Academic and Community Hospitals differ in stroke subtype classification and cardiac monitoring: the DiVERT multi-center cohort study

Cardiac monitoring strategies to detect occult atrial fibrillation (AF) post-stroke differ among healthcare institutions. This may be related to discrepancies in stroke subtype classification/adjudication, and/or consultation of cardiology specialists at Community Hospitals (CoH) and Academic Center...

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Bibliographic Details
Published in:Frontiers in neurology 2024-12, Vol.15, p.1428731
Main Authors: Rose, David Z, Shah, Ruchir A, Snavely, Josh, Hairston, Marla, Adams, Stephen, Ziegler, Paul D, Rosemas, Sarah C, Chandler, Michael, Carta, Roberto, Neisen, Karah B, Franco, Noreli C, Devlin, Thomas G
Format: Article
Language:English
Subjects:
acute ischemic stroke
anticoagulation
atrial fibrillation
cardiac rhythm monitoring
care pathway
Neurology
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Summary:Cardiac monitoring strategies to detect occult atrial fibrillation (AF) post-stroke differ among healthcare institutions. This may be related to discrepancies in stroke subtype classification/adjudication, and/or consultation of cardiology specialists at Community Hospitals (CoH) and Academic Centers (AcC). Identifying the degree of heterogeneity may encourage development of guideline-directed monitoring protocols, result in higher AF detection rates and treatments, and fewer strokes. The DiVERT (SeconDary Stroke PreVEntion ThRough Pathway ManagemenT) study was designed to characterize post-stroke cardiac monitoring practices in a hospital setting. Care pathways were assessed with in-person stakeholder interviews; patient-level data were reviewed using electronic medical records. DiVERT identified 2,475 patients with diagnoses of cryptogenic (83.6% vs. 33.1%,  
ISSN:1664-2295
1664-2295
DOI:10.3389/fneur.2024.1428731