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) |
| Â | Borderline cases discussed by the multidisciplinary group [55] | Â | 100% | 100% | 100% | 100% |