2020
Telemedicine and Telestroke
Zachrison K, Estrada J, Schwamm L. Telemedicine and Telestroke. Current Clinical Neurology 2020, 285-292. DOI: 10.1007/978-3-030-36548-6_20.Peer-Reviewed Original Research
2014
Reducing Door‐to‐Puncture Times for Intra‐Arterial Stroke Therapy: A Pilot Quality Improvement Project
Mehta B, Leslie‐Mazwi T, Chandra R, Bell D, Sun C, Hirsch J, Rabinov J, Rost N, Schwamm L, Goldstein J, Levine W, Gupta R, Yoo A. Reducing Door‐to‐Puncture Times for Intra‐Arterial Stroke Therapy: A Pilot Quality Improvement Project. Journal Of The American Heart Association 2014, 3: e000963. PMID: 25389281, PMCID: PMC4338685, DOI: 10.1161/jaha.114.000963.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overAnesthesia Department, HospitalCooperative BehaviorFemaleFibrinolytic AgentsHumansInfusions, Intra-ArterialInterdisciplinary CommunicationMaleMiddle AgedPatient Care TeamPilot ProjectsProcess Assessment, Health CareProgram EvaluationPuncturesQuality ImprovementQuality Indicators, Health CareRetrospective StudiesStrokeThrombectomyThrombolytic TherapyTime and Motion StudiesTime FactorsTime-to-TreatmentTreatment OutcomeWorkflowConceptsPilot quality improvement projectQuality improvement projectPuncture timeMedian doorStroke patientsAnterior circulation stroke patientsIntra-arterial stroke therapyHospital time delayPre-QI cohortCompletion of imagingImprovement projectGreater delayNeurointerventional suiteHospital delayProximal occlusionIndependent predictorsStroke therapyPatient evaluationQI measuresWorse outcomesTherapy leadTreatment decisionsAnesthesia teamPatient arrivalPatients
2010
Clinical Management of Acute Stroke
Rost N, Koroshetz W, González R, Schwamm L. Clinical Management of Acute Stroke. 2010, 211-220. DOI: 10.1007/978-3-642-12751-9_10.Peer-Reviewed Original ResearchAcute strokeStroke patientsPermanent brain injurySerious permanent disabilityAcute stroke managementAcute stroke treatmentMin of presentationLocal clinical pathwayNeurologic dysfunctionStroke treatmentBlood testsStroke managementConsensus guidelinesPhysical examinationClinical managementBrain injuryPermanent disabilityClinical pathwayTreatment decisionsMedical attentionCT interpretationStrokeFirst hourPatientsScan completion
2009
Telestroke: Scientific Results
Audebert H, Schwamm L. Telestroke: Scientific Results. Cerebrovascular Diseases 2009, 27: 15-20. PMID: 19546537, DOI: 10.1159/000213054.Peer-Reviewed Original ResearchConceptsStroke careStroke patientsAcute stroke treatment decisionsPost-stroke careTriage of patientsTelephone-based consultationsUse of telemedicineVideo examinationIntravenous thrombolysisStroke preventionStroke wardAcute strokeClinical outcomesNeurological assessmentInterventional treatmentTreatment decisionsApplication of telemedicineTelemedicine consultationsBrain scansPatientsUnderserved areasHigh-quality videoconferencingThrombolysisCareHospitalNumber Needed to Treat to Benefit and to Harm for Intravenous Tissue Plasminogen Activator Therapy in the 3- to 4.5-Hour Window
Saver J, Gornbein J, Grotta J, Liebeskind D, Lutsep H, Schwamm L, Scott P, Starkman S. Number Needed to Treat to Benefit and to Harm for Intravenous Tissue Plasminogen Activator Therapy in the 3- to 4.5-Hour Window. Stroke 2009, 40: 2433-2437. PMID: 19498197, PMCID: PMC2724988, DOI: 10.1161/strokeaha.108.543561.Peer-Reviewed Original ResearchConceptsTissue plasminogen activatorRankin ScaleIntravenous tissue plasminogen activator therapyIntravenous tissue plasminogen activatorTissue plasminogen activator therapyPlasminogen activatorAcute cerebral ischemiaModified Rankin ScalePlasminogen activator therapyResults of therapyEffect sizeCerebral ischemiaPoststroke disabilityAdditional patientsActivator therapyWorse outcomesGlobal disabilityTreatment decisionsBetter outcomesClinical practicePatientsNNTBLikelihood of helpEffect size estimatesTable analysis