Stroke Centers

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Do primary stroke centers occur randomly?

W hen the Brain Attack Coalition began to publish recommendations for the development of Stroke Centers, they chose to begin with primary stroke centers (PSCs), in the hope that such centers would impact the largest number of patients in the shortest period of time. 1,2 Currently, in the United States, there are >1000 PSCs certified by the Joint Commission, and likely several hundred more certi...

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Stroke centers: proof of concept and the concept of proof.

See related article, pages 1102–1107. If we could magically go into the future approximately 50 years, I suspect we would look back at the current time with fond memories. I say this because we may now be living through the “Golden Era” of stroke care. Over the past 10 to 20 years, there have been several major advances in the care of patients with cerebrovascular disease. These include the abi...

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Mapping Primary and Comprehensive Stroke Centers by Certification Organization.

n 2000, members of the Brain Attack Coalition published recommendations for the establishment of primary stroke centers (PSCs), 1 and in 2005 they published recommendations for the establishment of comprehensive stroke centers (CSCs). 2 To improve patient care and outcomes for stroke, the recommendations suggested that stroke centers should include acute stroke teams, written care protocols, em...

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Characteristics of academic medical centers and ischemic stroke outcomes.

BACKGROUND AND PURPOSE Data supporting the efficacy of stroke center characteristics are limited. METHODS A questionnaire detailing stroke treatment practices was sent to 42 academic medical centers in the University Health Systems Consortium. In-hospital mortality of all emergency department admissions for ischemic stroke at these institutions was evaluated in a database of discharge abstrac...

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Disparities in accessibility of certified primary stroke centers.

BACKGROUND AND PURPOSE We examine whether the proportion of the US population with ≤60 minute access to Primary Stroke Centers (PSCs) varies based on geographic and demographic factors. METHODS Population level access to PSCs within 60 minutes was estimated using validated models of prehospital time accounting for critical prehospital time intervals and existing road networks. We examined the...

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ژورنال

عنوان ژورنال: Stroke

سال: 2010

ISSN: 0039-2499,1524-4628

DOI: 10.1161/strokeaha.110.582148