2022
Strategic Opportunities to Improve Stroke Systems of Care
Zachrison K, Schwamm L. Strategic Opportunities to Improve Stroke Systems of Care. JAMA 2022, 327: 1765-1767. PMID: 35510400, DOI: 10.1001/jama.2022.3820.Peer-Reviewed Original Research
2021
An Update From the American Stroke Association and the Stroke Council
Schwamm L, Panagos P, Mohl S. An Update From the American Stroke Association and the Stroke Council. Stroke 2021, 52: e269-e271. PMID: 33980043, DOI: 10.1161/strokeaha.121.034827.Peer-Reviewed Original Research
2018
Disruptive innovation in acute stroke systems of care
Schwamm L. Disruptive innovation in acute stroke systems of care. The Lancet Neurology 2018, 17: 576-578. PMID: 29807813, DOI: 10.1016/s1474-4422(18)30197-2.Peer-Reviewed Original ResearchTelestroke for the Newly Minted Vascular Neurologist
Etherton M, Schwamm L. Telestroke for the Newly Minted Vascular Neurologist. Stroke 2018, 49: e162-e164. PMID: 29511127, DOI: 10.1161/strokeaha.117.020548.Peer-Reviewed Original Research
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 ResearchDelays in Door-to-Needle Times and Their Impact on Treatment Time and Outcomes in Get With The Guidelines-Stroke
Kamal N, Sheng S, Xian Y, Matsouaka R, Hill M, Bhatt D, Saver J, Reeves M, Fonarow G, Schwamm L, Smith E. Delays in Door-to-Needle Times and Their Impact on Treatment Time and Outcomes in Get With The Guidelines-Stroke. Stroke 2017, 48: 946-954. PMID: 28228574, DOI: 10.1161/strokeaha.116.015712.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overBrain IschemiaDelivery of Health CareFemaleFibrinolytic AgentsGuideline AdherenceHospital MortalityHumansIntracranial HemorrhagesMaleMiddle AgedOutcome and Process Assessment, Health CareOutcome Assessment, Health CareStrokeThrombolytic TherapyTime FactorsTissue Plasminogen ActivatorConceptsNeedle timeGuidelines-StrokeAcute ischemic stroke patientsSymptomatic intracranial hemorrhageIschemic stroke patientsQuality Improvement ProgramTissue-type plasminogen activatorAcute comorbiditiesHospital mortalityInpatient strokeIntravenous alteplaseLonger doorIndependent ambulationDelay diagnosisIntracranial hemorrhageStroke patientsHospital characteristicsPatient outcomesHigher oddsLower oddsPatientsPlasminogen activatorStroke recognitionHospitalDiagnosis
2015
Perception Versus Actual Performance in Timely Tissue Plasminogen Activation Administration in the Management of Acute Ischemic Stroke
Lin C, Cox M, Olson D, Britz G, Constable M, Fonarow G, Schwamm L, Peterson E, Shah B. Perception Versus Actual Performance in Timely Tissue Plasminogen Activation Administration in the Management of Acute Ischemic Stroke. Journal Of The American Heart Association 2015, 4: e001298. PMID: 26201547, PMCID: PMC4608060, DOI: 10.1161/jaha.114.001298.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overAttitude of Health PersonnelBrain IschemiaDelivery of Health CareDrug Administration ScheduleFemaleFibrinolytic AgentsGuideline AdherenceHealth Care SurveysHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedPerceptionPractice Guidelines as TopicPractice Patterns, Physicians'Quality ImprovementQuality Indicators, Health CareRegistriesStrokeThrombolytic TherapyTime FactorsTime-to-TreatmentTissue Plasminogen ActivatorTreatment OutcomeUnited StatesConceptsTissue plasminogen activatorIntravenous tissue plasminogen activatorAcute ischemic strokeAcute stroke careMinutes of arrivalLow annual volumeEligible patientsGuidelines hospitalsTPA administrationIschemic strokeStroke outcomeStroke careThrombolytic therapySmall percentageUS hospitalsDifferent hospitalsHospitalPatientsPlasminogen activatorTelephone surveyOne-thirdAdministrationMinutesAnnual volumePercentage
2014
Impact of an Expanded Hospital Recognition Program for Heart Failure Quality of Care
Heidenreich P, Zhao X, Hernandez A, Yancy C, Schwamm L, Albert N, Fonarow G. Impact of an Expanded Hospital Recognition Program for Heart Failure Quality of Care. Journal Of The American Heart Association 2014, 3: e000950. PMID: 25208954, PMCID: PMC4323821, DOI: 10.1161/jaha.114.000950.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overCardiology Service, HospitalChi-Square DistributionCombined Modality TherapyDelivery of Health CareFemaleGuideline AdherenceHeart FailureHumansLogistic ModelsMaleMiddle AgedOdds RatioPractice Guidelines as TopicPractice Patterns, Physicians'Process Assessment, Health CareProgram EvaluationQuality ImprovementQuality Indicators, Health CareTime FactorsTreatment OutcomeUnited StatesConceptsBaseline useGuidelines-Heart Failure programImplantable cardioverter-defibrillator (ICD) useHeart Failure QualityInfluenza vaccination ratesSignificant greater increaseQuality of careHospital-level performanceTime 6 monthsHeart failureVaccination ratesCare measuresDefibrillator useHospitalHospital recognitionQuality measuresGreater increaseRate of increaseCareAdditional recognitionTelehealth: Seven Strategies To Successfully Implement Disruptive Technology And Transform Health Care
Schwamm L. Telehealth: Seven Strategies To Successfully Implement Disruptive Technology And Transform Health Care. Health Affairs 2014, 33: 200-206. PMID: 24493761, DOI: 10.1377/hlthaff.2013.1021.Peer-Reviewed Original Research
2013
Variable Impact of State Legislative Advocacy on Registry Participation and Regional Systems of Care Implementation
Rokos I, Schwamm L, Konig M, Malcarney M, Horton K, Ranous J, Ellrodt A, Farmer S, Frankel M, Ferguson T, Goff D, Hiratzka L, Jacobs A. Variable Impact of State Legislative Advocacy on Registry Participation and Regional Systems of Care Implementation. Circulation 2013, 128: 1799-1809. PMID: 24043301, DOI: 10.1161/cir.0b013e3182a8fc62.Peer-Reviewed Original ResearchMeSH KeywordsAmerican Heart AssociationDelivery of Health CarePatient AdvocacyQuality ImprovementRegistriesState GovernmentUnited StatesInteractions Within Stroke Systems of Care
Higashida R, Alberts M, Alexander D, Crocco T, Demaerschalk B, Derdeyn C, Goldstein L, Jauch E, Mayer S, Meltzer N, Peterson E, Rosenwasser R, Saver J, Schwamm L, Summers D, Wechsler L, Wood J. Interactions Within Stroke Systems of Care. Stroke 2013, 44: 2961-2984. PMID: 23988638, DOI: 10.1161/str.0b013e3182a6d2b2.Peer-Reviewed Original Research
2012
Care and Outcomes of Asian-American Acute Myocardial Infarction Patients
Qian F, Ling F, Deedwania P, Hernandez A, Fonarow G, Cannon C, Peterson E, Peacock W, Kaltenbach L, Laskey W, Schwamm L, Bhatt D. Care and Outcomes of Asian-American Acute Myocardial Infarction Patients. Circulation Cardiovascular Quality And Outcomes 2012, 5: 126-133. PMID: 22235068, DOI: 10.1161/circoutcomes.111.961987.Peer-Reviewed Original ResearchConceptsGuidelines-Coronary Artery Disease programAcute myocardial infarctionAMI patientsDisease programsBalloon timeWhite patientsAcute myocardial infarction patientsAMI performance measuresDefect-free careHospital mortality rateEvidence-based careAmerican Heart AssociationMyocardial infarction patientsAsian American patientsUnited States CentersHospital mortalityCessation counselingUnadjusted mortalityHeart failureHeart AssociationInfarction patientsMyocardial infarctionHigh prevalenceClinical careMortality rate
2009
Recommendations for the Implementation of Telemedicine Within Stroke Systems of Care
Schwamm L, Audebert H, Amarenco P, Chumbler N, Frankel M, George M, Gorelick P, Horton K, Kaste M, Lackland D, Levine S, Meyer B, Meyers P, Patterson V, Stranne S, White C. Recommendations for the Implementation of Telemedicine Within Stroke Systems of Care. Stroke 2009, 40: 2635-2660. PMID: 19423851, DOI: 10.1161/strokeaha.109.192361.Peer-Reviewed Original ResearchA Review of the Evidence for the Use of Telemedicine Within Stroke Systems of Care
Schwamm L, Holloway R, Amarenco P, Audebert H, Bakas T, Chumbler N, Handschu R, Jauch E, Knight W, Levine S, Mayberg M, Meyer B, Meyers P, Skalabrin E, Wechsler L. A Review of the Evidence for the Use of Telemedicine Within Stroke Systems of Care. Stroke 2009, 40: 2616-2634. PMID: 19423852, DOI: 10.1161/strokeaha.109.192360.Peer-Reviewed Original ResearchConceptsUse of telemedicineStroke systemsStroke treatmentAmerican Heart Association/American CollegeStroke care deliveryAcute stroke treatmentEvidence-based reviewEvidence-based recommendationsEmergency medical servicesSecondary preventionNeurological assessmentPrimary preventionEmergency departmentCardiology FoundationConsensus recommendationsAmerican CollegeClass of evidenceCare deliveryAvailable evidenceCare frameworkMedical servicesPreventionTelemedicineTreatmentLevel of certainty
2008
Organizing regional stroke systems of care
Park S, Schwamm L. Organizing regional stroke systems of care. Current Opinion In Neurology 2008, 21: 43-55. PMID: 18180651, DOI: 10.1097/wco.0b013e3282f4304d.Peer-Reviewed Original ResearchConceptsStroke treatmentStroke systemsHospital-based stroke careMajor public health problemRegional stroke systemAcute stroke treatmentBetter patient outcomesPublic health problemCare delivery modelsContinuous quality improvement activitiesAcute stroke expertiseAir medical transportEmergency medical servicesHealth policy changesQuality improvement activitiesStroke survivalSecondary preventionStroke unitStroke careThrombolytic therapyPrimary preventionStroke expertisePatient outcomesStroke educationHealth problems
2005
Recommendations for the Establishment of Stroke Systems of Care
Schwamm L, Pancioli A, Acker J, Goldstein L, Zorowitz R, Shephard T, Moyer P, Gorman M, Johnston S, Duncan P, Gorelick P, Frank J, Stranne S, Smith R, Federspiel W, Horton K, Magnis E, Adams R. Recommendations for the Establishment of Stroke Systems of Care. Stroke 2005, 36: 690-703. PMID: 15689577, DOI: 10.1161/01.str.0000158165.42884.4f.Peer-Reviewed Original Research