{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T20:34:29Z","timestamp":1793133269344,"version":"4.5.0"},"reference-count":21,"publisher":"S. Karger AG","license":[{"start":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T00:00:00Z","timestamp":1765497600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"},{"start":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T00:00:00Z","timestamp":1765497600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cerebrovasc Dis"],"abstract":"<jats:p>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 \u226518 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\u201371), with 67% being male. The median National Institute of Health Stroke Scale at admission was 7 (IQR 4\u201312). 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.<\/jats:p>","DOI":"10.1159\/000548960","type":"journal-article","created":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T17:00:30Z","timestamp":1765645230000},"page":"1-12","source":"Crossref","is-referenced-by-count":2,"title":["Ischemic Stroke Management in India: Insights from the Indian Registry of Stroke Care Quality"],"prefix":"10.1159","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4896-8275","authenticated-orcid":false,"given":"Padmavathy Narayanan","family":"Sylaja","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geraldo","family":"Neto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-6103-3479","authenticated-orcid":false,"given":"Rupal","family":"Sedani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0028-1968","authenticated-orcid":false,"given":"Jeyaraj Durai","family":"Pandian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamidimukkala","family":"Vijaya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Narendra Nath","family":"Jena","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Santhosh","family":"Poyyamoli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2303-1961","authenticated-orcid":false,"given":"Ayush","family":"Agarwal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deep P.","family":"Pillai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soumya","family":"Chandrasekhar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sankar Prasad","family":"Gorthi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pavan","family":"Pai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4906-2619","authenticated-orcid":false,"given":"Jayanta","family":"Roy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nasli","family":"Ichaporia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gigy","family":"Kuruttukulam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ritwiz","family":"Bihari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prashant","family":"Makhija","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kapil Gangadhar","family":"Zirpe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neha","family":"Kapoor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohit","family":"Gupta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandeep","family":"Ghosh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitul","family":"Das","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jyoti B.","family":"Sharma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajsrinivas","family":"Parthasarthy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arun Kumar","family":"Sharma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1867-6116","authenticated-orcid":false,"given":"Debabrata","family":"Chakraborty","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sadanand","family":"Dey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kunal","family":"Bahrani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul J.","family":"Alapatt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rakesh","family":"Singh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Surender","family":"Gaddam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anoop Kumar","family":"Singh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kriti","family":"Tambi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rahul S.","family":"Oinam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kangujam Baby","family":"Chanu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shriram","family":"Varadharajan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Somasundaram","family":"Kumaravelu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chepuru","family":"Ramesh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N. Subbareddy","family":"Santosh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chandrashekhar","family":"Valupadas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Shameem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vineet","family":"Todi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pushpendra Nath","family":"Renjen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hirak Jyoti","family":"Das","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shirish","family":"Hastak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soumar","family":"Dutta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajgopal","family":"Reddy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinay","family":"Singh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.S.","family":"Madhuvan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Praveen","family":"Sharma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siddharth","family":"Marda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madhusudhan B.","family":"Kempegowda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meenakshi","family":"Bhattacharya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7458-5166","authenticated-orcid":false,"given":"Robert","family":"Mikulik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2025,12,12]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1177\/17474930211027834"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.4103\/aian.aian_792_24"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1212\/wnl.0000000000006291"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1111\/ene.16024"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1177\/17474930231180067"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1212\/wnl.53.1.126"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(00)02237-6"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(74)91639-0"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.lansea.2023.100308"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-026850"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-019-1397-3"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.117.018700"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1159\/000538928"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)31374-X"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0246712"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199512143332401"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(22)01054-6"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.120.032787"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1177\/1941875210395775"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2025.108249"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1177\/23969873221103474"}],"container-title":["Cerebrovascular Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/karger.com\/article-pdf\/doi\/10.1159\/000548960","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T17:00:53Z","timestamp":1769101253000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000548960"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,12]]},"references-count":21,"URL":"https:\/\/doi.org\/10.1159\/000548960","archive":["Portico"],"relation":{},"ISSN":["1015-9770","1421-9786"],"issn-type":[{"value":"1015-9770","type":"print"},{"value":"1421-9786","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,12]]}}}