Quality Indicators of Ischemic Stroke Service

Target quality of service indicators: Ischemic Stroke

I	Indicator	Target
	S: Standard
S01	Mean time (Minute) to intravenous thrombolytic therapy (Door to Needle Time)	< 60
S02	Percentage of mortality of acute ischemic stroke patients who receive intravenous thrombolytic therapy within 4.5 hours	≤ 3%
S03	Percentage of ischemic stroke patients who receive an antiplatelet for the treatment within 48 hours after the symptom onset	≥ 85%
S04	Percentage of ischemic stroke patients who are discharged home and receive antiplatelet or anticoagulant on discharge	100%
S05	Percentage of ischemic stroke patients discharged home who have high LDL and receive statin on discharge	> 90%
S06	Percentage of ischemic stroke patients who have time to intravenous thrombolytic therapy (Door to Needle Time) within 60 minutes	> 75%
	P: Process
P01	Percentage of ischemic stroke patients who have blood sugar checked after being admitted to the hospital within 24 hours	100%
P02	Percentage of ischemic stroke patients who have EKG within 24 hours after symptom onset	100%
P03	Percentage of ischemic stroke patients who have CT scan and/or MRI/MRA brain within 24 hours	100%
P04	Percentage of acute ischemic stroke patients with duration of the symptoms not greater than 4.5 hours (Stroke Fast Track) who have CT scan and/or MRI/MRA brain within 1 hours	100%
P05	Percentage of acute ischemic stroke patients with fever (≥ 37.5°C) who receive appropriate fever management	100%
P06	Percentage of ischemic stroke patients who receive care following the planned guideline (Care Map/Path Way)	100%
P07	Percentage of ischemic stroke patients with duration of the symptoms within 72 hours who receive care in Stroke Unit	≥ 70%
P08	Percentage of ischemic stroke patients who receive appropriate patient instruction before discharge	100%
P09	Percentage of ischemic stroke patients who have swallowing evaluation within 72 hours of admission	100%
P10	Percentage of ischemic stroke patients who was evaluated/ rehabilitation and/or physical therapy/Occupational therapy/ Speech-Language therapy within 72 hours of admission	100%
P11	Percentage of ischemic stroke patients who receive therapy/instructions about smoking cessation	> 70%
P12	Percentage of ischemic stroke patients who receive EKG monitoring within 24 hours of admission	≥ 80%
	O: Outcome
O01	Percentage of readmission within 28 days of stroke patients	< 1.5%
O02	Percentage of ischemic stroke patients with reduced (BIdischarge– BIadmission> 0 point)	> 70%
O03	Mean length of stay of ischemic stroke patients	≤ 10
O04	Mean expense (Baht) of ischemic stroke patients	≅36,776.0
O05	Percentage of mortality of ischemic stroke patients	< 3%
O06	Percentage of ischemic stroke patients who have reduced (mRSdischarge– mRSadmission< 0 point)	≥ 50%
O07	Percentage of ischemic stroke patients who have reduced severity of stroke (NIHSSdischarge– NIHSSadmission< 0 point)	≥ 50%
	C: Complication
C01	Percentage of incidence of pneumonia in ischemic stroke patients	≤ 5%
C02	Percentage of incidence of urinary tract infection in ischemic stroke patients	≤ 5%
C03	Percentage of incidence of pressure sore/skin break	< 0.5%
C04	Percentage of incidence of falls in ischemic stroke patients	0%
C05	Percentage of incidence of deep vein thrombosis (DVT) in ischemic stroke patients	< 5%

Quality of Service Dictionary: Ischemic Stroke

Fiscal Year 2024

I	Stroke Network n=75,234	High-level Expertise n=5,789	Tertiary Level n=29,512	Secondary Level n=36,793	Private Hospital n=3,140
S01 (S.D.)	49.6 (30.8)	43.4 (24.8)	46.9 (28.8)	53.4 (33.0)	53.2 (33.7)
S02	3.3	2.7	3.6	3.3	0.6
S03	94.5	95.9	94.3	94.5	93.4
S04	99.5	99.7	99.6	99.4	99.6
S05	98.9	98.7	99.0	98.9	98.0
S06	78.7	86.6	83.5	72.3	78.0
P01	97.6	98.5	97.8	97.3	97.0
P02	97.5	97.0	97.6	97.7	95.4
P03	98.1	98.7	98.2	97.9	97.6
P04	92.8	95.8	93.3	92.1	89.3
P05	97.9	98.2	98.3	97.7	97.3
P06	97.9	99.2	98.1	97.6	96.2
P07	95.5	99.3	94.3	95.8	96.4
P08	98.4	98.7	98.7	98.0	98.3
P09	99.9	100.0	99.9	99.8	99.5
P10	99.7	99.9	99.8	99.7	99.3
P11	90.8	88.9	96.3	86.6	86.4
P12	98.1	99.6	98.6	97.8	94.2
O01	1.0	0.9	1.0	1.1	1.2
O02	67.3	67.6	67.9	67.0	64.0
O03 (S.D.)	4.7 (8.7)	6.9 (10.5)	4.4 (8.2)	4.6 (8.6)	4.6 (8.1)
O04 (S.D.)	29,075.0 (100,242.5)	64,700.0 (89,323.9)	24,338.5 (56,053.5)	23,640.1 (111,979.7)	134,720.2 (275,930.7)
O05	2.2	2.0	2.6	2.0	1.3
O06	51.5	54.9	52.3	50.6	47.5
O07	62.3	60.7	63.0	61.5	67.2
C01	1.1	1.0	1.0	1.2	1.3
C02	0.7	0.9	0.5	0.8	0.8
C03	0.2	0.3	0.2	0.3	0.1
C04	1.3	0.8	1.1	1.5	1.3
C05	0.1	0.1	0.0	0.1	0.2

I	HR1 n=4,251	HR2 n=4,045	HR3 n=3,428	HR4 n=4,733	HR5 n=8,577	HR6 n=7,251	HR7 n=6,741	HR8 n=4,104	HR9 n=8,578	HR10 n=5,765	HR11 n=5,355	HR12 n=8,476	HR13 n=3,930
S01 (S.D.)	53.7 (30.2)	52.9 (33.5)	55.9 (34.3)	49.5 (33.0)	55.4 (35.2)	49.8 (28.7)	50.8 (33.1)	46.8 (20.3)	56.2 (34.5)	49.6 (26.1)	46.4 (31.0)	42.2 (28.5)	44.9 (25.9)
S02	3.3	5.5	8.2	5.5	4.2	1.8	2.3	1.7	2.2	3.3	4.6	2.3	2.1
S03	95.4	94.2	90.1	94.9	94.7	94.7	92.3	94.2	92.6	95.7	95.2	96.9	95.3
S04	99.6	99.8	98.4	99.7	99.8	99.9	99.1	99.0	99.6	99.6	99.4	99.8	99.7
S05	98.1	98.8	98.0	99.2	99.3	98.9	98.4	97.4	98.6	99.3	98.7	99.6	99.1
S06	73.6	76.7	70.4	80.0	70.8	78.6	76.0	86.3	73.5	74.5	80.8	85.9	87.6
P01	97.0	96.7	97.8	97.5	97.3	98.4	97.7	97.6	97.3	98.0	97.3	98.2	97.9
P02	97.9	97.8	96.5	97.5	96.7	97.2	98.0	98.0	97.2	98.0	97.9	98.2	96.2
P03	98.0	97.9	97.4	98.4	97.9	98.6	98.0	98.8	98.1	97.9	97.1	98.6	98.1
P04	92.1	92.1	91.8	93.8	91.0	93.7	91.4	93.5	92.8	93.4	92.4	94.3	93.7
P05	99.0	97.5	98.1	98.9	97.9	97.3	98.4	97.1	98.4	97.2	97.0	97.7	98.5
P06	98.1	98.2	96.5	98.3	96.7	98.6	98.2	97.9	98.2	96.3	97.3	98.7	98.5
P07	92.1	98.9	58.9	94.6	93.7	97.3	97.0	98.4	98.5	95.3	97.5	99.2	98.7
P08	97.9	98.6	97.9	98.6	97.8	98.6	98.3	98.3	98.3	98.5	98.1	98.9	98.7
P09	99.8	99.4	99.9	99.9	99.9	100.0	99.8	99.6	99.9	99.8	100.0	99.9	100.0
P10	99.8	99.7	99.6	99.7	99.8	99.9	99.8	99.0	99.6	99.8	99.7	99.8	99.7
P11	87.3	85.3	94.0	97.7	92.3	91.1	93.4	83.2	91.1	94.0	90.2	89.6	86.8
P12	99.3	98.7	99.6	99.0	97.8	94.9	99.5	93.0	98.1	99.2	97.9	99.3	99.4
O01	0.8	1.0	0.9	1.1	1.2	0.7	1.2	1.5	0.9	1.0	1.7	0.7	0.7
O02	70.7	66.4	59.7	72.9	66.1	73.1	62.2	58.3	61.6	69.3	72.4	71.1	68.3
O03 (S.D.)	5.8 (9.0)	4.2 (6.8)	5.8 (11.6)	4.9 (7.4)	5.3 (9.5)	4.0 (7.9)	3.4 (7.4)	4.2 (9.7)	4.2 (6.6)	5.1 (6.1)	4.3 (9.4)	4.4 (9.7)	7.6 (11.6)
O04 (S.D.)	47,620.2 (75,221.7)	30,018.5 (56,144.3)	29,455.2 (39,108.4)	26,682.6 (30,442.0)	26,000.4 (37,800.4)	27,829.1 (78,430.6)	15,997.5 (23,872.5)	25,562.2 (40,195.5)	17,779.6 (22,970.6)	24,619.7 (31,286.8)	32,639.2 (273,093.3)	28,070.5 (95,228.6)	82,315.8 (175,720.9)
O05	2.8	2.5	7.1	3.0	2.9	1.8	1.2	1.6	1.8	1.4	2.8	1.4	1.8
O06	51.1	49.0	48.9	53.5	54.3	56.2	46.4	47.8	43.9	48.1	57.1	56.5	57.8
O07	61.3	61.1	59.4	62.0	60.8	66.4	59.8	62.5	54.3	60.6	66.3	70.6	62.6
C01	2.1	0.9	2.1	1.1	1.3	0.8	1.0	1.7	0.7	1.2	0.9	0.4	1.0
C02	1.4	0.7	1.1	0.8	1.0	0.7	0.5	0.5	0.2	0.6	0.8	0.3	0.8
C03	0.2	0.2	0.3	0.3	0.3	0.2	0.2	0.2	0.2	0.3	0.2	0.1	0.3
C04	0.8	1.7	1.5	1.0	1.5	1.0	1.2	1.3	1.7	1.5	1.5	0.7	1.1
C05	0.1	0.1	0.1	0.1	0.0	0.0	0.0	0.1	0.0	0.1	0.1	0.0	0.2

Fiscal Year 2023

I	Stroke Network n=68,172	High-level Expertise n=5,447	Tertiary Level n=31,122	Secondary Level n=28,872	Private Hospital n=2,731
S01 (S.D.)
S02
S03
S04
S05
S06
P01
P02
P03
P04
P05
P06
P07
P08
P09
P10
P11
P12
O01
O02
O03 (S.D.)
O04 (S.D.)
O05
O06
O07
C01
C02
C03
C04
C05

I	HR1 n=4,741	HR2 n=4,014	HR3 n=1,716	HR4 n=4,679	HR5 n=8,085	HR6 n=6,778	HR7 n=7,008	HR8 n=4,111	HR9 n=7,745	HR10 n=4,683	HR11 n=3,222	HR12 n=7,414	HR13 n=3,976
S01 (S.D.)
S02
S03
S04
S05
S06
P01
P02
P03
P04
P05
P06
P07
P08
P09
P10
P11
P12
O01
O02
O03 (S.D.)
O04 (S.D.)
O05
O06
O07
C01
C02
C03
C04
C05

Fiscal Year 2022

I	Stroke Network n=52,926	High-level Expertise n=4,984	Tertiary Level n=26,060	Secondary Level n=20,325	Private Hospital n=1,557
S01	49.1	43.1	46.7	53.3	58.7
S02	5.1	2.3	6.4	4.3	2.5
S03	94.3	95.8	94.0	94.2	94.4
S04	99.7	99.7	99.6	99.7	99.7
S05	98.9	99.5	98.9	98.8	98.3
S06	78.8	87.3	81.7	73.6	61.7
P01	97.8	98.3	97.8	97.8	97.3
P02	97.4	98.1	97.1	97.6	95.5
P03	98.2	98.9	98.1	98.2	97.4
P04	92.6	96.2	92.2	92.2	89.2
P05	96.9	98.9	96.5	96.7	95.8
P06	97.9	99.1	97.6	97.8	98.3
P07	92.7	96.0	92.5	91.6	97.7
P08	98.0	98.7	98.3	97.6	97.8
P09	99.7	99.8	99.8	99.7	98.6
P10	98.8	99.9	98.6	99.1	97.0
P11	88.9	79.7	93.8	86.5	66.2
P12	94.8	99.2	94.8	93.9	93.4
O01	0.7	0.6	0.7	0.8	1.0
O02	65.8	69.0	66.4	64.6	63.0
O03	4.7	6.5	4.4	4.6	5.1
O04	41,329.5	52,923.8	38,030.0	36,160.7	157,989.3
O05	2.6	1.5	2.9	2.5	1.5
O06	49.8	58.3	49.8	47.7	50.8
O07	59.5	61.9	59.2	59.0	62.1
C01	1.3	0.7	1.2	1.6	1.4
C02	0.7	0.3	0.6	1.0	1.0
C03	0.4	0.2	0.3	0.5	0.3
C04	1.3	1.2	1.1	1.5	2.7
C05	0.1	0.1	0.1	0.1	0.1

I	HR1 n=4,030	HR2 n=3,040	HR3 n=599	HR4 n=3,363	HR5 n=5,415	HR6 n=4,353	HR7 n=6,463	HR8 n=3,870	HR9 n=6,863	HR10 n=2,976	HR11 n=2,798	HR12 n=5,663	HR13 n=3,493
S01	52.5
S02	3.4
S03	95.6
S04	99.3
S05	98.2
S06	77.3
P01	97.3
P02	97.8
P03	97.9
P04	92.9
P05	92.8
P06	97.0
P07	87.8
P08	98.1
P09	99.6
P10	97.8
P11	91.3
P12	91.0
O01	0.6
O02	71.1
O03	4.9
O04	36,562.9
O05	2.1
O06	48.9
O07	58.9
C01	1.5
C02	1.0
C03	0.3
C04	1.4
C05	0.1

Fiscal Year 2021

I	Stroke Network n=52,412	High-level Expertise n=4,822	Tertiary Level n=25,540	Secondary Level n=20,869	Private Hospital n=1,162
S01	50.4	43.4	51.6	51.9	60.7
S02	5.4	2.7	6.1	3.7	3.1
S03	94.1	93.3	93.8	95.0	93.9
S04	99.6	99.7	98.9	99.3	99.6
S05	99.0	98.6	99.5	98.5	98.7
S06	77.4	86.4	75.6	72.9	63.0
P01	97.4	97.8	97.4	97.4	96.0
P02	96.9	96.3	96.8	97.3	93.5
P03		97.9	98.0	98.0	95.6
P04		94.6	91.7	92.6	82.4
P05		99.0	96.7	96.9	96.7
P06		97.5	98.1	97.5	96.1
P07		94.3	93.4	94.9	84.6
P08		98.6	98.2	97.8	97.9
P09		99.6	99.1	99.1	97.8
P10		99.4	97.3	98.3	87.5
P11		79.4	88.4	81.9	65.3
P12		98.0	93.1	97.7	91.0
O01		0.8	0.8	1.2	1.2
O02		65.6	65.1	70.7	58.0
O03	4.8	7.3	4.5	4.5	5.7
O04	37,711.8	60,194.4	40,599.6	14,448.0	38,422.9
O05	2.6	2.1	3.0	2.2	1.6
O06	49.4	52.4	49.8	48.4	43.4
O07	60.3	55.7	61.2	60.4	59.9
C01	1.2	0.6	1.2	1.4	1.1
C02	0.7	0.5	0.6	0.9	0.8
C03	0.3	0.2	0.3	0.4	0.1
C04	1.3	1.1	1.2	1.6	0.9
C05	0.1	0.1	0.1	0.0	0.1

Fiscal Year 2020

I	High-level Expertise n=4,721	Tertiary Level n=28,138	Secondary Level n=17,004	Private Hospital n=1,257
S01	40.7	52.4	53.6	61.3
S02	3.1	5.7	2.3	2.1
S03	91.1	93.5	94.5	92.9
S04	99.6	98.9	99.5	98.9
S05	97.9	97.7	97.5	91.8
S06	87.7	73.6	69.5	57.7
P01	97.7	97.6	97.3	96.2
P02	96.9	96.6	97.1	92.7
P03	98.5	98.0	98.0	95.5
P04	94.7	91.8	92.8	84.4
P05	98.0	96.5	96.9	96.0
P06	98.2	98.2	96.8	95.4
P07	98.1	93.2	97.2	88.2
P08	99.1	98.3	97.4	94.9
P09	99.9	98.9	99.2	88.7
P10	99.6	96.6	98.8	84.3
P11	76.4	89.3	74.5	65.4
P12	97.9	92.3	94.9	88.7
O01	0.8	1.0	1.3	2.4
O02	66.9	66.7	73.1	63.6
O03
O04
O05
O06
O07
C01
C02
C03
C04
C05

Fiscal Year 2019

I	High-level Expertise n=4,494	Tertiary Level n=25,366	Secondary Level n=14,099	Private Hospital n=1,192
S01	41.6	52.9	59.4	58.6
S02	2.0	5.1	2.7	4.9
S03	91.8	93.4	95.1	91.6
S04	99.2	98.9	99.5	97.4
S05	97.5	98.0	97.8	90.1
S06	88.1	72.7	67.1	60.7
P01	95.7	97.5	97.3	96.0
P02	95.7	95.6	97.5	89.8
P03	97.9	97.7	97.9	97.3
P04	92.5	91.1	93.4	86.7
P05	96.2	96.7	97.8	81.4
P06	99.0	98.2	94.8	90.7
P07	98.1	89.6	97.1	78.7
P08	98.9	98.0	98.5	96.0
P09	99.7	97.6	99.3	90.1
P10	99.4	95.7	99.0	82.1
P11	69.5	88.9	83.0	59.9
P12	94.2	88.4	93.5	78.8
O01	1.2	0.7	1.1	1.5
O02	64.7	66.6	75.9	64.8
O03
O04
O05
O06
O07
C01
C02
C03
C04
C05

Source: Neurological Information Center, Neurological Institute of Thailand. Processing Date March 17, 2025.

Note: n = number of ischemic stroke patients, HR = Health Region