What difference can outcomes measurement make in stroke care? At Bangkok Hospital Pattaya, implementing the ICHOM Stroke Set helped increase the proportion of patients achieving functional independence at 90 days from around 55% before implementation to approximately 81% after adoption.
Part of the Bangkok Dusit Medical Services (BDMS) network, the hospital introduced standardized stroke care pathways in 2022 to shift from fragmented, clinician-centred care toward a coordinated, patient-centred model focused on long-term recovery and quality of life. This included the creation of a dedicated Stroke Nurse Coordinator role and systematic collection of patient-reported outcomes to inform care improvements.
The impact has been significant. Quality of life scores measured using EQ-5D increased from 82% in 2022 to 95% in 2025, while faster treatment pathways helped raise the proportion of patients arriving within the critical 4.5-hour treatment window from 38% in 2021 to 60% in 2025.
Beyond clinical improvements, the initiative also delivered operational benefits. Length of stay decreased from 6.8 days to 5.6 days per stroke case, helping reduce costs while maintaining high survival rates and safe care delivery.
This case study was also featured in an ICHOM webinar held on 25 February, where clinical leaders from Bangkok Hospital Pattaya shared their implementation journey and lessons learned in embedding outcomes measurement into routine stroke care.
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