In Search of Reliable and Complete Data on Stroke Severity: The Unfulfilled Promise of R29.7xx

CIRCULATION-CARDIOVASCULAR QUALITY AND OUTCOMES(2023)

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HomeCirculation: Cardiovascular Quality and OutcomesVol. 16, No. 3In Search of Reliable and Complete Data on Stroke Severity: The Unfulfilled Promise of R29.7xx No AccessEditorialRequest AccessFull TextAboutView Full TextView PDFView EPUBSections ToolsAdd to favoritesDownload citationsTrack citationsPermissions ShareShare onFacebookTwitterLinked InMendeleyReddit Jump toNo AccessEditorialRequest AccessFull TextIn Search of Reliable and Complete Data on Stroke Severity: The Unfulfilled Promise of R29.7xx Mathew J. Reeves Mathew J. ReevesMathew J. Reeves Correspondence to: Mathew J. Reeves, PhD, Department of Epidemiology and Biostatistics, College of Human Medicine, Michigan State University, East Lansing, MI. Email E-mail Address: [email protected] https://orcid.org/0000-0002-8019-6343 Department of Epidemiology and Biostatistics, College of Human Medicine, Michigan State University, East Lansing, Michigan. Search for more papers by this author Originally published2 Mar 2023https://doi.org/10.1161/CIRCOUTCOMES.123.009805Circulation: Cardiovascular Quality and Outcomes. 2023;16This article is a commentary on the followingValidation of the International Classification of Diseases, Tenth Revision Code for the National Institutes of Health Stroke Scale ScoreFootnotesFor Disclosures, see page 229.The opinions expressed in this article are not necessarily those of the editors or of the American Heart Association.Correspondence to: Mathew J. Reeves, PhD, Department of Epidemiology and Biostatistics, College of Human Medicine, Michigan State University, East Lansing, MI. Email reevesm@msu.eduReferences1. Fonarow GC, Saver JL, Smith EE, Broderick JP, Kleindorfer DO, Sacco RL, Pan W, Olson DM, Hernandez AF, Peterson ED, et al. Relationship of national institutes of health stroke scale to 30-day mortality in medicare beneficiaries with acute ischemic stroke.J Am Heart Assoc. 2012; 1:42–50. doi: 10.1161/JAHA.111.000034LinkGoogle Scholar2. de Havenon A, Sheth KN, Johnston KC, Anadani M, Yaghi S, Tirschwell D, Ney J. Effect of adjusting for baseline stroke severity in the national inpatient sample.Stroke. 2021; 52:e739–e741. doi: 10.1161/STROKEAHA.121.035112LinkGoogle Scholar3. Katzan IL, Spertus J, Bettger JP, Bravata DM, Reeves MJ, Smith EE, Bushnell C, Higashida RT, Hinchey JA, Holloway RG, et al; American Heart Association Stroke C, Council on Quality of C, Outcomes R, Council on C, Stroke N, Council on Cardiovascular R, Intervention, Council on Cardiovascular S, Anesthesia and Council on Clinical C. Risk adjustment of ischemic stroke outcomes for comparing hospital performance: a statement for healthcare professionals from the American Heart Association/American Stroke Association.Stroke. 2014; 45:918–944. doi: 10.1161/01.str.0000441948.35804.77LinkGoogle Scholar4. Centers for Medicare and Medicaid (CMS). Hospital 30-day all cause Risk Standardized Mortality Rate (RSMR) following acute ischemic stroke hospitalization with claims-based risk adjustment for stroke severity: measure methodology report (Version 1.2).July 2021. Accessed January 5, 2023. https://qualitynet.cms.gov/inpatient/measures/mortality/methodology.Google Scholar5. Kamel H, Liberman AL, Merkler AE, Parikh NS, Mir SA, Segal AZ, Zhang C, Díaz I, Navi BB. Validation of the International Classification of Diseases, Tenth Revision Code for the National Institutes of Health Stroke Scale score.Circ Cardiovasc Qual Outcomes. 2023; 16:219–226. doi: 10.1161/CIRCOUTCOMES.122.009215LinkGoogle Scholar6. Yu AYX, Bravata DM, Norrving B, Reeves MJ, Liu L, Kilkenny MF. Measuring stroke quality: methodological considerations in selecting, defining, and analyzing quality measures.Stroke. 2022; 53:3214–3221. doi: 10.1161/STROKEAHA.122.036485LinkGoogle Scholar7. Little RRD. Statistical analysis with missing data. John Wiley and Sons, Inc; 2002.CrossrefGoogle Scholar8. Hernán MA, Hernández-Díaz S, Robins JM. A structural approach to selection bias.Epidemiology. 2004; 15:615–625. doi: 10.1097/01.ede.0000135174.63482.43CrossrefMedlineGoogle Scholar9. Greenland S. Quantifying biases in causal models: classical confounding vs collider-stratification bias.Epidemiology. 2003; 14:300–306.CrossrefMedlineGoogle Scholar10. Little RJ, D’Agostino R, Cohen ML, Dickersin K, Emerson SS, Farrar JT, Frangakis C, Hogan JW, Molenberghs G, Murphy SA, et al. The prevention and treatment of missing data in clinical trials.N Engl J Med. 2012; 367:1355–1360. doi: 10.1056/NEJMsr1203730CrossrefMedlineGoogle Scholar11. Reeves MJ, Smith EE, Fonarow GC, Zhoa X, Thompson M, Peterson E, Schwamm LH, Olson DM. Variation and trends in the documentation of National Institutes of Health Stroke Scale (NIHSS) in GWTG-stroke hospitals.Circ Cardiovasc Qual Outcomes. 2015; 8:S90–S98. doi: 10.1161/CIRCOUTCOMES.115.001775LinkGoogle Scholar12. Thompson MP, Luo Z, Gardiner J, Burke JF, Nickles A, Reeves MJ. Quantifying selection bias in national institute of health stroke scale data documented in an acute stroke registry.Circ Cardiovasc Qual Outcomes. 2016; 9:286–293. doi: 10.1161/CIRCOUTCOMES.115.002352LinkGoogle Scholar13. Thompson MP, Luo Z, Gardiner J, Burke JF, Nickles A, Reeves MJ. Impact of missing stroke severity data on the accuracy of hospital ischemic stroke mortality profiling.Circ Cardiovasc Qual Outcomes. 2018; 11:e004951. doi: 10.1161/CIRCOUTCOMES.118.004951LinkGoogle Scholar14. Ziaeian B, Xu H, Matsouaka RA, Xian Y, Khan Y, Schwamm LS, Smith EE, Fonarow GC. US Surveillance of acute ischemic stroke patient characteristics, care quality, and outcomes for 2019.Stroke. 2022; 53:3386–3393. doi: 10.1161/STROKEAHA.122.039098LinkGoogle Scholar Previous Back to top Next FiguresReferencesRelatedDetailsRelated articlesValidation of the International Classification of Diseases, Tenth Revision Code for the National Institutes of Health Stroke Scale ScoreHooman Kamel, et al. Circulation: Cardiovascular Quality and Outcomes. 2023;16 March 2023Vol 16, Issue 3 Advertisement Article InformationMetrics © 2023 American Heart Association, Inc.https://doi.org/10.1161/CIRCOUTCOMES.123.009805PMID: 36862374 Originally publishedMarch 2, 2023 Keywordsrisk adjustmentEditorialsreproducibility of resultsischemic strokeoutcome assessmentstrokePDF download Advertisement SubjectsHealth ServicesIschemic StrokeQuality and Outcomes
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Editorials, ischemic stroke, outcome assessment, reproducibility of results, risk adjustment, stroke
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