Published Online
on December 4, 2003

A more recent version of this article appeared on January 1, 2004

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Submitted on August 25, 2003
Accepted on September 10, 2003

Acute Ischemic Stroke in Hospitalized Medicare Patients. Evaluation and Treatment

Canopy Roychoudhury PhD^*; Bradley S. Jacobs MD; Patricia L. Baker RN, MS; Daniel Schultz MD; Rajendra H. Mehta MD; and Steven R. Levine MD

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.

Key words: Medicare • quality of health care • stroke, acute

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