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Table 3 Trend of adherence to each indicator by semester

From: How to promote, improve and test adherence to scientific evidence in clinical practice

CONDITION INDICATOR 1st semester 2002 Percentage (95%CI) 2nd semester 2002 Percentage (95%CI) 1st semester 2003 Percentage (95%CI) 2nd semester 2003 Percentage (95%CI) 1st semester 2004 Percentage (95%CI)
STROKE CT scan performed within 24 hours of hospital presentation[17] 91%
(86–97)
90%
(84–96)
96%
(92–100)
96%
(93–99)
93%
(88–98)
  Patients admitted to a dedicated ward[18] 63%
(56–71)
74%
(67–81)
81%
(75–87)
80%
(74–86)
82%
(75–89)
  Visits by the physical medicine specialist within 24 hours of request for patients with rehabilitative indication [18] 78%
(69–87)
65%
(55–75)
94%
(89–99)
82%
(74–90)
75%
(66–84)
  Patients transferred to a post-acute care facility according to their clinical indications [41] 89%
(78–100)
78%
(64–91)
80%
(72–89)
79%
(72–86)
73%
(64–82)
  Psychiatric tests (GDS) administered to patients eligible for the test [42] 67%
(58–78)
57%
(46–69)
73%
(64–83)
74%
(65–83)
75%
(66–84)
  Patients discharged alive who underwent 1 follow-up visit 1–3 months after the onset of stroke [16] 57%
(47–68)
67%
(57–76)
80%
(72–88)
69%
(60–78)
74%
(65–83)
CHEST PAIN Patients discharged from the ED and readmitted to hospital within 1 month [43] 3.2%
(1–6)
1.4%
(0–3)
0.5%
(0–2)
1.9%
(0–4)
0%
  Hospitalized patients admitted to the appropriate ward according to pain characteristics [44] 64%
(61–67)
61%
(58–64)
81%
(78–84)
73%
(70–76)
77%
(74–80)
  Patients with AMI admitted to the coronary ICU within 60 minutes of hospital presentation [45] 63%
(55–70)
65%
(58–72)
77%
(70–84)
70%
(63–77)
76%
(69–83)
  Diagnoses of AMI in the discharge summaries inconsistent with clinical records [46] 8%
(5–11)
9%
(5–13)
7%
(4–10)
7%
(4–10)
5%
(2–8)
COPD Patients hospitalized in the appropriate ward according to severity [47] 64%
(57–71)
62%
(55–69)
75%
(69–81)
92%
(88–96)
86%
(81–91)
  Patients eligible for spirometry who underwent spirometry [48] 56%
(49–63)
49%
(41–56)
92%
(88–96)
92%
(88–96)
96%
(93–99)
  Patients with MRC dyspnea grade >= 3 on admission who improved on discharge [49] 86%
(79–92)
83%
(77–90)
91%
(86–96)
88%
(82–94)
87%
(81–93)
  Patients hospitalized for the appropriate number of days according to clinical severity [50] 93%
(88–98)
98%
(95–100)
96%
(93–100)
94%
(89–99)
97%
(94–100)
CHILD DELIVERY Cesarean sections on the total number of child deliveries [51] 41%
(38–44)
41%
(39–44)
35%
(32–38)
39%
(36–42)
39%
(36–42)
  Elective cesarean sections for women with previous cesarean section without contraindications to vaginal delivery [52] 66%
(57–75)
60%
(51–69)
45%
(36–54)
64%
(55–73)
56%
(47–65)
  Cesarean sections performed because of the woman's psychological refusal of vaginal delivery [53] 25%
(18–32)
17%
(11–23)
18%
(12–24)
15%
(10–20)
20%
(15–25)
LUNG CANCER Patients included in the ICP within 2 weeks of the first X-ray [54]   53%
(43–62)
55%
(43–67)
61%
(51–71)
62%
(51–73)
  Patients diagnosed within 4 weeks since ICP inclusion [54]   73%
(64–82)
73%
(63–83)
78%
(69–87)
62%
(51–73)
  Staged patients [55]   89%
(83–95)
97%
(93–100)
93%
(88–98)
96%
(92–100)
  Patients transferred to the intensive care unit for the first 24 hours after surgery [56]   93%
(87–99)
87%
(77–97)
81%
(70–92)
86%
(76–96)
  Patients who underwent surgery according to eligibility criteria [55]   91%
(84–98)
97%
(93–100)
88%
(81–95)
91%
(85–97)
  Borderline cases discussed by the multidisciplinary group [55]   100% 100% 100% 100%