2017
Professional Medical Interpreters Influence the Quality of Acute Ischemic Stroke Care for Patients Who Speak Languages Other than English
Erfe B, Siddiqui K, Schwamm L, Kirwan C, Nunes A, Mejia N. Professional Medical Interpreters Influence the Quality of Acute Ischemic Stroke Care for Patients Who Speak Languages Other than English. Journal Of The American Heart Association 2017, 6: e006175. PMID: 28935679, PMCID: PMC5634277, DOI: 10.1161/jaha.117.006175.Peer-Reviewed Original ResearchConceptsProfessional medical interpretersMedical interpretersAcute ischemic stroke careIschemic stroke careAcute ischemic stroke patientsIschemic stroke patientsStroke carePMI servicesCommon languageEnglishLanguageStroke patientsInterpretersGuidelines-Stroke programAmerican Heart AssociationAppropriate health careLogistic regression modelsQuality patient careHospital stayMultivariable analysisPatient receiptHeart AssociationLower oddsPatientsMedical care
2016
Feasibility of the collection of patient-reported outcomes in an ambulatory neurology clinic
Moura L, Schwamm E, Moura Junior V, Seitz M, Hsu J, Cole A, Schwamm L. Feasibility of the collection of patient-reported outcomes in an ambulatory neurology clinic. Neurology 2016, 87: 2435-2442. PMID: 27815405, PMCID: PMC5177682, DOI: 10.1212/wnl.0000000000003409.Peer-Reviewed Original ResearchConceptsPatient-reported outcome measuresT-scoreNeurology clinicAmbulatory neurology clinicMental health T-scoresGeneral neurology clinicPatient-reported outcomesMental health scoresUS general populationQuality of lifeMental health assessmentMean T-scoreQOLIE-10Rankin ScaleNeurology patientsEpilepsy scoresClinical dataOutcome measuresHealth scoresAdministrative claimsGeneral populationPatientsStudy periodVulnerable populationsDemographic characteristics
2014
Improving Door-to-Needle Times
Ruff I, Ali S, Goldstein J, Lev M, Copen W, McIntyre J, Rost N, Schwamm L. Improving Door-to-Needle Times. Stroke 2014, 45: 504-508. PMID: 24399372, DOI: 10.1161/strokeaha.113.004073.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overClinical ProtocolsComorbidityData Interpretation, StatisticalEarly DiagnosisEmergency Medical ServicesFemaleFibrinolytic AgentsHumansInternational Classification of DiseasesMaleMiddle AgedProspective StudiesQuality ImprovementRetrospective StudiesSocioeconomic FactorsStrokeThrombolytic TherapyTissue Plasminogen ActivatorTomography, X-Ray ComputedTreatment OutcomeConceptsIntravenous tissue-type plasminogen activatorEmergency department arrivalTissue-type plasminogen activatorAcute strokeDTN timeNeedle timeHealth Stroke Scale scorePlasminogen activatorAcute ischemic strokePercentage of patientsStroke Scale scoreAmerican Heart AssociationStroke care modelWilcoxon signed-rank testImproving DoorIschemic strokeStroke guidelinesHeart AssociationPostintervention periodSigned-rank testPre interventionCare modelNational guidelinesPost interventionPatients
2013
Quality of Care and Outcomes for In-Hospital Ischemic Stroke
Cumbler E, Wald H, Bhatt D, Cox M, Xian Y, Reeves M, Smith E, Schwamm L, Fonarow G. Quality of Care and Outcomes for In-Hospital Ischemic Stroke. Stroke 2013, 45: 231-238. PMID: 24253540, DOI: 10.1161/strokeaha.113.003617.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overBrain IschemiaCohort StudiesComorbidityConfidence IntervalsDatabases, FactualFemaleGuideline AdherenceHumansMaleMiddle AgedOdds RatioQuality ImprovementQuality of Health CareRegistriesRetrospective StudiesSocioeconomic FactorsStrokeThrombolytic TherapyTreatment OutcomeConceptsHospital strokeIschemic strokeSevere strokePatient characteristicsIn-Hospital Ischemic StrokeProcess-based quality measuresCommunity-onset strokeDefect-free careGuidelines-Stroke databaseRetrospective cohort studyThromboembolic risk factorsProportion of patientsHospital ischemic strokeAmerican Heart AssociationTargeted quality improvement effortsQuality of careProsthetic heart valvesQuality improvement effortsHospital mortalityComorbid illnessesCohort studyHeart failureAtrial fibrillationCarotid stenosisHeart Association
2012
Venous Thromboembolism in the Get With The Guidelines-Stroke Acute Ischemic Stroke Population: Incidence and Patterns of Prophylaxis
Douds G, Hellkamp A, Olson D, Fonarow G, Smith E, Schwamm L, Cockroft K. Venous Thromboembolism in the Get With The Guidelines-Stroke Acute Ischemic Stroke Population: Incidence and Patterns of Prophylaxis. Journal Of Stroke And Cerebrovascular Diseases 2012, 23: 123-129. PMID: 23253528, DOI: 10.1016/j.jstrokecerebrovasdis.2012.10.018.Peer-Reviewed Original ResearchConceptsVTE prophylaxisIschemic stroke patientsDeep vein thrombosisVenous thromboembolismProphylaxis ratesPulmonary emboliStroke patientsIntra-arterial tissue plasminogen activatorAcute ischemic stroke populationHospitalized ischemic stroke patientsIncidence of VTEAcute ischemic stroke patientsAtrial fibrillation/flutterIschemic stroke populationPatterns of prophylaxisAcute ischemic strokePeripheral vascular diseaseOverall rateTissue plasminogen activatorMedical comorbiditiesAnalysis cohortIschemic strokeVein thrombosisSerious complicationsStroke population
2009
Regional Implementation of the Stroke Systems of Care Model
Gropen T, Magdon-Ismail Z, Day D, Melluzzo S, Schwamm L. Regional Implementation of the Stroke Systems of Care Model. Stroke 2009, 40: 1793-1802. PMID: 19299641, DOI: 10.1161/strokeaha.108.531053.Peer-Reviewed Original ResearchMeSH KeywordsEmergency Medical ServicesEvidence-Based MedicineGuidelines as TopicHealth EducationHealth PersonnelHealth Planning SupportHealthcare DisparitiesHumansModels, TheoreticalNew EnglandPatient AdvocacyRegional Medical ProgramsRural PopulationSocioeconomic FactorsStrokeStroke RehabilitationUrban PopulationConceptsStroke systemsCare modelStroke careStroke-related death ratesEmergency medical services dispatchAcute stroke protocolSecondary prevention strategiesContinuum of careEvidence-based interventionsPublic health officialsStroke centersStroke protocolStroke patientsCare measuresStroke resourcesPrevention strategiesHealth professionalsCare deliveryRehabilitation servicesOrder setsDeath rateHealth officialsCareSignificant disparitiesWriting group