{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T22:44:30Z","timestamp":1787697870356,"version":"build-2784847793"},"reference-count":26,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2024,12,1]],"date-time":"2024-12-01T00:00:00Z","timestamp":1733011200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"},{"start":{"date-parts":[[2024,12,1]],"date-time":"2024-12-01T00:00:00Z","timestamp":1733011200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Region North Psychiatry","award":["Research Grand"],"award-info":[{"award-number":["Research Grand"]}]},{"name":"Herlev Hospital, Department of Neurology","award":["Research Grand"],"award-info":[{"award-number":["Research Grand"]}]},{"DOI":"10.13039\/501100003491","name":"Herlev Hospital","doi-asserted-by":"publisher","award":["Research Grand"],"award-info":[{"award-number":["Research Grand"]}],"id":[{"id":"10.13039\/501100003491","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Novo Nordisk Foundation Borregaard Stipend","award":["NNF18OC0031840"],"award-info":[{"award-number":["NNF18OC0031840"]}]},{"DOI":"10.13039\/501100007437","name":"Tryg Foundation","doi-asserted-by":"crossref","award":["Research Grand"],"award-info":[{"award-number":["Research Grand"]}],"id":[{"id":"10.13039\/501100007437","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Region North Psychiatry","award":["Research Grand"],"award-info":[{"award-number":["Research Grand"]}]},{"name":"Herlev Hospital, Department of Neurology","award":["Research Grand"],"award-info":[{"award-number":["Research Grand"]}]},{"DOI":"10.13039\/501100003491","name":"Herlev Hospital","doi-asserted-by":"publisher","award":["Research Grand"],"award-info":[{"award-number":["Research Grand"]}],"id":[{"id":"10.13039\/501100003491","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Novo Nordisk Foundation Borregaard Stipend","award":["NNF18OC0031840"],"award-info":[{"award-number":["NNF18OC0031840"]}]},{"DOI":"10.13039\/501100007437","name":"Tryg Foundation","doi-asserted-by":"crossref","award":["Research Grand"],"award-info":[{"award-number":["Research Grand"]}],"id":[{"id":"10.13039\/501100007437","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>High quality of early stroke care is essential for optimizing the chance of a good patient outcome. The quality of care may be monitored by process performance measures (PPMs) and previous studies have found an association between fulfilment of PPMs and short-term mortality. However, the association with long-term mortality remains to be determined. We aimed to evaluate the association between fulfilment of PPMs and long-term mortality for patients with acute stroke in Denmark.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and methods:<\/jats:title>\n                    <jats:p>We used data from Danish health care registers between 2008 and 2020 to identify all patients admitted with incident stroke (haemorrhagic (ICH) or ischaemic stroke). The quality of early stroke care was assessed using 10 PPMs. Mortality was compared using Cox proportional hazard ratios, risk ratios computed using Poisson regression, and standardized relative survival.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>We included 102,742 patients; 9804 cases of ICH, 88,591 cases of ischaemic stroke, and 4347 cases of unspecified strokes. The cumulative 10-year mortality risk was 56.8%. Fulfilment of the individual PPMs was associated with adjusted hazard rate ratios of death between 0.76 and 0.96. Patients with 100% fulfilment of all PPMs had a lower 10-year post-stroke mortality (adjusted risk ratio 0.90) compared to the patients with 0%\u201349% fulfilment and a standardized relative survival of 81.3%, compared to the general population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>High quality of early stroke care was associated with lower long-term mortality following both ICH and ischaemic stroke, which emphasizes the importance of continued attention on the ability of stroke care providers to deliver high quality of early care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23969873241249580","type":"journal-article","created":{"date-parts":[[2024,5,6]],"date-time":"2024-05-06T02:02:28Z","timestamp":1714960948000},"page":"1000-1007","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Quality of early stroke care and long-term mortality in patients with acute stroke: A nationwide follow-up study"],"prefix":"10.1093","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0289-6042","authenticated-orcid":false,"given":"Heidi Shil","family":"Eddelien","sequence":"first","affiliation":[{"name":"Department of Neurology, Neurovascular Research Unit, Copenhagen University Hospital \u2013 Herlev and Gentofte, Copenhagen, Denmark 1"},{"name":"Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark 2"},{"name":"Neuroscience, University of Copenhagen, Copenhagen, Denmark 3"},{"name":"Danish Center for Health Services Research, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark 4"},{"name":"Department of Brain and Spinal Cord Injury, Neuroscience Center, Copenhagen University Hospital Rigshospitalet, Herlev, Denmark 5"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Gr\u00f8ntved","sequence":"additional","affiliation":[{"name":"Department of Brain and Spinal Cord Injury, Neuroscience Center, Copenhagen University Hospital Rigshospitalet, Herlev, Denmark 5"},{"name":"Region North Psychiatry, Aalborg, Denmark 6"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jakob Nebeling","family":"Hedegaard","sequence":"additional","affiliation":[{"name":"Danish Center for Health Services Research, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark 4"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thordis","family":"Thomsen","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark 2"},{"name":"Neuroscience, University of Copenhagen, Copenhagen, Denmark 3"},{"name":"Department of Anaesthesiology, Copenhagen University Hospital - Herlev and Gentofte, Copenhagen, Denmark 7"}],"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, Neurovascular Research Unit, Copenhagen University Hospital \u2013 Herlev and Gentofte, Copenhagen, Denmark 1"},{"name":"Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark 2"},{"name":"Neuroscience, University of Copenhagen, Copenhagen, Denmark 3"},{"name":"Department of Brain and Spinal Cord Injury, Neuroscience Center, Copenhagen University Hospital Rigshospitalet, Herlev, Denmark 5"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00f8ren Paaske","family":"Johnsen","sequence":"additional","affiliation":[{"name":"Danish Center for Health Services Research, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark 4"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,12,1]]},"reference":[{"key":"2026012113101481700_bibr1-23969873241249580","article-title":"Organised inpatient (stroke unit) care for stroke: network meta-analysis","volume":"4","author":"Langhorne","year":"2020","journal-title":"Cochrane Database Syst Rev"},{"key":"2026012113101481700_bibr2-23969873241249580","doi-asserted-by":"crossref","DOI":"10.1161\/STR.0000000000000158","article-title":"2018 Guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American heart association\/American stroke association","volume":"49","author":"Powers","year":"2018","journal-title":"Stroke"},{"key":"2026012113101481700_bibr3-23969873241249580","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1177\/2396987318808719","article-title":"Action plan for stroke in Europe 2018-2030","volume":"3","author":"Norrving","year":"2018","journal-title":"Eur Stroke J"},{"key":"2026012113101481700_bibr4-23969873241249580","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1177\/2396987317735426","article-title":"Association between patient outcomes and key performance indicators of stroke care quality: a systematic review and meta-analysis","volume":"2","author":"Urimubenshi","year":"2017","journal-title":"Eur Stroke J"},{"key":"2026012113101481700_bibr5-23969873241249580","doi-asserted-by":"crossref","DOI":"10.1161\/STR.0000000000000098","article-title":"Guidelines for adult stroke rehabilitation and recovery: a guideline for healthcare professionals from the American Heart Association\/American Stroke Association","volume":"47","author":"Winstein","year":"2016","journal-title":"Stroke"},{"key":"2026012113101481700_bibr6-23969873241249580","doi-asserted-by":"crossref","first-page":"1065","DOI":"10.1161\/STROKEAHA.114.007608","article-title":"Implementing a simple care bundle is associated with improved outcomes in a national cohort of patients with ischemic stroke","volume":"46","author":"Turner","year":"2015","journal-title":"Stroke"},{"key":"2026012113101481700_bibr7-23969873241249580","doi-asserted-by":"crossref","DOI":"10.1136\/jnnp.2008.169102","article-title":"Stroke unit care revisited: who benefits the most? 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