Stroke is the second leading cause of death and disability worldwide and is responsible for 116 million years of healthy life lost each year. The impact on individuals, families and society is incalculable.
WSO is committed to improving outcomes for stroke, by ensuring that patients worldwide get access to stroke care that optimizes their survival and recovery.
As part of this work we partner with the ANGELS Initiative, to increase the number of patients treated in stroke ready hospitals and to optimize the quality of treatment in all existing stroke centers.
The WSO Angels Awards aims to:
The WSO Quality Stroke Care Guideline sets out standards for minimum, essential and advanced levels of stroke care. This document is supported by a Roadmap that supports providers to:
The SITS-QR and RES-Q registries support the collection of data that can help to inform and measure quality improvements, help you to benchmark progress and to identify areas for improvements at hospital, regional and national levels.
The registry protocol contains 23 questions, of which only 11 are mandatory. Completing the RES-Q or the SITS-QR form takes 5 minutes for each patient. The data entry form fits on a single page. Once saved, data entry is regarded as confirmed and locked.
Both registries can be used by WSO Angels participants. Data submitted to either will be conducted by local WSO Angels coordinators. With a minimum of 30 consecutive stroke patients and following verification of data hospitals are considered for a WSO Angels Award.
WSO Angels Awards recognize hospitals that have demonstrated clear commitment to quality stroke care and have established cultures and systems to support continuous improvement.
At the end of every quarter the registries will send a report with all the summaries of hospitals that captured data and qualify for an award to the WSO Angels Awards committee. The awards committee will communicate this with the national steering committees for final confirmation. If the national steering committee confirms that the awarded hospitals are correct, this will be communicated to the WSO Angels Awards committee.
We will then announce the hospitals that have received an award in each region and the corresponding award level reached. Your local Angels consultant will then prepare the appropriate awards pack and present it to the hospital.
To achieve the levels “Gold Status”, “Platinum Status”, and “Diamond Status”, the following criteria must be fulfilled:
|Gold status||Platinum status||Diamond status|
|Registration required||Registration criteria met||Registration criteria met||Registration criteria met|
|% of patients treated with door to recanalization therapy time < 60 minutes||50%||75%||75%|
|% of patients treated with door to recanalization therapy time < 45 minutes||50%|
|% recanalization procedure rate out of total stroke incidence in the hospital||5%||15%||25%|
|% of all suspected stroke patients undergoing CT or MRI imaging procedure||80%||85%||90%|
|% of all stroke patients undergoingdysphagia screen||80%||85%||90%|
|% of Ischaemic stroke patients discharged with antiplatelets||80%||85%||90%|
|% of atrial fibrillation related stroke patients discharged with anticoagulants||80%||85%||90%|
|Stroke patients treated in a dedicated stroke unit or ICU during their hospital stay||Yes|
Achieving our vision of a life free from stroke is a task that WSO cannot achieve alone. We are committed to building our partnerships at the global, regional and national level to scale up and deliver improvements in prevention, treatment and support to reduce the burden of stroke.