September 1, 2001Stroke
Characteristics of Academic Medical Centers and Ischemic Stroke Outcomes
Why the study?
Does the presence of specific stroke center characteristics reduce in-hospital mortality in ischemic stroke patients?
Population
10,880 ischemic stroke patients admitted through the emergency department at 29 academic medical centers in…
Comparison
Treatment at hospitals with specific stroke… vs Treatment at hospitals without these specific…
Design
Cohort
Follow-up
In-hospital
Authors
Discussion
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Member takes
Implication
May support vascular neurologist staffing; observational data leave open causality and need for prospective confirmation.
Structured PICO
Does the presence of specific stroke center characteristics reduce in-hospital mortality in ischemic stroke patients?
P
Population
10,880 ischemic stroke patients admitted through the emergency department at 29 academic medical centers in the University Health Systems Consortium
I
Intervention
Treatment at hospitals with specific stroke center characteristics (e.g., presence of a vascular neurologist, guidelines limiting tissue plasminogen activator administration to neurologists)
C
Comparator
Treatment at hospitals without these specific stroke center characteristics
O
Outcome
In-hospital mortalityhard clinical
The presence of a vascular neurologist and guidelines restricting tPA administration to neurologists at academic medical centers is associated with significantly lower in-hospital mortality for ischemic stroke patients.
Cite This Study
Gillum et al. (2001) studied this question.