Joint Commission Primary Stroke Centers Utilize More rt‐PA in the Nationwide Inpatient Sample

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Joint Commission Primary Stroke Centers Utilize More rt‐PA in the Nationwide Inpatient Sample

BACKGROUND The Joint Commission began certifying primary stroke centers (PSCs) in December 2003 and provides a standardized definition of stroke center care. It is unknown if PSCs outperform noncertified hospitals. We hypothesized that PSCs would use more recombinant tissue plasminogen activator (rt-PA) for ischemic stroke than would non-PSCs. METHODS AND RESULTS Data were obtained from the N...

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Drive-time proximity to Joint Commission Primary Stroke Centers among North Carolina residents who died of stroke.

OBJECTIVE In developing a statewide system of stroke care, understanding the relative availability of acute stroke care at designated centers for stroke care is essential. In this article, we compare the change in availability of acute stroke care in North Carolina at Joint Commission Primary Stroke Centers (JCPSCs) between 2006 and 2008 by examining the drive-time proximity of the residential ...

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Weekend Effect in Children With Stroke in the Nationwide Inpatient Sample.

BACKGROUND AND PURPOSE Studies have demonstrated differences in clinical outcomes in adult patients with stroke admitted on weekdays versus weekends. The study's objective was to determine whether a weekend impacts clinical outcomes in children with ischemic stroke and hemorrhagic stroke. METHODS Children aged 1 to 18 years admitted to US hospitals from 2002 to 2011 with a primary discharge d...

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Thrombolysis for ischemic stroke in children: data from the nationwide inpatient sample.

BACKGROUND AND PURPOSE Few pediatric reports of thrombolysis exist. We sought to determine national rates of thrombolysis among pediatric ischemic stroke patients using a national database. METHODS Patients between the ages of 1 and 17 years, entered in the Nationwide Inpatient Sample between 2000 and 2003, with International Classification of Diseases codes for ischemic stroke were included ...

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Thrombolysis for ischemic stroke associated with infective endocarditis: results from the nationwide inpatient sample.

BACKGROUND AND PURPOSE Cerebral ischemic events are highly prevalent and associated with high rates of death and disability in patients with infective endocarditis (IE). However, the role of thrombolysis in these patients remains unclear. We sought to determine the rates and outcomes of acute ischemic stroke patients with IE treated with intravenous thrombolysis (IVT). METHODS We determined t...

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ژورنال

عنوان ژورنال: Journal of the American Heart Association

سال: 2013

ISSN: 2047-9980,2047-9980

DOI: 10.1161/jaha.112.000071