Table 2

Guideline-derived elements of care used to indicate shortcomings in care among stroke patients and controls

Practice guideline

Elements of care

Cases

Controls


Arguments derived from practice guideline: Hypertension

- Detection of hypertension

1

2

- Confirmation diagnosis hypertension

2

1

- Pharmacologic therapy (anti-hypert. med)

2

1

- Follow-up (quarterly)

8

17

- Follow-up (annually)

3

16

Arguments derived from practice guideline: Diabetes mellitus

- Follow-up (quarterly)

4

3

- Laboratory evaluation

1

0

- Referral to eye specialist

1

0

Arguments derived from practice guideline: TIA

- Treatment (therapy and follow-up after TIA)

1

1

Arguments derived from more than one practice Guideline

- Advice to quit smoking

2

0

- Dietary advice (overweight)

1

0

- Evaluation of cardiovascular risk profile

2

0


Total number of shortcomings

28

41

Total number of patients with shortcomings

16

40


TIA, Transient Ischemic Attack

Note: each patient could have more than one element of sub-optimal care

de Koning et al. BMC Health Services Research 2005 5:10   doi:10.1186/1472-6963-5-10

Open Data