Abstract Number: Esoc2026a1547 Risk Factors Associated With Patient Reported Experience Measures Among Patients With Stroke in Armenia

Abstract Background and aims Patient-reported experience measures provide insight into perceived quality of care. This study explored risk factors associated with overall hospital rating among hospitalized stroke patients. Methods Stroke patients treated in a tertiary hospital (Sep 2020- Feb 2021) were surveyed via phone using an adapted HCAHPS questionnaire. Overall hospital rating (0–10 scale) was the primary outcome and was dichotomized into lower (9) and higher (≥9) ratings. Clinical and demographic variables were obtained from medical records. Logistic regression was used to explore associations between risk factors and hospital rating. Results We surveyed 132 adult patients. The mean age was 64.3 years (SD=10.2), 57% were male, 93.8% had comorbidities, and 34.1% received reperfusion therapy (RT). Care provided by nurses, doctors and several other HCAHPS domains were rated high. Approximately two-thirds of patients reported high overall hospital ratings: mean=8.6, SD= 2.2. In multivariable regression analyses, RT and diabetes were identified as independent risk factors of overall hospital rating. After adjustment for diabetes, patients who received RT had greater odds of reporting a high hospital rating compared with those who did not receive RT (OR = 2.92; 95% CI: 1.06–8.05). Patients with diabetes had lower odds (OR=0.39; 95% CI: 1.06-8.05) of reporting high hospital rating compared to those without diabetes after adjusting for RT. Conclusions In summary, having a RT was associated with higher overall hospital ratings, while diabetes was associated with lower ratings. These findings highlight the importance of considering patient and treatment-related characteristics when evaluating perceived quality of care. Conflict of interest Lilit Avetisyan: nothing to disclose