Predictors of medical complications in stroke patients confined in hospitals with rehabilitation facilities: A Filipino audit of practice

Consuelo B. Gonzalez-Suarez, Karen Grimmer, Jan Tyrone C. Cabrera, Isaias P. Alipio, Elda Grace G. Anota-Canencia, Maria Luisa P. Santos-Carpio, Janine Margarita R. Dizon, Lauren Liao, Romil Martinez, Eulalia J. Beredo, Carolina M. Valdecaňas, Vania Yu, PARM [Philippine Academy of Rehabilitation Medicine] Clinical Guideline Contextualization Group

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Background & Objectives: Most medical complications following acute stroke are preventable (such as cardiac events, pneumonia, bed sores and venous thrombosis). This was a study on the frequency of medical complications and their association with key performance indicators. Methods: The study used a cross-sectional baseline audit of stroke care practices. The audit captured details on the nature of the stroke, patient demographics, characteristics of hospital care, and compliance with six key quality indicators in Philippine Academy of Rehabilitation Medicine Clinical Practice Guideline on Stroke Rehabilitation. Patient records were retrospectively consecutively sampled. Results: A total of 1,683 patients were included in the audit which came from 49 hospitals. Medical complications were seen in 182 patients (11.2%). Pneumonia contributed to half the medical complications (50%), followed by respiratory failure (7.7%) and gastrointestinal bleeding (3.8%). Presence of medical complications were associated with in-patient mortality (OR 3.3 (95% CI 2.1-5.3)) and prolonged hospital stay (16.1 ± 20.7 days vs 9.6 + 10.9 days). The best predictor model for pneumonia included variables of not having a swallow screen within the first 24 hours, having a nasogastric tube inserted, not achieving medical stability, not having a stroke unit in the admitting hospital, having suffered a previous stroke and being older. Conclusion: Non-adherence to evidence-based stroke care rehabilitation guidelines contributed significantly to medical complications in an audit of Filipino stroke patients.

Original languageEnglish
Pages (from-to)199-208
Number of pages10
JournalNeurology Asia
Volume23
Issue number3
Publication statusPublished - Sep 2018
Externally publishedYes

Keywords

  • Audit
  • Clinical practice guideline
  • Medical complications
  • Pneumonia
  • Stroke

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