{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:17:45Z","timestamp":1787019465000,"version":"build-2736575974"},"reference-count":28,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2023,3,1]],"date-time":"2023-03-01T00:00:00Z","timestamp":1677628800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"},{"start":{"date-parts":[[2023,3,1]],"date-time":"2023-03-01T00:00:00Z","timestamp":1677628800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100003554","name":"Lundbeckfonden","doi-asserted-by":"publisher","award":["349-2020-907"],"award-info":[{"award-number":["349-2020-907"]}],"id":[{"id":"10.13039\/501100003554","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003554","name":"Lundbeckfonden","doi-asserted-by":"publisher","award":["349-2020-907"],"award-info":[{"award-number":["349-2020-907"]}],"id":[{"id":"10.13039\/501100003554","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Evidence-based early stroke care as reflected by fulfillment of process performance measures, is strongly related to better patient outcomes after stroke and transient ischemic attack (TIA). Detailed data on the resilience of stroke care services during the COVID-19 pandemic are limited. We aimed to examine the quality of early stroke care at Danish hospitals during the early phases of the COVID-19 pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods:<\/jats:title>\n                    <jats:p>We extracted data from Danish national health registries in five time periods (11 March, 2020\u201327 January, 2021) and compared these to a baseline pre-pandemic period (13 March, 2019\u201310 March, 2020). Quality of early stroke care was assessed as fulfilment of individual process performance measures and as a composite measure (opportunity-based score).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 23,054 patients were admitted with stroke and 8153 with a TIA diagnosis in the entire period. On a national level, the opportunity-based score (95% confidence interval [CI]) at baseline for ischemic patients was 81.1% (80.8\u201381.4), for intracerebral hemorrhage (ICH) 85.5% (84.3\u201386.6), and for TIA 96.0% (95.3\u201396.1). An increase of 1.1% (0.1\u20132.2) and 1.5% (0.3\u20132.7) in the opportunity-based score was observed during the first national lockdown period for AIS and TIA followed by a decline of \u22121.3% (\u22122.2 to \u22120.4) in the gradual reopening phase for AIS indicators. We found a significant negative association between regional incidence rates and quality-of-care in ischemic stroke patients implying that quality decreases when admission rates increase.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The quality of acute stroke\/TIA care in Denmark remained high during the early phases of the pandemic and only minor fluctuations occurred.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23969873221139695","type":"journal-article","created":{"date-parts":[[2022,12,7]],"date-time":"2022-12-07T05:13:38Z","timestamp":1670390018000},"page":"268-274","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Quality in stroke care during the early phases of the COVID-19 pandemic: A nationwide study"],"prefix":"10.1093","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4846-9516","authenticated-orcid":false,"given":"Rolf A","family":"Blauenfeldt","sequence":"first","affiliation":[{"name":"Department of Neurology, Aarhus University Hospital, Aarhus, Denmark 1"},{"name":"Department of Clinical Medicine, Aarhus University, Aarhus, Denmark 2"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jakob N","family":"Hedegaard","sequence":"additional","affiliation":[{"name":"Danish Center for Clinical Health Services Research, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark 3"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4210-0523","authenticated-orcid":false,"given":"Christina","family":"Kruuse","sequence":"additional","affiliation":[{"name":"Department of Neurology, Copenhagen University Hospital-Herlev Gentofte, Copenhagen, Denmark 4"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Gaist","sequence":"additional","affiliation":[{"name":"Research Unit for Neurology, Odense University Hospital, Odense, Denmark 5"},{"name":"University of Southern Denmark, Odense, Denmark 6"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Troels","family":"Wienecke","sequence":"additional","affiliation":[{"name":"Department of Neurology, Zealand University Hospital, Roskilde, Denmark 7"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boris","family":"Modrau","sequence":"additional","affiliation":[{"name":"Department of Neurology, Aalborg University Hospital, Aalborg, Denmark 8"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorte","family":"Damgaard","sequence":"additional","affiliation":[{"name":"Department of Neurology, Aarhus University Hospital, Aarhus, Denmark 1"},{"name":"Department of Clinical Medicine, Aarhus University, Aarhus, Denmark 2"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00f8ren P","family":"Johnsen","sequence":"additional","affiliation":[{"name":"Danish Center for Clinical Health Services Research, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark 3"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grethe","family":"Andersen","sequence":"additional","affiliation":[{"name":"Department of Neurology, Aarhus University Hospital, Aarhus, Denmark 1"},{"name":"Department of Clinical Medicine, Aarhus University, Aarhus, Denmark 2"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claus Z","family":"Simonsen","sequence":"additional","affiliation":[{"name":"Department of Neurology, Aarhus University Hospital, Aarhus, Denmark 1"},{"name":"Department of Clinical Medicine, Aarhus University, Aarhus, Denmark 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