on December 4, 2003
Published online before print December 4, 2003, doi: 10.1161/01.STR.0000106138.71007.BF
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Submitted on August 25, 2003
From Michigan Peer Review Organization (C.R., P.L.B., D.S., R.H.M.), Plymouth, Mich; Comprehensive Stroke Program (B.S.J.), Department of Neurology, Wayne State University School of Medicine, Detroit, Mich; and Stroke Program (S.R.L.), Department of Neurology, Mount Sinai School of Medicine, New York, NY. * To whom correspondence should be addressed. E-mail: croychou{at}mpro.org.
Background and Purpose--This study describes several quality indicators of care in hospitalized stroke patients in Michigan from 1998 to 1999. Summary of Report--Median times from admission to head CT/MRI (89.5 minutes) and thrombolysis (113 minutes) exceeded recommended guidelines. Deep venous thrombosis prophylaxis was used in only 13.8% of eligible patients. Conclusions--Timing for brain imaging and acute ischemic stroke symptom onset need to be better documented, along with more provider education for routine deep venous thrombosis prophylaxis.
Accepted on September 10, 2003
Acute Ischemic Stroke in Hospitalized Medicare Patients. Evaluation and Treatment
Canopy Roychoudhury PhD*;
Key words: Medicare • quality of health care • stroke, acute