Table 3 The proportion of patients who received the bundle in the three months prior to the start of the collaborative intervention (October 2008 to December 2008) were compared with the proportion who received the bundle in the three months at end of the intervention (October 2009 to December 2009)
From: Did a quality improvement collaborative make stroke care better? A cluster randomized trial
Compliance: Proportion (%) | Difference in differences of averages | ||||||
|---|---|---|---|---|---|---|---|
Control group | Intervention group | ||||||
Oct-Dec 2008 | Oct-Dec 2009 | Oct-Dec 2008 | Oct-Dec 2009 | Odds ratio 95% CI Percent relative improvement | P | ICC* | |
Early hours (Bundle 1) | 122/502 | 212/566 | 114/583 | 258/610 | 1.56 (1.06, 2.31) | 0.025 | 0.066 |
24.3% | 37.5% | 19.6% | 42.3% | 10.9% (1.3%, 20.6%) | |||
Brain Scan within 24 hrs of Hospital Admission | 316/481 | 435/556 | 353/568 | 455/603 | 0.95 (0.65, 1.4) | 0.799 | 0.064 |
65.7% | 78.2% | 62.1% | 75.5% | -0.9% (-8.6%,5.4%) | |||
Aspirin in 24 hrs of hospital Admission | 151/392 | 258/463 | 115/436 | 261/505 | 1.44 (0.96, 2.15) | 0.079 | 0.051 |
38.5% | 55.7% | 26.4% | 51.7% | 9% (-1%,18.8%) | |||
Swallowing Screening Recorded in 24 hrs of Hospital Admission | 220/422 | 350/500 | 326/495 | 426/523 | 1.09 (0.71, 1.67) | 0.7 | 0.162 |
52.1% | 70% | 65.9% | 81.5% | 2% (-8.4%,11.2%) | |||
Weighed during Hospital Admission | 258/415 | 346/504 | 286/491 | 462/525 | 4.4 (2.75, 7.03) | <0.001 | 0.158 |
62.2% | 68.7% | 58.2% | 88% | 26.2% (20.1%,30.6%) | |||
Rehabilitation (Bundle 2) | 110/502 | 188/566 | 159/583 | 282/610 | 1.61 (1.07, 2.42) | 0.023 | 0.197 |
21.9% | 33.2% | 27.3% | 46.2% | 11.2% (1.4%,21.5%) | |||
Ward of 50 percent + of stay | 325/502 | 414/566 | 384/583 | 473/610 | 1.17 (0.8, 1.72) | 0.412 | 0.091 |
64.7% | 73.1% | 65.9% | 77.5% | 3.0% (-4.6%,9.3%) | |||
Physiotherapist assessment in 72 hrs of Hospital Admission | 325/502 | 414/566 | 384/583 | 473/610 | 1.6 (0.98, 2.6) | 0.06 | 0.119 |
64.7% | 73.1% | 65.9% | 77.5% | 9% (-0.4%,16.1%) | |||
Occupational Therapist Assessment in 4 days of Hospital Admission | 302/406 | 393/495 | 394/490 | 479/534 | 1.06 (0.68, 1.67) | 0.789 | 0.234 |
74.4% | 79.4% | 80.4% | 89.7% | 1.4% (-9.5%,11.1%) | |||
Mood Assessed during Hospital Admission | 235/388 | 354/478 | 330/469 | 419/515 | 2.68 (1.69, 4.26) | <0.001 | 0.247 |
60.6% | 74.1% | 70.4% | 81.4% | 24.1% (12.9%,34%) | |||
Rehabilitation Goals set during Hospital Admission agreed by MDT | 147/407 | 226/488 | 192/478 | 315/512 | 5.43 (3.26, 9.05) | <0.001 | 0.194 |
36.1% | 46.3% | 40.2% | 61.5% | 35.8% (27.3%,41.9%) | |||