The Paul Coverdell National Acute Stroke Registry (PCNASR)

Biggers, Alana; LaPier, Timothy; George, Mary G.

doi:10.1016/j.amepre.2006.07.027

Cited by 11 publications

(7 citation statements)

References 0 publications

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“…12,26 These state-based registries collect data on quality-of-care indicators based on established guidelines. The North Carolina Stroke Care Collaborative (NCSCC) is one of six PCNASR and includes 52 participating acute care hospitals covering 39 of 100 North Carolina counties, representing 61% of all stroke discharges in the state.…”

Section: Methodsmentioning

confidence: 99%

Prehospital Notification by Emergency Medical Services Reduces Delays in Stroke Evaluation

Patel

Rose

O’Brien

et al. 2011

Stroke

122

105

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Background and Purpose Individuals with stroke-like symptoms are recommended to receive rapid diagnostic evaluation. Emergency medical services (EMS) transport, compared to private modes, and hospital notification prior to arrival may reduce delays in evaluation. This study estimated associations between hospital arrival modes (EMS or private; with or without EMS pre-notification) and times for completion and interpretation of initial brain imaging in presumed stroke patients. Methods Among suspected stroke patients identified and enrolled by the North Carolina Stroke Care Collaborative (NCSCC) registry in 2008-2009, we analyzed data on arrival modes, meeting recommended targets for brain imaging completion and interpretation times (<25 minutes and <45 minutes since hospital arrival, respectively), and patient- and hospital-level characteristics. We used modified Poisson regression to estimate adjusted risk ratios (RR) and 95% confidence intervals (CI). Results Of 13,894 eligible patients, 21% had their brain imaging completed and 23% had their brain imaging interpreted by a physician within target times. Arrival by EMS (versus private transport) was associated with both brain imaging completed within 25 minutes of arrival [EMS with pre-notification: RR=3.0, 95% CI=2.1-4.1; EMS without pre-notification: RR=1.9, 95% CI=1.6-2.3] and brain imaging interpreted within 45 minutes [EMS with pre-notification: RR=2.7, 95% CI=2.3-3.3; EMS without pre-notification: RR=1.7, 95% CI=1.4-2.1]. Conclusions Presumed stroke patients arriving to the hospital by EMS were more likely to receive brain imaging and have it interpreted by a physician in a timely manner than those arriving by private transport. Moreover, EMS arrivals with hospital pre-notification experienced the most rapid evaluation.

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Section: Methodsmentioning

confidence: 99%

Prehospital Notification by Emergency Medical Services Reduces Delays in Stroke Evaluation

Patel

Rose

O’Brien

et al. 2011

Stroke

122

105

View full text Add to dashboard Cite

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“…22 States collect data on established qualityof-care indicators, including time from hospital arrival to initial brain-imaging. Additional details of the design are published.…”

Section: Study Populationmentioning

confidence: 99%

Predictors of Time From Hospital Arrival to Initial Brain-Imaging Among Suspected Stroke Patients

Rose

Rosamond

Huston

et al. 2008

Stroke

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“…4 Several registries and programs to assess and improve the quality of stroke patient care and outcomes have been developed, which if effectively implemented, might reduce differences in the use of evidence-based treatments and interventions. 6,7 We hypothesized that regional differences in the use of recommended stroke-related therapies (IVtPA, those aimed at limiting complications and secondary prevention interventions) would not be present in patients cared for in hospitals participating in a national US voluntary quality improvement program, Get With the Guidelines-Stroke (GWTG-Stroke).…”

mentioning

confidence: 99%

Regional Variation in Recommended Treatments for Ischemic Stroke and TIA

Allen

Kaltenbach

Goldstein

et al. 2012

Stroke

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Background and Purpose-Secondary stroke prevention treatments vary in different regions of the US. We determined the degree to which guideline-recommended stroke treatments vary by region for patients treated at hospitals participating in a voluntary national quality improvement program, Get With The Guidelines-Stroke. Methods-Receipt of 8 guideline-recommended treatments (intravenous tissue-type plasminogen activator, antihypertensives, antithrombotics, anticoagulants for atrial fibrillation, deep vein thrombosis prophylaxis, lipid-lowering medications at discharge, smoking cessation counseling, weight loss education) and defect-free care were compared in 4 US regions among eligible patients with ischemic stroke and transient ischemic attack; there was adjustment for patient demographics, medical history, and hospital characteristics. Results-Among

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The Paul Coverdell National Acute Stroke Registry (PCNASR)

Cited by 11 publications

References 0 publications

Prehospital Notification by Emergency Medical Services Reduces Delays in Stroke Evaluation

Prehospital Notification by Emergency Medical Services Reduces Delays in Stroke Evaluation

Predictors of Time From Hospital Arrival to Initial Brain-Imaging Among Suspected Stroke Patients

Regional Variation in Recommended Treatments for Ischemic Stroke and TIA

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