Enhancing and accelerating stroke treatment in Eastern European
region: Methods and achievement of the ESO EAST program

J 2020

Enhancing and accelerating stroke treatment in Eastern European region: Methods and achievement of the ESO EAST program

MIKULÍK, Robert, V. CASO, N. M. BORNSTEIN, V. SVOBODOVA, F. R. PEZZELLA et. al.

Basic information

Original name

Enhancing and accelerating stroke treatment in Eastern European region: Methods and achievement of the ESO EAST program

Authors

MIKULÍK, Robert (203 Czech Republic, guarantor, belonging to the institution), V. CASO (380 Italy), N. M. BORNSTEIN (376 Israel), V. SVOBODOVA (203 Czech Republic), F. R. PEZZELLA (380 Italy), A. GRECU (203 Czech Republic), S. SIMSIC (203 Czech Republic), Z. GDOVINOVA (703 Slovakia), A. CZLONKOWSKA (616 Poland), T. S. MISHCHENKO (804 Ukraine), Y. FLOMIN (804 Ukraine), I. G. MILANOV (100 Bulgaria), S. ANDONOVA (100 Bulgaria), C. TIU (642 Romania), A. ARSOVSKA (807 North Macedonia), H. BUDINCEVIC (191 Croatia), S. A. GROPPA (498 Republic of Moldova), D. BERECZKI (348 Hungary), J. KORV (233 Estonia), T. KHARITONOVA (643 Russian Federation) and M.R. VOSKO (40 Austria)

Edition

EUROPEAN STROKE JOURNAL, LONDON, SAGE PUBLICATIONS LTD, 2020, 2396-9873

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30103 Neurosciences

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

RIV identification code

RIV/00216224:14110/20:00116155

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1177/2396987319897156

UT WoS

000508771300001

Keywords in English

Stroke; clinical audit; quality indicators; implementation; registry

Abstract

V originále

Introduction Despite the availability of prevention and therapies of stroke, their implementation in clinical practice, even of low-cost ones, remains poor. In 2015, the European Stroke Organisation (ESO) initiated the ESO Enhancing and Accelerating Stroke Treatment (EAST) program, which aims to improve stroke care quality, primarily in Eastern Europe. Here, we describe its methods and milestones. Patients and methods The ESO EAST program is using an implementation strategy based on a 'detecting-understanding-reducing disparities' conceptual framework: stroke care quality is first measured (after developing a platform for data collection), gaps are identified in the current service delivery, and ultimately feedback is provided to participating hospitals, followed by the application of interventions to reduce disparities. The ESO EAST program is carried out by establishing a stroke quality registry, stroke management infrastructure, and creating education and training opportunities for healthcare professionals. Results Program management and leadership infrastructure has been established in 19 countries (Country Representatives in 22 countries, National Steering Committee in 19 countries). A software platform for data collection and analysis: Registry of Stroke Care Quality was developed, and launched in 2016, and has been used to collect data from over 90,000 patients from >750 hospitals and 56 countries between September 2016 and May 2019. Training in thrombolysis, nursing and research skills has been initiated. Discussion ESO EAST is the first pan-Eastern European (and beyond) multifaceted quality improvement intervention putting evidence-informed policies into practice. Continuous monitoring of stroke care quality allows hospital-to-hospital and country-to-country benchmarking and identification of the gaps and needs in health care.

Citovat

MIKULÍK, Robert, V. CASO, N. M. BORNSTEIN, V. SVOBODOVA, F. R. PEZZELLA, A. GRECU, S. SIMSIC, Z. GDOVINOVA, A. CZLONKOWSKA, T. S. MISHCHENKO, Y. FLOMIN, I. G. MILANOV, S. ANDONOVA, C. TIU, A. ARSOVSKA, H. BUDINCEVIC, S. A. GROPPA, D. BERECZKI, J. KORV, T. KHARITONOVA and M.R. VOSKO. Enhancing and accelerating stroke treatment in Eastern European region: Methods and achievement of the ESO EAST program. EUROPEAN STROKE JOURNAL. LONDON: SAGE PUBLICATIONS LTD, 2020, vol. 5, No 2, p. 204-212. ISSN 2396-9873. Available from: https://dx.doi.org/10.1177/2396987319897156.

@article{1673718,
   author = {Mikulík, Robert and Caso, V. and Bornstein, N. M. and Svobodova, V. and Pezzella, F. R. and Grecu, A. and Simsic, S. and Gdovinova, Z. and Czlonkowska, A. and Mishchenko, T. S. and Flomin, Y. and Milanov, I. G. and Andonova, S. and Tiu, C. and Arsovska, A. and Budincevic, H. and Groppa, S. A. and Bereczki, D. and Korv, J. and Kharitonova, T. and Vosko, M.R.},
   article_location = {LONDON},
   article_number = {2},
   doi = {http://dx.doi.org/10.1177/2396987319897156},
   keywords = {Stroke; clinical audit; quality indicators; implementation; registry},
   language = {eng},
   issn = {2396-9873},
   journal = {EUROPEAN STROKE JOURNAL},
   title = {Enhancing and accelerating stroke treatment in Eastern European region: Methods and achievement of the ESO EAST program},
   url = {https://journals.sagepub.com/doi/pdf/10.1177/2396987319897156},
   volume = {5},
   year = {2020}
}

TY  - JOUR
ID  - 1673718
AU  - Mikulík, Robert - Caso, V. - Bornstein, N. M. - Svobodova, V. - Pezzella, F. R. - Grecu, A. - Simsic, S. - Gdovinova, Z. - Czlonkowska, A. - Mishchenko, T. S. - Flomin, Y. - Milanov, I. G. - Andonova, S. - Tiu, C. - Arsovska, A. - Budincevic, H. - Groppa, S. A. - Bereczki, D. - Korv, J. - Kharitonova, T. - Vosko, M.R.
PY  - 2020
TI  - Enhancing and accelerating stroke treatment in Eastern European region: Methods and achievement of the ESO EAST program
JF  - EUROPEAN STROKE JOURNAL
VL  - 5
IS  - 2
SP  - 204-212
EP  - 204-212
PB  - SAGE PUBLICATIONS LTD
SN  - 23969873
KW  - Stroke
KW  - clinical audit
KW  - quality indicators
KW  - implementation
KW  - registry
UR  - https://journals.sagepub.com/doi/pdf/10.1177/2396987319897156
L2  - https://journals.sagepub.com/doi/pdf/10.1177/2396987319897156
N2  - Introduction Despite the availability of prevention and therapies of stroke, their implementation in clinical practice, even of low-cost ones, remains poor. In 2015, the European Stroke Organisation (ESO) initiated the ESO Enhancing and Accelerating Stroke Treatment (EAST) program, which aims to improve stroke care quality, primarily in Eastern Europe. Here, we describe its methods and milestones. Patients and methods The ESO EAST program is using an implementation strategy based on a 'detecting-understanding-reducing disparities' conceptual framework: stroke care quality is first measured (after developing a platform for data collection), gaps are identified in the current service delivery, and ultimately feedback is provided to participating hospitals, followed by the application of interventions to reduce disparities. The ESO EAST program is carried out by establishing a stroke quality registry, stroke management infrastructure, and creating education and training opportunities for healthcare professionals. Results Program management and leadership infrastructure has been established in 19 countries (Country Representatives in 22 countries, National Steering Committee in 19 countries). A software platform for data collection and analysis: Registry of Stroke Care Quality was developed, and launched in 2016, and has been used to collect data from over 90,000 patients from >750 hospitals and 56 countries between September 2016 and May 2019. Training in thrombolysis, nursing and research skills has been initiated. Discussion ESO EAST is the first pan-Eastern European (and beyond) multifaceted quality improvement intervention putting evidence-informed policies into practice. Continuous monitoring of stroke care quality allows hospital-to-hospital and country-to-country benchmarking and identification of the gaps and needs in health care.
ER  -

MIKULÍK, Robert, V. CASO, N. M. BORNSTEIN, V. SVOBODOVA, F. R. PEZZELLA, A. GRECU, S. SIMSIC, Z. GDOVINOVA, A. CZLONKOWSKA, T. S. MISHCHENKO, Y. FLOMIN, I. G. MILANOV, S. ANDONOVA, C. TIU, A. ARSOVSKA, H. BUDINCEVIC, S. A. GROPPA, D. BERECZKI, J. KORV, T. KHARITONOVA and M.R. VOSKO. Enhancing and accelerating stroke treatment in Eastern European region: Methods and achievement of the ESO EAST program. \textit{EUROPEAN STROKE JOURNAL}. LONDON: SAGE PUBLICATIONS LTD, 2020, vol.~5, No~2, p.~204-212. ISSN~2396-9873. Available from: https://dx.doi.org/10.1177/2396987319897156.

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