DOI: 10.36347/sasjm

Pages: 258-261

In spite of widespread recommendation, clinical practice guidelines have had limited effect on changing physician behaviour. To study adherence to Stroke Performance Indicators in patients of acute Ischemic stroke in a Tertiary Care Hospital. Seven predefined performance measures as targets for stroke quality improvement were evaluated over a period of one year between July 2014 to June 2015: (1) rtPA use in patients who arrived with in 2 h from symptom onset; (2) antithrombotic medication use within 48 h of admission; (3) DVT prophylaxis within 48 h of admission for nonambulatory patients; (4) discharge use of antithrombotics; (5) discharge use of anticoagulation for atrial fibrillation; (6) treatment for LDL > 100 mg/dl and (7) counselling for smoking cessation.