Cuyahoga County Operation Stroke speed of emergency department evaluation and compliance with National Institutes of Neurological Disorders and Stroke time targets

Although the National Institutes of Neurological Disorders and Stroke (NINDS) has established time targets for the evaluation of acute stroke patients, little is known about how often these targets are met in the community. To track compliance with NINDS guidelines, Cuyahoga County Operation Stroke...

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Bibliographic Details
Published in:Stroke (1970) 2003-04, Vol.34 (4), p.994-998
Main Authors: KATZAN, Irene L, GRABER, Thomas M, FURLAN, Anthony J, SUNDARARAJAN, Sophia, SILA, Cathy A, HOUSER, Gary, LANDIS, Dennis M
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Emergency Service, Hospital - standards
Female
Guideline Adherence
Humans
Male
Medical sciences
National Institutes of Health (U.S.)
Nervous System Diseases - therapy
Neurology
Ohio
Registries
Stroke - diagnosis
Stroke - drug therapy
Stroke - therapy
Thrombolytic Therapy
Time Factors
Tissue Plasminogen Activator - administration & dosage
Tissue Plasminogen Activator - therapeutic use
United States
Vascular diseases and vascular malformations of the nervous system
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Summary:Although the National Institutes of Neurological Disorders and Stroke (NINDS) has established time targets for the evaluation of acute stroke patients, little is known about how often these targets are met in the community. To track compliance with NINDS guidelines, Cuyahoga County Operation Stroke implemented a countywide data collection process that provides comparative reporting of hospital performance. Data on the emergency department evaluation of stroke patients have been retrospectively collected since January 2000 by hospitals participating in Cuyahoga County Operation Stroke. All hospitals used a 1-page form that includes NINDS time target information. Median time to emergency department arrival for the 1003 patients in this cohort was 115 minutes; 382 patients (38%) arrived in
ISSN:0039-2499
1524-4628
DOI:10.1161/01.STR.0000060870.55480.61