Abstract Details

Title Post-reperfusion Care in Stroke: Documentation Gaps and Opportunities for Quality Improvement

Topic Cerebrovascular Disease and Interventional Neurology

Presentation(s) P6 - Poster Session 6 (5:00 PM-6:00 PM)

Poster/Presentation
Number 5-020

Objective To assess clinical documentation gaps in post-reperfused acute ischemic stroke (AIS) patients that may limit outcome monitoring and quality improvement in stroke care pathways.

Background Post-reperfusion traceability in stroke units is critical to ensure continuity of care and reliable evaluation of treatment outcomes. Consistent documentation of NIHSS and mRS at key time points allows for standardized outcome assessment and data integrity. Incomplete records, however, hinder the capacity to measure treatment effectiveness and identify gaps in post-reperfusion management.

Design/Methods Retrospective observational study of AIS patients treated with IV thrombolysis (IVT) and/or mechanical thrombectomy (MT) at a Dominican tertiary care center (Aug 2022–Jun 2025) using data from the RES-Q registry. Documentation completeness was evaluated for NIHSS (baseline, discharge) and mRS (pre-stroke, discharge, 90 days). Descriptive statistics were performed in STATA 19.0.

Results

Of 531 AIS patients, 17.1% (n=91) underwent reperfusion therapy, 57.1% (n=52) were male, with a median age of 73 years (IQR 19). Clinical traceability showed that 19.8% (n=18) had complete records, with 55.9% (n=50) having data entry errors, more frequently in door-to-imaging time. Baseline NIHSS and pre-stroke mRS was documented in 100% of cases. Discharge NIHSS and mRS were available in 82.4% (n=75) and 93.4% (n=85), respectively, while 90-day mRS follow-up was completed in only 14.2% (n=13). Documentation completeness was higher among patients admitted through the neurology service (95.9%, n=70). and those treated with IVT (60.3%, n=44) compared to MT (28.7%, n=21) or both (11.0%, n=8).

Conclusions Post-reperfusion documentation was largely complete for baseline and discharge metrics but failed to close the follow-up loop at 90 days. Strengthening standardized data collection and follow-up pathways is essential to improve continuity of care and outcome monitoring in acute stroke management.

Authors/Disclosures
Stephanie Castro Turbi, MD (CEDIMAT) PRESENTER	Dr. Castro Turbi has nothing to disclose.
María Cedeño-Bruzual, MD	Dr. Cedeño-Bruzual has nothing to disclose.
Diego J. Gil Troncoso, MD	Mr. Gil Troncoso has nothing to disclose.
Chanel Venecia Reyes Guzman, MD	Dr. Reyes Guzman has nothing to disclose.
Sabrina M. Lora, MD (CEDIMAT)	Miss Lora has nothing to disclose.
Ruben D. Bleubar Ozoria, Medical Student	Mr. Bleubar Ozoria has nothing to disclose.
Francisco A. Mendez, Sr., MD	Dr. Mendez has received personal compensation in the range of $0-$499 for serving on a Speakers Bureau for Menarini.
Edwina L. Luna Rodríguez, MD (CEDIMAT)	Dr. Luna Rodríguez has nothing to disclose.

��ɫ��

��ɫ��