2023
Hospital‐Level Variability in Reporting of Ischemic Stroke Subtypes and Supporting Diagnostic Evaluation in GWTG‐Stroke Registry
Mullen M, Gurol M, Prabhakaran S, Messé S, Kleindorfer D, Smith E, Fonarow G, Xu H, Zhao X, Cigarroa J, Schwamm L. Hospital‐Level Variability in Reporting of Ischemic Stroke Subtypes and Supporting Diagnostic Evaluation in GWTG‐Stroke Registry. Journal Of The American Heart Association 2023, 12: e031303. PMID: 38108258, PMCID: PMC10863791, DOI: 10.1161/jaha.123.031303.Peer-Reviewed Original ResearchConceptsHospital-level variabilityDiagnostic evaluationIschemic strokeDiagnostic testingStroke pathogenesisCryptogenic strokeSecondary preventionEtiologic subtypesRisk factorsLarge nationwide registryIschemic stroke subtypesLong-term cardiac rhythm monitoringCardiac rhythm monitoringAdequate diagnostic evaluationIntracranial vascular imagingEvidence-based interventionsNationwide registryStroke subtypesIS subtypesDocumentation ratesRhythm monitoringPatientsCardiac monitoringSubtypesStroke
2018
Participation in Get With the Guidelines–Stroke and Its Association With Quality of Care for Stroke
Howard G, Schwamm LH, Donnelly JP, Howard VJ, Jasne A, Smith EE, Rhodes JD, Kissela BM, Fonarow GC, Kleindorfer DO, Albright KC. Participation in Get With the Guidelines–Stroke and Its Association With Quality of Care for Stroke. JAMA Neurology 2018, 75: 1331-1337. PMID: 30083763, PMCID: PMC6248106, DOI: 10.1001/jamaneurol.2018.2101.Peer-Reviewed Original ResearchConceptsTissue plasminogen activatorIschemic strokeQuality of careGuidelines-StrokeGWTG-StrokeMean ageNonparticipating hospitalsCare measuresRisk factorsPopulation-based cohort studyPlasminogen activatorLipid profile assessmentParticipants 45 yearsStroke risk factorsQuality Improvement ProgramEvidence-based interventionsExercise counselingNeurologist evaluationAntithrombotic therapyCohort studyAntithrombotic useStroke careMAIN OUTCOMELipid evaluationHospital
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
2008
Hospital Treatment of Patients With Ischemic Stroke or Transient Ischemic Attack Using the “Get With The Guidelines” Program
LaBresh K, Reeves M, Frankel M, Albright D, Schwamm L. Hospital Treatment of Patients With Ischemic Stroke or Transient Ischemic Attack Using the “Get With The Guidelines” Program. JAMA Internal Medicine 2008, 168: 411-417. PMID: 18299497, DOI: 10.1001/archinternmed.2007.101.Peer-Reviewed Original ResearchConceptsTransient ischemic attackIschemic strokeThrombolytic medicationIschemic attackAntithrombotic medicationLow-density lipoprotein levelsDeep venous thrombosisHours of onsetSecondary prevention measuresTreatment of patientsDiabetes mellitus treatmentMeasures of careEvidence-based interventionsQuality improvement measuresEligible patientsGuidelines-StrokeCessation counselingVenous thrombosisLipoprotein levelsStroke careAcute careAnticoagulation agentsAtrial fibrillationCerebrovascular diseaseHospital treatment