In the current data year, 52 Swiss hospitals provided significant, risk-adjusted mortality data for stroke (brain attack). 19'389 patients were monitored in these hospitals by the Swiss Federal Office of Public Health (BAG). A total of 1'478 patients died in hospital. The average hospital mortality in stroke was thus 7.6%, the highest rate observed in one clinic was 14.9%. The Insel group Bern - nicht-universitär achieved the lowest mortality rate of 1.4% in stroke.
Direct link to source not available in English - view it in German or in French (FOPH-code: B.1.1.M)
Quality report (pdf) not available in English - view it in German or in French
Department: Acute care
About the indicator «Mortality rate»
Relative proportion of deaths in hospital for a specific intervention or disease per hospital.
The hospitals sometimes treat groups of patients with different case severity. Therefore, the FOPH determines a rate of expected deaths per hospital and procedure. For the quality comparison, we use the ratio between the expected and the actually observed deaths (per intervention and per hospital). This is called risk adjustment. For this reason, it can occasionally happen that a hospital performs better in the ranking even though it has a slightly higher percentage of deaths.
Please note that we use the FOPH data per hospital site in order to achieve the most precise statements possible.
Strengths:
A low number of deaths is the main aim of each treatment and therefore a crucial indicator for patients. A low mortality rate is an indicator of effectively avoiding complications and good treatment processes in the hospital (e.g. quality of surgical techniques, avoidance of errors and complications etc)
Limits:
Unfortunately, mortality rates are not available for all interventions. It is not sure that results are transferable to similar interventions. Also, mortality rates are only meaningful when a sufficient number of cases is reached. Especially with interventions with a low risk of death the needed number of cases is very high and is only reached by large hospitals. For small hospitals it is often not possible to give a meaningful statement (while small case numbers are per se unfavorable, especially with complex interventions). Mortality rates are risk adjusted by the BAG by age and gender of the patient (for details please see the corresponding publications by BAG). A number of specialists have criticized this form of risk adjustment as inadequate. Also it needs to be noted that differences in patterns of relocating patients can introduce bias to mortality rates.
Transport by ambulance to the Biel hospital center - all necessary examinations carried out immediately. Heart attack, a few hours later a stroke. Perfect teamwork during the necessary examinations. Then the appropriate, necessary actions. The necessary care afterwards by the entire crew was top notch!! T
About the surgery:
The heart surgery after a heart attack and subsequent stroke was carried out professionally. The same goes for the subsequent examinations. The great work and professional dedication of the nursing staff (E-Block) and the human warmth during the check-ups were also important for my recovery. Thank you ver (surgeon: Ms. Dr. P. Hämmerli)
transl. from german, inpatient treatment in Apr.2024, date of rating: 29.04.2024
After a stroke, I was very well looked after in the Rheinfelden rehab. What struck me particularly positively was the enormous commitment of the staff. Despite the great stress and limited staffing levels, there was always a smile, a kind word and, if requested, valuable tips. The physio is excellent.
transl. from german, inpatient treatment in Oct.2023, date of rating: 06.11.2023
I've been to the GZO Wetzikon three times. A few years ago after a stroke, then for extensive check-ups and just now, as an emergency because of a head injury. I am very satisfied with the GZO. Excellent doctors, competent, friendly nursing staff and the kitchen is great. Thanks!
transl. from german, inpatient treatment in Jun.2023, date of rating: 04.07.2023
Minimal, impersonal care after a stroke. You can tell that staff is being saved at the expense of the patients. Communication between the hospital departments is poor.
transl. from german, inpatient treatment in Jan.2021, date of rating: 28.01.2021
4.2
3.7