ESO East Supplement 2023 - 38

38
European Stroke Journal 8(1S)
Figure 1. Time trends of stroke quality indicators according to the Estonian Health Insurance Fund reimbursement database.
for all Estonian hospitalized ischemic stroke cases increased
from 16% (95% CI 15%-18%) in 2015 to 28% ( 95% CI
27%-30%) in 2021. Since 2017 MT was included into the
analysis of stroke quality indicators. The proportion of
patients receiving all recanalization therapies increased
between 2017 and 2021 from 22% (95% CI 20%-23%) to
33% (95% CI 31%-35%) and MT alone or with combined
IVT bridging from 3% (95% CI 3%-4%) to 9% (95% CI
8%-10%). The availability of inpatients' rehabilitation
within 30 days after admission increased between 2016 and
2019 from 17% (95% CI 16%-18%) to 23% (95% CI 22%-
25%) but decreased to 18% (95% CI 16%-19%) in 2020
and increased again to 21% (95% CI 20%-23%) in 2021.
The time trend analysis showed significant improvement
for all these indicators (Figure 1). At 1 year after admission
for cardioembolic stroke 52% (95% CI 49.0%-55.0%) and
53% (95% CI 50%-56%) of patients respectively discharged
in 2015 and 2020 and surviving the first 14 days
had prescription for OAC. No change was observed during
the period (Figure 1).
According to the RES-Q database, 848 patients were
discharged between 2017 and 2021 from five strokeready
hospitals. The mean age was 73 (SD ± 13) years
and 45% of them were men. The proportion of patients
receiving recanalization therapies was comparable to the
national stroke quality indicators and increased for combined
bridging IVT and MT therapy (Figure 2). The time
logistics for recanalization therapies is shown on Figure
3. The DNT has not changed over the years. The door-togroin
time (DGT) has somewhat improved over the study
period from median of 100 min (IQR: 100-111) in 2017
to 64 (IQR: 57-84) min in 2021 but not statistically
significant.
The trend of indicators according to the ANGELS
Initiative quality improvement program awards are shown
on Figure 4.16
ESO East Supplement 2023

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