Four years’ experience of participation of the Republic of Moldova in the RES-Q Registry

Abstract

Background: The Republic of Moldova is a member of the Registry of Stroke Care Quality (RES-Q) project, initiated by the European Stroke Organization in 2016. The aim of this study was to analyze the in-hospital stroke care indicators for a period of 4 years in Moldovan hospitals according to the data of the RES-Q registry. Material and methods: 15 hospitals treating stroke patients participated in the study. Each hospital registered at least 30 consecutive stroke patients for at least 1 month per year. The period of patients’ data collection included the period from 2017 to 2020. The RES-Q statisticians processed the online data collection. Results: The data of 2085 patients were analyzed with the mean age of 68 years, 51% were men. CT image was performed for 84% of patients and only 48% of them received it in the first hour after admission. The rtPA and/or thrombectomy was applied to 3% of all stroke patients. The carotid artery imaging was performed in 40% of cases. The in-hospital stroke mortality was 18%, mainly in tertiary hospitals. At discharge, 96% of patients were prescribed antiplatelet drugs, 84% – antihypertensive, 41% – statins, and 45.5% – anticoagulants for patients with atrial fibrillation. Conclusions: Four-year monitoring of the in-hospital stroke care indicators revealed important deficiencies in the process of diagnosis and treatment of the acute stroke, mainly in rural hospitals. Immediate measures are needed to reorganize the stroke care service in Moldova.