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Chapter 14 - Organization of Stroke Care

Published online by Cambridge University Press:  28 October 2019

Mary Carter Denny ,
Ahmad Riad Ramadan ,
Sean I. Savitz  and
James Grotta
Mary Carter Denny
Affiliation:
Georgetown University Hospital
Ahmad Riad Ramadan
Affiliation:
Henry Ford Hospital, Detroit
Sean I. Savitz
Affiliation:
University of Texas Health Science Center, Houston
James Grotta
Affiliation:
Memorial Hermann Texas Medical School
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Summary

As acute stroke therapies have developed, the context in which stroke care is provided has become more important. Creating and maintaining the organization of stroke care within a region or even a hospital requires much commitment and effort. High-quality stroke care requires coordination and communication between multiple stakeholders in the prehospital and in-hospital settings in what the American Heart Association (AHA) and American Stroke Association (ASA) term the “stroke chain of survival” (Table 14.1).

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Chapter
Information
Acute Stroke Care , pp. 215 - 225
Publisher: Cambridge University Press
Print publication year: 2019

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References

Jauch, EC, Saver, JL, Adams, HP, et al. Guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2013; 44: 870–947. doi:10.1161/STR.0b013e318284056a.CrossRefGoogle ScholarPubMed
Schwamm, LH, Pancioli, A, Acker, JE, et al. Recommendations for the establishment of stroke systems of care: recommendations from the American Stroke Association’s Task Force on the Development of Stroke Systems. Stroke 2005; 36: 690–703.Google Scholar
Higashida, R, Alberts, MJ, Alexander, DN, et al. Interactions within stroke systems of care: a policy statement from the American Heart Association/American Stroke Association. Stroke 2013; 44: 2961–2984. doi:10.1161/STR.0b013e3182a6d2b2.CrossRefGoogle Scholar
Brainin, M, Olsen, TS, Chamorro, A, et al. Organization of stroke care: education, referral, emergency management and imaging, stroke units and rehabilitation. European Stroke Initiative. Cerebrovasc Dis 2004; 17 (Suppl 2): 1–14.CrossRefGoogle ScholarPubMed
Hack, W, Kaste, M, Bogousslavsky, J, et al. European Stroke Initiative Recommendations for Stroke Management: update 2003. Cerebrovasc Dis 2003; 16: 311–337.Google Scholar
Kobayashi, A, Czlonkowska, A, Ford, GA, et al. European Academy of Neurology and European Stroke Organization consensus statement and practical guidance for pre-hospital management of stroke. Eur J Neurol 2018; 25: 425–433. doi:10.1111/ene.13539.CrossRefGoogle ScholarPubMed
Kim, JT, Fonarow, GC, Smith, EE, et al. Treatment with tissue plasminogen activator in the golden hour and the shape of the 4.5-hour time-benefit curve in the national United States Get With The Guidelines-Stroke population. Circulation 2017; 135: 128–139. doi:10.1161/CIRCULATIONAHA.116.023336.Google Scholar
Menon, BK, Sajobi, TT, Zhang, Y, et al. Analysis of workflow and time to treatment on thrombectomy outcome in the Endovascular Treatment for Small Core and Proximal Occlusion Ischemic Stroke (ESCAPE) randomized, controlled trial. Circulation 2016; 133: 2279–2286. doi:10.1161/CIRCULATIONAHA.115.019983.CrossRefGoogle ScholarPubMed
Adeoye, O, Hornung, R, Khatri, P, et al. Recombinant tissue-type plasminogen activator use for ischemic stroke in the United States: a doubling of treatment rates over the course of 5 years. Stroke 2011; 42: 1952–1955. doi:10.1161/STROKEAHA.110.612358.CrossRefGoogle ScholarPubMed
Scholten, N, Pfaff, H, Lehmann, HC, et al. [Thrombolysis for acute stroke: a nationwide analysis of regional medical care.] Fortschr Neurol Psychiatr 2013; 81: 579–585. doi:10.1055/s-0033-1350496.Google Scholar
Schwamm, LH, Ali, SF, Reeves, MJ, et al. Temporal trends in patient characteristics and treatment with intravenous thrombolysis among acute ischemic stroke patients at Get With The Guidelines-Stroke hospitals. Circ Cardiovasc Qual Outcomes 2013; 6: 543–549. doi:10.1161/CIRCOUTCOMES.111.000303.CrossRefGoogle ScholarPubMed
Morgenstern, LB, Staub, L, Chan, W, et al. Improving delivery of acute stroke therapy: the TLL Temple Foundation Stroke Project. Stroke 2002; 33: 160–166.Google Scholar
Williams, O, DeSorbo, A, Noble, J, et al. Child-mediated stroke communication: findings from Hip Hop Stroke. Stroke 2012; 43: 163–169. doi:10.1161/STROKEAHA.111.621029.CrossRefGoogle ScholarPubMed
Boden-Albala, B, Stillman, J, Roberts, ET, et al. Comparison of acute stroke preparedness strategies to decrease emergency department arrival time in a multiethnic cohort: the Stroke Warning Information and Faster Treatment study. Stroke 2015; 46: 1806–1812. doi:10.1161/STROKEAHA.114.008502.CrossRefGoogle Scholar
Walter, S, Kostopoulos, P, Haas, A, et al. Diagnosis and treatment of patients with stroke in a mobile stroke unit versus in hospital: a randomised controlled trial. Lancet Neurol 2012; 11: 397–404. doi:10.1016/S1474-4422(12)70057-1.Google Scholar
Parker, SA, Bowry, R, Wu, TC, et al. Establishing the first mobile stroke unit in the United States. Stroke 2015; 46: 1384–1391. doi:10.1161/STROKEAHA.114.007993.CrossRefGoogle ScholarPubMed
Beume, LA, Hieber, M, Kaller, CP, et al. Large vessel occlusion in acute stroke: cortical symptoms are more sensitive prehospital indicators than motor deficits. Stroke 2018; 49: 2323–2329. doi:10.1161/STROKEAHA.118.022253.Google Scholar
Singer, OC, Dvorak, F, du Mesnil de Rochemont, R, et al. A simple 3-item stroke scale: comparison with the National Institutes of Health stroke scale and prediction of middle cerebral artery occlusion. Stroke 2005; 36: 773–776. doi:10.1161/01.STR.0000157591.61322.df.Google Scholar
Katz, BS, McMullan, JT, Sucharew, H, Adeoye, O, Broderick, JP. Design and validation of a prehospital scale to predict stroke severity: Cincinnati Prehospital Stroke Severity Scale. Stroke 2015; 46: 1508–1512. doi:10.1161/STROKEAHA.115.008804.Google Scholar
Lima, FO, Silva, GS, Furie, KL, et al. Field assessment stroke triage for emergency destination: a simple and accurate prehospital scale to detect large vessel occlusion strokes. Stroke 2016; 47: 1997–2002. doi:10.1161/STROKEAHA.116.013301.Google Scholar
Noorian, AR, Sanossian, N, Shkikova, K, et al. Los Angeles Motor Scale to indentify large vessel occlusion: prehospital validation and comparison with other screens. Stroke 2018; 49: 565-572. doi:10.1161/STROKEAHA.117.019228.CrossRefGoogle Scholar
Pérez de la Ossa, N, Carrera, D, Gorchs, M, et al. Design and validation of a prehospital stroke scale to predict large arterial occlusion: the rapid arterial occlusion evaluation scale. Stroke 2014; 45: 87–91.CrossRefGoogle ScholarPubMed
Hastrup, S, Damgaard, D, Johnsen, SP, Andersen, G. Prehospital acute stroke severity scale to predict large artery occlusion: design and comparison with other scales. Stroke 2016; 47: 1772–1776. doi:10.1161/STROKEAHA.115.012482.CrossRefGoogle ScholarPubMed
Teleb, MS, Ver Hage, A, Carter, J, Jayaraman, MV, McTaggart, RA. Stroke vision, aphasia, neglect (VAN) assessment: a novel emergent large vessel occlusion screening tool: pilot study and comparison with current clinical severity indices. J Neurointerv Surg 2017; 9: 122–126. doi:10.1136/neurintsurg-2015-012131.CrossRefGoogle ScholarPubMed
Ali, A, Zachrison, KS, Eschenfeldt, PC, et al. Optimization of prehospital triage of patients with suspected ischemic stroke: results of a mathematical model. Stroke 2018; 49: 2532–2535. doi:10.1161/STROKEAHA.118.022041.CrossRefGoogle Scholar
Holodinsky, JK, Williamson, TS, Kamal, N, et al. Drip and ship versus direct to comprehensive stroke center: conditional probability modeling. Stroke 2017; 48: 233–238. doi:10.1161/STROKEAHA.116.014306.Google Scholar
Direct transfer to an endovascular center compared to transfer to the closest stroke center in acute stroke patients with suspected large vessel occlusion (RACECAT). ClinicalTrials.gov. https://clinicaltrials.gov/ct2/show/NCT02795962 (accessed June 2019).Google Scholar
Alberts, MJ, Hademenos, G, Latchaw, RE, et al. Recommendations for the establishment of primary stroke centers. Brain Attack Coalition. JAMA 2000; 283: 3102–3109.Google Scholar
The Joint Commission, American Heart Association, American Stroke Association. Primary stroke center certification: overview sheet. www.heart.org/idc/groups/heart-public/@wcm/@hcm/@ml/documents/downloadable/ucm_455522.pdf (accessed June 2019).Google Scholar
Meyer, BC, Raman, R, Hemmen, T, et al. Efficacy of site-independent telemedicine in the STRokE DOC trial: a randomised, blinded, prospective study. Lancet Neurol 2008; 7: 787–795.Google Scholar
Amorim, E, Shih, M-M, Koehler, SA, et al. Impact of telemedicine implementation in thrombolytic use for acute ischemic stroke: the University of Pittsburgh Medical Center telestroke network experience. J Stroke Cerebrovasc Dis 2013; 22: 527–531.CrossRefGoogle ScholarPubMed
Kepplinger, J, Barlinn, K, Deckert, S, et al. Safety and efficacy of thrombolysis in telestroke: a systematic review and meta-analysis. Neurology 2016; 87: 1344–1351.Google Scholar
Stroke Unit Trialists’ Collaboration. Organised inpatient (stroke unit) care for stroke. Cochrane Database Syst Rev 2013; (9): CD000197. doi: 10.1002/14651858.CD000197.pub3.CrossRefGoogle Scholar

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