HOFFMEISTER ARCE, LORENA
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HOFFMEISTER ARCE, LORENA
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l.hoffmeister@udd.cl
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Scopus Author ID
16245098400

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Publication

Performance measures for in-hospital care of acute ischemic stroke in public hospitals in Chile

2013 , HOFFMEISTER ARCE, LORENA , LAVADOS GERMAIN, PABLO MANUEL , Merce Comas , Carolina Vidal , Rodrigo Cabello , Xavier Castells

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Short- and Long-term Survival after Stroke in Hospitalized Patients in Chile: A Nationwide 5-Year Study

2013 , HOFFMEISTER ARCE, LORENA , Pablo M. Lavados , Cristiane Murta-Nascimento , Miguel Araujo , Verónica V. Olavarría , Xavier Castells

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Publication

Stroke symptoms, risk factors awareness and personal decision making in Chile. A national survey

2022 , NAVIA GONZALEZ, VICTOR HUGO , MAZZON AGURTO, ENRICO , OLAVARRIA IANISZEWSKY, VERONICA VIVIANA , ALMEIDA TORO, JUAN MANUEL , BRUNSER, ALEJANDRO , LAVADOS GERMAIN, PABLO MANUEL , HOFFMEISTER ARCE, LORENA , MUÑOZ VENTURELLI, PAULA ANDREA

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Factores de riesgo de ataque cerebrovascular isquémico en pacientes mayores de 45 años hospitalizados en el Hospital Herminda Martín de Chillán: Estudio de caso-control

2024 , Patricia Caro , HOFFMEISTER ARCE, LORENA , LAVADOS GERMAIN, PABLO MANUEL

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Publication

Ambient Temperature and Stroke Risk

2018 , LAVADOS GERMAIN, PABLO MANUEL , Verónica V. Olavarría , Lorena Hoffmeister

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Incidence, risk factors, prognosis, and health-related quality of life after stroke in a low-resource community in Chile (ÑANDU): a prospective population-based study

2021 , LAVADOS GERMAIN, PABLO MANUEL , HOFFMEISTER ARCE, LORENA , Ana M Moraga , Angelica Vejar , Carolina Vidal , Constanza Gajardo , Daniela San Martín , Bernardita Portales , Eduardo Lopez , Alexis Rojo , Claudio Sacks , ALMEIDA TORO, JUAN MANUEL , BRUNSER, ALEJANDRO , MUÑOZ VENTURELLI, PAULA ANDREA , OLAVARRIA IANISZEWSKY, VERONICA VIVIANA , HOPPE WIEGERING, ARNOLD JOHANNES GOTTLIEB , DIAZ TAPIA, VIOLETA DEL CARMEN

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Minimum intravenous thrombolysis utilization rates in acute ischemic stroke to achieve population effects on disability: A discrete-event simulation model

2016 , Lorena Hoffmeister , LAVADOS GERMAIN, PABLO MANUEL , Javier Mar , Merce Comas , Arantzazu Arrospide , Xavier Castells

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Temporal Trends of Intravenous Thrombolysis Utilization in Acute Ischemic Stroke in a Prospective Cohort From 1998 to 2019: Modeling Based on Joinpoint Regression

2022 , Verónica V. Olavarría , HOFFMEISTER ARCE, LORENA , Carolina Vidal , BRUNSER, ALEJANDRO , HOPPE WIEGERING, ARNOLD JOHANNES GOTTLIEB , Pablo M. Lavados

IntroductionThe frequency of intravenous thrombolysis (IVT) in acute ischemic stroke (AIS) is lower than it should be in several regions of the world. It is unclear what interventions can produce significant improvements in IVT utilization. We aimed to investigate the temporal trends in IVT in AIS and identify changes in time that could be associated with specific interventions.MethodsWe included patients with AIS who were admitted from January 1998 to December 2019 in our institution. To analyze trends in utilization and time points in which they changed, we performed a Joinpoint regression analysis. Interventions were assigned to a specific category according to the Behavior Change Wheel framework intervention function criteria.ResultsA total of 3,361 patients with AIS were admitted, among which 538 (16%) received IVT. There were 245 (45.5%) women, and the mean age and median National Institutes of Health Stroke Scale (NIHSS) scores were 68.5 (17.2) years and 8 (interquartile range, 4–15), respectively. Thrombolysis use significantly increased by an average annual 7.6% (95% CI, 5.1–10.2), with one Joinpoint in 2007. The annual percent changes were.45% from 1998 to 2007 and 9.57% from 2007 to 2019, concurring with the stroke code organization, the definition of door-to-needle times as an institutional performance measure quality indicator, and the extension of the therapeutic window.ConclusionsThe IVT rates consistently increased due to a continuous process of protocol changes and multiple interventions. The implementation of a complex multidisciplinary intervention such as the stroke code, as well as the definition of a hospital quality control metric, were associated with a significant change in this trend.

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