Abstract T P294: An Electronic Medical Record Order Set Change To Increase In-Hospital Statin Use In Ischemic Stroke Is Associated With Improved Post-Stroke Outcomes
| العنوان: | Abstract T P294: An Electronic Medical Record Order Set Change To Increase In-Hospital Statin Use In Ischemic Stroke Is Associated With Improved Post-Stroke Outcomes |
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| المؤلفون: | Alexander Flint, Carol Conell, Jeff Klingman, Sheila Chan, Vivek Rao, Sean Cullen, Steve Sidney, S. Claiborne Johnston |
| المصدر: | Stroke. 46 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2015. |
| سنة النشر: | 2015 |
| مصطلحات موضوعية: | Advanced and Specialized Nursing, cardiovascular diseases, Neurology (clinical), Cardiology and Cardiovascular Medicine |
| الوصف: | Introduction: In-hospital statin use is associated with improved ischemic stroke outcomes. Here we examine the impact of an electronic order set change to increase statin use during stroke hospitalization. Methods: An electronic order set for ischemic stroke admission across 20 hospitals was changed from an ‘opt-in’ mode of statin ordering to an ‘opt-out’ mode of statin ordering. We performed interrupted time series analysis (2 years before and after), examining the impact on in-hospital statin use and on patient outcomes. We examined features of inpatient statin use as well as death by 90 days and discharge to home or inpatient rehabilitation. We examined two subpopulations: severe stroke (mNIHSS 21-42) and less severe stroke (mNIHSS 1-20). We ruled out seasonality, autoregressive effects, and moving average effects for in each of the time series. Findings: We analyzed electronic records for 8993 patients. Measures of inpatient statin use increased when the order set change went live: high dose statin use increased by a factor of 2.5 (2.0-3.1) and statins within 8 hours by a factor of 1.8 (1.5-2.0) (P Discussion: A simple change in an electronic medical record system led to a significant increase in statin prescription during ischemic stroke hospitalization, particularly among patients with more severe stroke. This increase in statin prescription was associated with improved post-stroke outcomes. |
| تدمد: | 1524-4628 0039-2499 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::b59de4e5b5fc7e002498b73ca82e4a74 https://doi.org/10.1161/str.46.suppl_1.tp294 |
| رقم الأكسشن: | edsair.doi...........b59de4e5b5fc7e002498b73ca82e4a74 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15244628 00392499 |
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