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Table 1 Patient characteristics in the Get With The Guideline – Stroke after post-stratification weights using raking or Bayesian approach

From: National surveillance of stroke quality of care and outcomes by applying post-stratification survey weights on the Get With The Guidelines-Stroke patient registry

 

GWTG Unweighted

NIS

GWTG Raking Weights

GWTG Bayesian Weights

Standardized Differences, %

N = 726,390

N = 1,388,295

N = 1,388,295

N = 1,388,296

NIS vs Raking

NIS vs Bayesian

Raking vs Bayesian

Hospital Characteristics

 *Census divisions

    

0.0

3.9

3.9

  Division 1 New England

40,284 (5.55)

59,960 (4.32)

59,960 (4.32)

61,260 (4.41)

   

  Division 2 Mid-Atlantic

141,026 (19.41)

190,045 (13.69)

190,045 (13.69)

191,365 (13.78)

   

  Division 3 East North Central

98,744 (13.59)

215,585 (15.53)

215,585 (15.53)

217,076 (15.64)

   

  Division 4 West North Central

41,280 (5.68)

90,955 (6.55)

90,955 (6.55)

83,707 (6.03)

   

  Division 5 South Atlantic

159,799 (22.00)

303,745 (21.88)

303,745 (21.88)

314,341 (22.64)

   

  Division 6 East South Central

39,350 (5.42)

114,565 (8.25)

114,565 (8.25)

107,499 (7.74)

   

  Division 7 West South Central

66,934 (9.21)

158,475 (11.42)

158,475 (11.42)

160,105 (11.53)

   

  Division 8 Mountain

37,864 (5.21)

72,795 (5.24)

72,795 (5.24)

66,735 (4.81)

   

  Division 9 Pacific

101,109 (13.92)

182,170 (13.12)

182,170 (13.12)

186,208 (13.41)

   

*Hospital ownership

    

0.0

5.6

5.6

 Government

73,541 (10.12)

165,400 (11.91)

165,400 (11.91)

142,585 (10.27)

   

 Private, Non-Profit

579,983 (79.84)

1,034,510 (74.52)

1,034,510 (74.52)

1,063,608 (76.61)

   

 Private, Investor-Owned

72,866 (10.03)

188,385 (13.57)

188,385 (13.57)

182,102 (13.12)

   

*Rural/teaching status

    

0.0

16.0

16.0

 Rural

25,374 (3.49)

142,920 (10.29)

142,920 (10.29)

83,637 (6.02)

   

 Urban nonteaching

149,164 (20.53)

476,970 (34.36)

476,970 (34.36)

477,741 (34.41)

   

 Urban teaching

551,852 (75.97)

768,405 (55.35)

768,405 (55.35)

826,917 (59.56)

   

*Bed Size Categories

    

0.0

7.4

7.4

 Small

92,088 (12.68)

184,630 (13.30)

184,630 (13.30)

159,846 (11.51)

   

 Medium

198,454 (27.32)

379,405 (27.33)

379,405 (27.33)

357,012 (25.72)

   

 Large

435,848 (60.00)

824,260 (59.37)

824,260 (59.37)

871,437 (62.77)

   

Primary Stroke Center

509,534 (70.15)

N/A

941,419 (67.81)

953,966 (68.71)

1.9

Comprehensive Stroke Center

110,333 (15.19)

N/A

149,156 (10.74)

179,012 (12.89)

6.7

Number of Beds, Median (IQR)

374 (243–581)

N/A

302 (195–464)

350 (205–532)

9.8

Annual Volume of IS Admissions, Median (IQR)

243 (166–382)

N/A

208 (143–318)

228 (143–361)

8.2

Patient Characteristics

 Age

    

2.4

1.5

0.8

  Mean (SD)

70.49 (14.57)

70.61 (14.10)

70.47 (20.02)

70.29 (20.11)

   

Age category

      

0.8

  ≤ 60

184,201 (25.36)

339,800 (24.48)

350,934 (25.28)

356,665 (25.69)

   

 61–70

160,447 (22.09)

302,770 (21.81)

309,032 (22.26)

309,064 (22.26)

   

 71–80

169,763 (23.37)

328,650 (23.67)

327,235 (23.57)

326,584 (23.52)

   

  > 80

211,979 (29.18)

417,075 (30.04)

401,094 (28.89)

395,981 (28.52)

   

 Female

368,770 (50.77)

714,159 (51.44)

704,825 (50.77)

701,281 (50.51)

1.3

1.9

0.5

*Race/Ethnicity

    

0.0

4.6

4.6

 White

506,456 (69.72)

925,390 (66.66)

925,390 (66.66)

923,221 (66.50)

   

 Black

124,170 (17.09)

217,450 (15.66)

217,450 (15.66)

214,227 (15.43)

   

 Hispanic

46,836 (6.45)

98,615 (7.10)

98,615 (7.10)

99,818 (7.19)

   

 Asian & Pacific Islander

22,425 (3.09)

34,935 (2.52)

34,935 (2.52)

45,134 (3.25)

   

 Other

26,503 (3.65)

111,905 (8.06)

111,905 (8.06)

105,896 (7.63)

   

Insurance

    

13.1

14.3

1.7

 Private/VA/Champus/Other Insurance

140,727 (23.12)

256,085 (19.01)

259,132 (22.47)

268,964 (23.02)

   

 Medicaid

39,428 (6.48)

104,045 (7.72)

71,336 (6.19)

73,610 (6.30)

   

 Medicare

388,813 (63.88)

917,520 (68.10)

741,833 (64.32)

741,999 (63.51)

   

 Self Pay/No Insurance

39,722 (6.53)

69,685 (5.17)

81,042 (7.03)

83,748 (7.17)

   

Stroke Admission Year

 2012

220,387 (30.34)

452,240 (32.58)

452,240 (32.58)

452,240 (32.58)

   

 2013

242,633 (33.40)

460,400 (33.16)

460,400 (33.16)

460,400 (33.16)

   

 2014

263,370 (36.26)

475,655 (34.26)

475,655 (34.26)

475,655 (34.26)

   

Medical History

 Atrial Fibrillation/Flutter

172,120 (23.76)

343,981 (24.78)

318,990 (23.05)

320,231 (23.14)

4.0

3.8

0.2

 Previous Stroke/TIA

222,336 (30.99)

N/A

429,240 (31.31)

423,422 (30.94)

0.8

 CAD/Prior Myocardial Infarction

176,850 (24.65)

378,739 (27.28)

341,816 (24.93)

339,277 (24.79)

5.4

5.7

0.3

 Diabetes Mellitus

243,745 (33.97)

553,176 (39.85)

473,934 (34.57)

469,364 (34.29)

10.9

11.5

0.6

 Peripheral Vascular Disease

33,481 (4.67)

142,639 (10.27)

64,133 (4.68)

64,556 (4.72)

21.4

21.2

0.2

 Hypertension

548,231 (76.41)

1,149,625 (82.81)

1,049,345 (76.54)

1,043,025 (76.21)

15.6

16.4

0.8

 Smoker

133,412 (18.59)

433,520 (31.23)

258,994 (18.89)

259,894 (18.99)

28.8

28.5

0.3

 Dyslipidemia

325,549 (45.37)

797,295 (57.43)

615,319 (44.88)

613,296 (44.81)

25.3

25.4

0.1

 Heart Failure

66,449 (9.26)

199,810 (14.39)

125,027 (9.12)

126,046 (9.21)

16.4

16.1

0.3

 Prosthetic Heart Valve

9147 (1.27)

20,590 (1.48)

16,757 (1.22)

17,899 (1.31)

2.3

1.5

0.8

 Obesity/Overweight

84,405 (11.76)

151,915 (10.94)

148,136 (10.80)

159,219 (11.63)

0.4

2.2

2.6

 Chronic Renal Insufficiency

40,204 (5.60)

200,960 (14.48)

74,183 (5.41)

74,472 (5.44)

30.6

30.5

0.1

Vital and Laboratory Measurements

 SBP mmHg, Mean (SD)

157.02 (30.09)

N/A

157.51 (41.69)

157.35 (41.69)

0.4

 BMI, Median (IQR)

27.2 (23.8–31.6)

N/A

27.3 (23.8–31.7)

27.3 (23.8–31.6)

0.0

 HbA1c, % Mean (SD)

6.71 (1.89)

N/A

6.77 (2.57)

6.74 (2.6)

1.4

 Blood Glucose mg/dL, Mean (SD)

142.48 (70.78)

N/A

143.65 (99.06)

143.42 (99.34)

0.3

 Serum Creatinine mg/dL, Median (IQR)

1 (0.8–1.3)

N/A

1 (0.8–1.3)

1 (0.8–1.3)

0.2

Arrival Information

 Arrival Mode: EMS

328,713 (49.63)

N/A

615,016 (48.88)

608,291 (48.43)

0.9

Ambulatory Status at Admission

    

0.7

 Unable to ambulate

140,461 (32.84)

N/A

258,705 (31.75)

261,489 (31.79)

   

 With assistance from person

117,069 (27.37)

N/A

228,196 (28.01)

232,655 (28.28)

   

 Able to ambulate independently

170,187 (39.79)

N/A

327,796 (40.24)

328,418 (39.93)

   

 On-time Arrival (non-holiday weekday 7 am-6 pm)

351,852 (48.44)

N/A

680,317 (49.00)

676,280 (48.71)

0.6

Initial NIHSS Score (0–42)

    

0.5

 Median (IQR)

4 (1–9)

N/A

4 (1–9)

4 (1–9)

   

 Mean (SD)

6.7 (7.57)

N/A

6.63 (10.43)

6.68 (10.41)

   

Medications Prior to Admission

 Antiplatelets

315,626 (49.64)

N/A

597,965 (49.49)

593,907 (49.15)

0.7

 Anticoagulants

70,885 (15.87)

N/A

131,611 (15.49)

132,891 (15.56)

0.2

 Antihypertensives

411,912 (69.26)

N/A

778,405 (69.30)

783,141 (69.14)

0.3

 Cholesterol-Reducers

320,192 (44.35)

N/A

607,248 (43.98)

600,088 (43.55)

0.9

 Diabetic Medications

156,575 (26.98)

N/A

302,257 (27.61)

301,123 (27.37)

0.5

Outcomes

 Length of Stay, (days), Median (IQR)

4 (2–6)

3 (2–6)

4 (2–6)

4 (2–6)

0.8

 Stroke Unit Admission

394,102 (73.18)

 

710,891 (70.40)

710,406 (69.84)

1.2

Discharge Disposition

      

0.9

 Home

343,284 (47.26)

679,755 (48.96)

663,414 (47.79)

660,288 (47.56)

2.3

2.7

 

 Home Hospice

10,019 (1.38)

N/A

19,336 (1.39)

19,701 (1.42)

 

 Hospice Facility

22,950 (3.16)

N/A

43,410 (3.13)

43,532 (3.14)

 

 Acute Care Facility

14,739 (2.03)

40,225 (2.90)

33,304 (2.40)

34,595 (2.49)

 

 Other Health Care Facility

297,278 (40.93)

592,875 (42.71)

558,726 (40.25)

558,770 (40.25)

4.9

4.9

 

 Left Against Medical Advice

4954 (0.68)

10,720 (0.77)

9644 (0.69)

9459 (0.68)

 

 Expired (in-hospital mortality)

32,540 (4.48)

62,430 (4.50)

59,108 (4.26)

60,650 (4.37)

1.2

0.6

 

Discharge Disposition - Other Facilities

    

1.5

 Skilled Nursing Facility

128,134 (43.40)

N/A

247,379 (44.57)

243,845 (43.93)

   

 Inpatient Rehabilitation Facility

155,283 (52.60)

N/A

284,112 (51.19)

286,456 (51.61)

   

 Long Term Care Hospital

6322 (2.14)

N/A

11,988 (2.16)

12,680 (2.28)

   

 Intermediate Care facility

2831 (0.96)

N/A

6238 (1.12)

6408 (1.15)

   
  1. *Characteristic used to anchor post-stratification weights
  2. GWTG Get With The Guidelines, UW unweighted, W weighted, TIA transient ischemic attack, CAD coronary artery disease, HbA1C hemoglobin A1C, EMS emergency medical services