.contributor.affiliatedAuthor박소희-
dc.contributor.affiliatedAuthor박은철-
dc.contributor.affiliatedAuthor장성인-
dc.citation.volume51-
dc.citation.number1-
dc.citation.startPage82-
dc.citation.endPage91-
dc.identifier.bibliographicCitationCEREBROVASCULAR DISEASES, Vol.51(1) : 82-91, 2022-01-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine (예방의학교실) > 1. Journal Papers
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers

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