Abstract:Introduction:
Risk-adjusted stroke mortality is a publicly-reported CMS quality measure. Patients (pts) admitted with stroke who are discharged to hospice prior to the first midnight are excluded in reported metrics. It is difficult to prognosticate outcomes early in ischemic stroke; additionally, the sudden nature of the disease makes it difficult for families to make rapid decisions. We hypothesized that the decision to proceed to comfort care in ischemic stroke pts takes longer than 24 hours.
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