2017
Experience with telemedicine in a multi-disciplinary ALS clinic
Van De Rijn M, Paganoni S, Levine-Weinberg M, Campbell K, Ellrodt A, Estrada J, Cohen A, Schwamm L, Berry J. Experience with telemedicine in a multi-disciplinary ALS clinic. Amyotrophic Lateral Sclerosis And Frontotemporal Degeneration 2017, 19: 143-148. PMID: 29250986, DOI: 10.1080/21678421.2017.1392577.Peer-Reviewed Original Research
2015
Drip and Ship Thrombolytic Therapy for Acute Ischemic Stroke
Sheth KN, Smith EE, Grau-Sepulveda MV, Kleindorfer D, Fonarow GC, Schwamm LH. Drip and Ship Thrombolytic Therapy for Acute Ischemic Stroke. Stroke 2015, 46: 732-739. PMID: 25672784, DOI: 10.1161/strokeaha.114.007506.Peer-Reviewed Original ResearchConceptsIntravenous tissue-type plasminogen activatorTissue-type plasminogen activatorSymptomatic intracranial hemorrhageTPA useAcute strokeIschemic strokeIntracranial hemorrhageHealth Stroke Scale scoreReal-world practice patternsGuidelines-Stroke programStroke Scale scoreAcute ischemic strokeCharacteristics of patientsLower National InstitutesPatient selection biasConventional thrombolysisHospital mortalityHospital outcomesSymptom onsetInterhospital transferThrombolytic therapyHospital characteristicsPractice patternsShip paradigmMAIN OUTCOME
2014
Intravenous Fibrinolysis Eligibility: A Survey of Stroke Clinicians' Practice Patterns and Review of the Literature
De Los Rios F, Kleindorfer D, Guzik A, Ortega-Gutierrez S, Sangha N, Kumar G, Grotta J, Lee J, Meyer B, Schwamm L, Khatri P, Investigators S. Intravenous Fibrinolysis Eligibility: A Survey of Stroke Clinicians' Practice Patterns and Review of the Literature. Journal Of Stroke And Cerebrovascular Diseases 2014, 23: 2130-2138. PMID: 25113084, PMCID: PMC4157964, DOI: 10.1016/j.jstrokecerebrovasdis.2014.03.024.Peer-Reviewed Original ResearchConceptsStroke cliniciansPractice patternsEligible patientsSymptom onsetEuropean Cooperative Acute Stroke Study-III criteriaIntravenous recombinant tissue plasminogen activator useCurrent American Heart Association guidelinesRecombinant tissue plasminogen activator useTissue plasminogen activator useAmerican Heart Association guidelinesHealth Stroke ScaleHeart Association guidelinesHour time frameClinician practice patternsNational InstituteSevere strokeStroke ScaleIschemic strokeMild strokeAssociation guidelinesMost cliniciansElderly individualsEligibility criteriaDrug AdministrationInvestigator meeting
2012
Assessing variability in neurointerventional practice patterns for acute ischemic stroke
Mehta B, Leslie-Mazwi T, Chandra R, Chaudhry Z, Rabinov J, Hirsch J, Schwamm L, Rost N, Yoo A. Assessing variability in neurointerventional practice patterns for acute ischemic stroke. Journal Of NeuroInterventional Surgery 2012, 5: i52. PMID: 23235960, DOI: 10.1136/neurintsurg-2012-010565.Peer-Reviewed Original ResearchConceptsIntra-arterial therapyPractice patternsHealth Stroke Scale scoreIntravenous tissue plasminogen activatorReal-world practice patternsEvidence-based practice guidelinesComprehensive stroke servicesPosterior circulation strokeStroke Scale scoreAcute ischemic strokeAnterior circulation strokeFirst-line therapyLarge vessel occlusionMedian annual volumeTissue plasminogen activatorAcute strokeIschemic strokeIndependent predictorsSymptom onsetConscious sedationStroke servicesTreatment indicationsVessel occlusionTreatment strategiesPractice guidelines
2010
Patient-Level and Hospital-Level Determinants of the Quality of Acute Stroke Care
Reeves M, Gargano J, Maier K, Broderick J, Frankel M, LaBresh K, Moomaw C, Schwamm L. Patient-Level and Hospital-Level Determinants of the Quality of Acute Stroke Care. Stroke 2010, 41: 2924-2931. PMID: 20966407, DOI: 10.1161/strokeaha.110.598664.Peer-Reviewed Original ResearchConceptsHospital-level determinantsAcute stroke careQuality of careStroke RegistryStroke carePatient levelPaul Coverdell National Acute Stroke RegistryNational Acute Stroke RegistryAcute Stroke RegistryHospital-level factorsPatient-level factorsHospital-level variablesPatient-level variablesComposite scoreMultilevel linear regression analysesMean composite scoreTIA admissionsHospital factorsIschemic strokeStatus documentationRegistry dataLinear regression analysisHospitalNeurologist involvementSmall hospitals
2006
The Paul Coverdell National Acute Stroke Registry Initial Results from Four Prototypes
Reeves M, Broderick J, Frankel M, LaBresh K, Schwamm L, Moomaw C, Weiss P, Katzan I, Arora S, Heinrich J, Hickenbottom S, Karp H, Malarcher A, Mensah G, Reeves M. The Paul Coverdell National Acute Stroke Registry Initial Results from Four Prototypes. American Journal Of Preventive Medicine 2006, 31: s202-s209. PMID: 17178304, DOI: 10.1016/j.amepre.2006.08.007.Peer-Reviewed Original ResearchConceptsRecombinant tissue plasminogen activatorTissue plasminogen activatorStroke admissionsPaul Coverdell National Acute Stroke RegistryNational Acute Stroke RegistryPlasminogen activatorAcute stroke admissionsAcute Stroke RegistrySmoking cessation counselingPercent of patientsTransient ischemic attackAcute stroke careAcute stroke patientsPercent of admissionsHours of onsetIschemic stroke admissionsHealthcare system levelQuality improvement interventionsYears of ageAntithrombotic treatmentIschemic attackLipid testingStroke RegistryEligible subjectsIschemic strokeDesigning a Sustainable National Registry for Stroke Quality Improvement
Schwamm L, Reeves M, Frankel M. Designing a Sustainable National Registry for Stroke Quality Improvement. American Journal Of Preventive Medicine 2006, 31: s251-s257. PMID: 17178314, DOI: 10.1016/j.amepre.2006.08.013.Peer-Reviewed Original ResearchConceptsStroke careResource-constrained healthcare environmentsQI programStroke quality improvementNational Stroke RegistryAcute ischemic strokeHospital-based careRate of adherenceConsensus-based guidelinesTargeted quality improvement effortsQuality Improvement OrganizationPublic health departmentsFederal health agenciesQuality improvement effortsStroke RegistryIschemic strokeHealth payersNational registryHealth departmentsHealthcare providersPatient careElectronic data captureQI initiativesHealth agenciesCare