Ischemic Stroke Management in India: Insights from the Indian
Registry of Stroke Care Quality

J 2026

Ischemic Stroke Management in India: Insights from the Indian Registry of Stroke Care Quality

SYLAJA, Padmavathy Narayanan; Geraldo NETO; Rupal SEDANI; Jeyaraj Durai PANDIAN; Pamidimukkala VIJAYA et al.

Základní údaje

Originální název

Ischemic Stroke Management in India: Insights from the Indian Registry of Stroke Care Quality

Autoři

SYLAJA, Padmavathy Narayanan; Geraldo NETO; Rupal SEDANI; Jeyaraj Durai PANDIAN; Pamidimukkala VIJAYA; Narendra Nath JENA; Santhosh POYYAMOLI; Ayush AGARWAL; Deep P PILLAI; Soumya CHANDRASEKHAR; Sankar Prasad GORTHI; Pavan PAI; Jayanta ROY; Nasli ICHAPORIA; Gigy KURUTTUKULAM; Ritwiz BIHARI; Prashant MAKHIJA; Kapil Gangadhar ZIRPE; Neha KAPOOR; Rohit GUPTA; Sandeep GHOSH; Mitul DAS; Jyoti B SHARMA; Rajsrinivas PARTHASARTHY; Arun Kumar SHARMA; Debabrata CHAKRABORTY; Sadanand DEY; Kunal BAHRANI; Paul J ALAPATT; Rakesh SINGH; Surender GADDAM; Anoop Kumar SINGH; Kriti TAMBI; Rahul S OINAM; Kangujam Baby CHANU; Shriram VARADHARAJAN; Somasundaram KUMARAVELU; Chepuru RAMESH; N Subbareddy SANTOSH; Chandrashekhar VALUPADAS; Mohammed SHAMEEM; Vineet TODI; Pushpendra Nath RENJEN; Hirak Jyoti DAS; Shirish HASTAK; Soumar DUTTA; Rajgopal REDDY; Vinay SINGH; H S MADHUVAN; Praveen SHARMA; Siddharth MARDA; Madhusudhan B KEMPEGOWDA; Meenakshi BHATTACHARYA a Robert MIKULÍK

Vydání

Cerebrovascular Diseases, BASEL, KARGER, 2026, 1015-9770

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 1.500 v roce 2024

Označené pro přenos do RIV

Organizační jednotka

Lékařská fakulta

DOI

https://doi.org/10.1159/000548960

UT WoS

001673592600001

Klíčová slova anglicky

Ischemic stroke; RES-Q registry; Stroke care quality

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 10. 3. 2026 10:59, Mgr. Tereza Miškechová

Anotace

V originále

Introduction: The quality of stroke care in India is unknown. This multicentric study from the Indian Registry of Stroke Care Quality (RES-Q) provides prospectively entered stroke data from 46 stroke centers across the country. We analyzed demographics, therapeutic interventions, quality metrics, and functional outcomes of ischemic stroke from India. Methods: It was an analysis of prospectively entered data into the RES-Q from 2022 to 2024. The inclusion criteria were patients >= 18 years of age with an acute ischemic stroke or transient ischemic attack based on the AHA/ASA 2019 criteria within 2 weeks of stroke onset. All demographic, clinical, and radiological details were entered into a predesigned proforma. All quality and performance measures in the hospital were collected. Results: Approximately 80% of all strokes (n = 7,337) during the study period were ischemic. The median age was 61 years (interquartile range [IQR] 52-71), with 67% being male. The median National Institute of Health Stroke Scale at admission was 7 (IQR 4-12). Brain parenchymal imaging was done for all patients, but vascular imaging was performed for 60% of patients only. The thrombolysis rate was 32% with a median door-to-needle time of 37 min. Endovascular thrombectomy was performed in 6.5% of cases. Swallowing assessment was done in 72% of patients within 24 h of admission and 90% received physiotherapy in the stroke unit. Conclusion: This landmark dataset marks the first comprehensive nationwide effort to assess stroke care quality in India. Routine quality monitoring through platforms like RES-Q can help standardize care, reduce disparities, and enable hospitals to benchmark performance and implement targeted improvements.

Citovat

@article{2558461,
   author = {Sylaja, Padmavathy Narayanan and Neto, Geraldo and Sedani, Rupal and Pandian, Jeyaraj Durai and Vijaya, Pamidimukkala and Jena, Narendra Nath and Poyyamoli, Santhosh and Agarwal, Ayush and Pillai, Deep P and Chandrasekhar, Soumya and Gorthi, Sankar Prasad and Pai, Pavan and Roy, Jayanta and Ichaporia, Nasli and Kuruttukulam, Gigy and Bihari, Ritwiz and Makhija, Prashant and Zirpe, Kapil Gangadhar and Kapoor, Neha and Gupta, Rohit and Ghosh, Sandeep and Das, Mitul and Sharma, Jyoti B and Parthasarthy, Rajsrinivas and Sharma, Arun Kumar and Chakraborty, Debabrata and Dey, Sadanand and Bahrani, Kunal and Alapatt, Paul J and Singh, Rakesh and Gaddam, Surender and Singh, Anoop Kumar and Tambi, Kriti and Oinam, Rahul S and Chanu, Kangujam Baby and Varadharajan, Shriram and Kumaravelu, Somasundaram and Ramesh, Chepuru and Santosh, N Subbareddy and Valupadas, Chandrashekhar and Shameem, Mohammed and Todi, Vineet and Renjen, Pushpendra Nath and Das, Hirak Jyoti and Hastak, Shirish and Dutta, Soumar and Reddy, Rajgopal and Singh, Vinay and Madhuvan, H S and Sharma, Praveen and Marda, Siddharth and Kempegowda, Madhusudhan B and Bhattacharya, Meenakshi and Mikulík, Robert},
   article_location = {BASEL},
   doi = {https://doi.org/10.1159/000548960},
   keywords = {Ischemic stroke; RES-Q registry; Stroke care quality},
   language = {eng},
   issn = {1015-9770},
   journal = {Cerebrovascular Diseases},
   title = {Ischemic Stroke Management in India: Insights from the Indian Registry of Stroke Care Quality},
   year = {2026}
}

TY  - JOUR
ID  - 2558461
AU  - Sylaja, Padmavathy Narayanan - Neto, Geraldo - Sedani, Rupal - Pandian, Jeyaraj Durai - Vijaya, Pamidimukkala - Jena, Narendra Nath - Poyyamoli, Santhosh - Agarwal, Ayush - Pillai, Deep P - Chandrasekhar, Soumya - Gorthi, Sankar Prasad - Pai, Pavan - Roy, Jayanta - Ichaporia, Nasli - Kuruttukulam, Gigy - Bihari, Ritwiz - Makhija, Prashant - Zirpe, Kapil Gangadhar - Kapoor, Neha - Gupta, Rohit - Ghosh, Sandeep - Das, Mitul - Sharma, Jyoti B - Parthasarthy, Rajsrinivas - Sharma, Arun Kumar - Chakraborty, Debabrata - Dey, Sadanand - Bahrani, Kunal - Alapatt, Paul J - Singh, Rakesh - Gaddam, Surender - Singh, Anoop Kumar - Tambi, Kriti - Oinam, Rahul S - Chanu, Kangujam Baby - Varadharajan, Shriram - Kumaravelu, Somasundaram - Ramesh, Chepuru - Santosh, N Subbareddy - Valupadas, Chandrashekhar - Shameem, Mohammed - Todi, Vineet - Renjen, Pushpendra Nath - Das, Hirak Jyoti - Hastak, Shirish - Dutta, Soumar - Reddy, Rajgopal - Singh, Vinay - Madhuvan, H S - Sharma, Praveen - Marda, Siddharth - Kempegowda, Madhusudhan B - Bhattacharya, Meenakshi - Mikulík, Robert
PY  - 2026
TI  - Ischemic Stroke Management in India: Insights from the Indian Registry of Stroke Care Quality
JF  - Cerebrovascular Diseases
PB  - KARGER
SN  - 10159770
KW  - Ischemic stroke
KW  - RES-Q registry
KW  - Stroke care quality
N2  - Introduction: The quality of stroke care in India is unknown. This multicentric study from the Indian Registry of Stroke Care Quality (RES-Q) provides prospectively entered stroke data from 46 stroke centers across the country. We analyzed demographics, therapeutic interventions, quality metrics, and functional outcomes of ischemic stroke from India. Methods: It was an analysis of prospectively entered data into the RES-Q from 2022 to 2024. The inclusion criteria were patients >= 18 years of age with an acute ischemic stroke or transient ischemic attack based on the AHA/ASA 2019 criteria within 2 weeks of stroke onset. All demographic, clinical, and radiological details were entered into a predesigned proforma. All quality and performance measures in the hospital were collected. Results: Approximately 80% of all strokes (n = 7,337) during the study period were ischemic. The median age was 61 years (interquartile range [IQR] 52-71), with 67% being male. The median National Institute of Health Stroke Scale at admission was 7 (IQR 4-12). Brain parenchymal imaging was done for all patients, but vascular imaging was performed for 60% of patients only. The thrombolysis rate was 32% with a median door-to-needle time of 37 min. Endovascular thrombectomy was performed in 6.5% of cases. Swallowing assessment was done in 72% of patients within 24 h of admission and 90% received physiotherapy in the stroke unit. Conclusion: This landmark dataset marks the first comprehensive nationwide effort to assess stroke care quality in India. Routine quality monitoring through platforms like RES-Q can help standardize care, reduce disparities, and enable hospitals to benchmark performance and implement targeted improvements.
ER  -

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