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The Malaysian National Stroke Registry (NSR) was

initiated in 2009 incorporating nine stroke key

performance indicators (KPIs) based on performance

measures of acute stroke care , developed by Centres

for Disease Control and Prevention (CDC), the American

Heart Association, and the Joint Commission in 2008.

The quality of ischemic stroke care in the participating

hospital was evaluated using this performance measures.

INTRODUCTION

OBJECTIVE

1. Malaysian Clinical Practice Guideline on Management of Stroke 2012

2. H.Y. CHIOU, F.I. HSIEH, L.M. LIEN, C.H. BAI, S.T. CHEN,C.Y. HSU, Get With The Guidelines-Stroke Performance Indicators:

Surveillance of Stroke Care in the Taiwan Stroke Registry Get With The Guidelines-Stroke in Taiwan.

Circulation.2010; 122: 1116-1123

3. Use of a Registry to Improve Acute Stroke Care—Seven States, 2005-2009 . JAMA. 2011;305(16):1649-1653

Stroke KPI is a useful tool for assessing and improving quality of stroke care. Apart from registry purpose, it also functional as an audit to assess and improve the stroke management performance and quality.

Table 1: Patient Characteristics, n= 2500

We aim to review and compare our performance trend with regards to 9 Stroke KPI

REFERENCES

CONCLUSION

1Hospital Sultanah Nur Zahirah, Kuala Terengganu, Malaysia, 2Pfizer Malaysia, Kuala Lumpur, Malaysia 3Hospital Seberang Jaya, Pulau Pinang, Malaysia,4Hospital Kuala Lumpur , Kuala Lumpur, Malaysia

5Universiti Putra Malaysia, Kuala Lumpur, Malaysia

Sidek NN1, Abdul Aziz Z1, Lee Y2 , 3Looi I , 4Rafia MR , 5 Basri H

Lessons from the Malaysian National Stroke Registry on acute stroke care: Experience of East Coast Hospital

METHOD

RESULTS

Age ,median (IQR) 63.1 (18.0)year old

Gender Frequency (n) Percentage (%)

Male 1350 54

Female 1150 46

Ethnic

Malay 2395 95.8

Chinese 77 3.1

Indian 9 0.4

Others 19 0.7

STUDY DESIGN:

Method : Observational study

Subject : Acute ischemic stroke patients admitted

to participating hospital within two weeks of onset.

Study period: 1st Jan 2010 to 31th December 2014

Study location; Hospital Sultanah Nur Zahirah, Kuala

Terengganu, Malaysia

DATA COLLECTION TOOL:

Standardized NSR case report forms.

Demographic data

Stroke 9 KPI

Stroke Outcome

DATA ANALYSIS:

Data from NSR web application had been extracted

retrospectively and transferred to Statistical Package for

the Social Sciences version 18 (SPSS 18).

Chi squared test was used to compare the performance

Results were considered statistically significant at the

5% level

Indicator 2010 (%)

2011 (%)

2012 (%)

2013 (%)

2014 (%)

Anti thrombotic therapy within 48

hours of admission

90.6 91.6 97.2 96.5 95.8

Deep vein thrombosis (DVT)

prophylaxis

41.6 72.6 85.6 88.2 88.6

Anticoagulation therapy for atrial

fibrillation (AF)

21.7 50.0 36.4 55.8 35.2

Discharged on antithrombotic

therapy

88.1 87.1 95.7 99.1 99.6

Discharged on cholesterol

reduction medication

89.6 87.3 91.3 98.9 99.5

Dysphagia screening 92.1 97.4 99.1 99.2 99.2

Assessed for rehabilitation 81.1 78.5 89.2 91.0 93.7

Stroke education 72.4 74.0 97.4 97.9 97.9

Table 3: 9 Stroke KPI

Stroke characteristic Frequency (n) Percentage ,%

OCSP

TACI 418 16.7

PACI 1088 43.5

LACI 722 28.9

POCI 264 10.6

NIHSS

None 110 6.8

Mild 616 38.0

Moderate 559 34.5

Moderate Severe 113 7.0

Severe 223 13.8

MRS

<3 569 29.9

=>3 1334 70.1

Table 2: 9 Stroke characteristic and outcome