2024
Contemporary Prestroke Dual Antiplatelet Use and Symptomatic Intracerebral Hemorrhage Risk After Thrombolysis
Peng T, Schwamm L, Fonarow G, Hassan A, Hill M, Messé S, Coronado F, Falcone G, Sharma R. Contemporary Prestroke Dual Antiplatelet Use and Symptomatic Intracerebral Hemorrhage Risk After Thrombolysis. JAMA Neurology 2024, 81: 722-731. PMID: 38767894, PMCID: PMC11106713, DOI: 10.1001/jamaneurol.2024.1312.Peer-Reviewed Original ResearchRisk of symptomatic intracerebral hemorrhageSymptomatic intracerebral hemorrhageTreated with IV-tPAAcute ischemic strokeIV-tPAAmerican Heart Association and American Stroke AssociationAssociated with lower oddsIschemic strokeDual antiplatelet therapyAssociated with increased riskPropensity score subclassificationAmerican Stroke AssociationIntracerebral hemorrhage riskGWTG-StrokeSymptomatic intracerebral hemorrhage riskGuidelines-StrokeDischarge modified Rankin Scale scoreIn-hospital deathStroke AssociationLower oddsRate of symptomatic intracerebral hemorrhageAntiplatelet therapyCohort studyAssociated with symptomatic intracerebral hemorrhagePrestroke
2021
Recommendations for Regional Stroke Destination Plans in Rural, Suburban, and Urban Communities From the Prehospital Stroke System of Care Consensus Conference: A Consensus Statement From the American Academy of Neurology, American Heart Association/American Stroke Association, American Society of Neuroradiology, National Association of EMS Physicians, National Association of State EMS Officials, Society of NeuroInterventional Surgery, and Society of Vascular and Interventional Neurology: Endorsed by the Neurocritical Care Society
Jauch E, Schwamm L, Panagos P, Barbazzeni J, Dickson R, Dunne R, Foley J, Fraser J, Lassers G, Martin-Gill C, O’Brien S, Pinchalk M, Prabhakaran S, Richards C, Taillac P, Tsai A, Yallapragada A, Conference O. Recommendations for Regional Stroke Destination Plans in Rural, Suburban, and Urban Communities From the Prehospital Stroke System of Care Consensus Conference: A Consensus Statement From the American Academy of Neurology, American Heart Association/American Stroke Association, American Society of Neuroradiology, National Association of EMS Physicians, National Association of State EMS Officials, Society of NeuroInterventional Surgery, and Society of Vascular and Interventional Neurology: Endorsed by the Neurocritical Care Society. Stroke 2021, 52: e133-e152. PMID: 33691507, DOI: 10.1161/strokeaha.120.033228.Peer-Reviewed Original ResearchConceptsAmerican Heart Association/American Stroke AssociationSociety of VascularAmerican Stroke AssociationNeurocritical Care SocietyState EMS OfficialsInterventional NeurologyStroke AssociationStroke systemsConsensus statementConsensus conferenceNeurointerventional surgeryAmerican AcademyEMS physiciansAmerican SocietyNeurologyAssociationNational AssociationUrban communitiesSurgeryVascular
2019
Recommendations for the Establishment of Stroke Systems of Care: A 2019 Update: A Policy Statement From the American Stroke Association
Adeoye O, Nyström K, Yavagal D, Luciano J, Nogueira R, Zorowitz R, Khalessi A, Bushnell C, Barsan W, Panagos P, Alberts M, Tiner A, Schwamm L, Jauch E. Recommendations for the Establishment of Stroke Systems of Care: A 2019 Update: A Policy Statement From the American Stroke Association. Stroke 2019, 50: e187-e210. PMID: 31104615, DOI: 10.1161/str.0000000000000173.Peer-Reviewed Original ResearchConceptsAmerican Stroke AssociationStroke systemsStroke AssociationStroke center certificationMobile stroke unitEmergency medical servicesHospital dischargeSecondary preventionStroke centersEndovascular therapyStroke unitPrimary preventionCenter certificationNeurocritical careAssociation recommendationsCareBasis of improvementStroke recognitionMedical servicesHealthcare agenciesScientific evidenceHealthcare policyAppropriate facilitiesPreventionSignificant changes
2014
Stroke Outcomes Measures Must Be Appropriately Risk Adjusted to Ensure Quality Care of Patients
Fonarow G, Alberts M, Broderick J, Jauch E, Kleindorfer D, Saver J, Solis P, Suter R, Schwamm L. Stroke Outcomes Measures Must Be Appropriately Risk Adjusted to Ensure Quality Care of Patients. Stroke 2014, 45: 1589-1601. PMID: 24523036, DOI: 10.1161/str.0000000000000014.Peer-Reviewed Original ResearchConceptsAmerican Heart Association/American Stroke AssociationAmerican Stroke AssociationStroke Outcome MeasureOutcome measuresAdequate risk adjustmentIschemic strokeStroke patientsStroke AssociationAcute ischemic stroke patientsMedicaid ServicesRisk adjustmentHealth Stroke ScaleHospital-level outcomesAcute ischemic strokeIschemic stroke patientsEvidence-based careCause of deathStroke severity measuresRisk-adjusted outcome measuresStroke ScaleStroke careStroke mortalityReadmission measuresPatientsCase mix
2013
Teleneurology applications
Wechsler L, Tsao J, Levine S, Swain-Eng R, Adams R, Demaerschalk B, Hess D, Moro E, Schwamm L, Steffensen S, Stern B, Zuckerman S, Bhattacharya P, Davis L, Yurkiewicz I, Alphonso A. Teleneurology applications. Neurology 2013, 80: 670-676. PMID: 23400317, PMCID: PMC3590056, DOI: 10.1212/wnl.0b013e3182823361.Peer-Reviewed Original ResearchConceptsNeurologic careAcute stroke assessmentAmerican Stroke AssociationPrimary care physiciansFederal health care policyExpansion of telemedicineHealth care policyNeurology specialistsCare physiciansPhysician awarenessStroke AssociationSpecialty careNeurology practiceStroke assessmentAmerican AcademyPatient careNeurologistsCareTeleneurologyCare policyUnderserved communitiesRural areasUnderserved locationsPrimary studiesCurrent literature
2012
Implementing a State-based Stroke Quality Improvement Collaborative
O’Neill H, Coe L, Magdon-Ismail Z, Schwamm L. Implementing a State-based Stroke Quality Improvement Collaborative. Critical Pathways In Cardiology A Journal Of Evidence-Based Medicine 2012, 11: 114-122. PMID: 22825531, DOI: 10.1097/hpc.0b013e31825e12a6.Peer-Reviewed Original ResearchConceptsStroke quality improvementService hospitalsAmerican Heart Association/American Stroke AssociationHealthcare Improvement collaborative modelAcute stroke careAmerican Stroke AssociationNational clinical guidelinesQuality Improvement CollaborativeClinical quality improvementCase entryHospital quality improvementStroke careStroke AssociationClinical guidelinesHospital representativesPatient careStroke dischargesHospitalMassachusetts DepartmentQuality improvementHospital fundingPublic healthConsistent participationDescriptive statisticsCollaborative model
2011
Improving Door-to-Needle Times in Acute Ischemic Stroke
Fonarow G, Smith E, Saver J, Reeves M, Hernandez A, Peterson E, Sacco R, Schwamm L. Improving Door-to-Needle Times in Acute Ischemic Stroke. Stroke 2011, 42: 2983-2989. PMID: 21885841, DOI: 10.1161/strokeaha.111.621342.Peer-Reviewed Original ResearchConceptsAcute ischemic strokeAcute ischemic stroke patientsTissue-type plasminogen activatorIschemic stroke patientsNeedle timeIschemic strokeStroke patientsAmerican Heart Association/American Stroke AssociationIntravenous tissue-type plasminogen activatorAmerican Stroke AssociationUnited States hospitalsEmergency medical services prenotificationInitial program goalsTeam-based approachImproving DoorStroke teamTPA administrationFaster doorStroke AssociationClinical practiceHospital participationState HospitalStrokePatientsPlasminogen activator
2010
Hospital Certification for Optimizing Cardiovascular Disease and Stroke Quality of Care and Outcomes
Fonarow G, Gregory T, Driskill M, Stewart M, Beam C, Butler J, Jacobs A, Meltzer N, Peterson E, Schwamm L, Spertus J, Yancy C, Tomaselli G, Sacco R. Hospital Certification for Optimizing Cardiovascular Disease and Stroke Quality of Care and Outcomes. Circulation 2010, 122: 2459-2469. PMID: 21098429, DOI: 10.1161/cir.0b013e3182011a81.Peer-Reviewed Original ResearchConceptsAmerican Heart Association/American Stroke AssociationAmerican Stroke AssociationCardiovascular diseaseStroke AssociationStroke qualityEvidence-based careStroke patientsLeading causeCurrent evidenceHospital accreditationStrokeDiseaseHealthcare expendituresHospital certificationCareOutcomesPatientsFuture strategiesAssociationHealthcare organizationsHospitalMixed findingsMortalityTranslating Evidence Into Practice: A Decade of Efforts by the American Heart Association/American Stroke Association to Reduce Death and Disability Due to Stroke
Schwamm L, Fayad P, Acker J, Duncan P, Fonarow G, Girgus M, Goldstein L, Gregory T, Kelly-Hayes M, Sacco R, Saver J, Segrest W, Solis P, Yancy C. Translating Evidence Into Practice: A Decade of Efforts by the American Heart Association/American Stroke Association to Reduce Death and Disability Due to Stroke. Stroke 2010, 41: 1051-1065. PMID: 20181677, DOI: 10.1161/str.0b013e3181d2da7d.Peer-Reviewed Original Research