Development of regional stroke programs

Current Neurology and Neuroscience Reports
Adam de HavenonDavid Tirschwell

Abstract

The organization of stroke care has undergone a dramatic evolution in the USA over the last two decades. Beginning with the recommendation for Primary Stroke Centers (PSCs) in 1994, there has been a concerted effort by physicians, the American Heart Association/American Stroke Association (AHA/ASA), National Institutes of Health (NIH), and state legislatures to advance an evidence-based system of care with several tiers of stroke centers. At the apex of this structure are Regional Stroke Centers (RSCs), which do not have official recognition like PSCs and Comprehensive Stroke Centers (CSCs), but their existence as a hub for the many disparate spokes of stroke care in their region is increasingly necessary. Observational evidence suggests that this approach is improving the delivery of stroke care and reducing costs in the USA. Similar efforts are being made in Europe and Asia with encouraging results. The RSC model has the potential to lead to more uniform evidence-based stroke medicine, but many challenges exist.

References

Dec 14, 1995·The New England Journal of Medicine·UNKNOWN National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group
Feb 5, 1999·Stroke; a Journal of Cerebral Circulation·S R Levine, M Gorman
Mar 27, 1999·Annals of Emergency Medicine·R U KothariJ Broderick
Jan 8, 2000·Stroke; a Journal of Cerebral Circulation·L B GoldsteinR Laney
Jan 8, 2000·Stroke; a Journal of Cerebral Circulation·C S KidwellJ L Saver
Jun 24, 2000·JAMA : the Journal of the American Medical Association·M J AlbertsM D Walker
May 6, 2003·Stroke; a Journal of Cerebral Circulation·Marilyn M RymerUNKNOWN America Brain and Stroke Institute Stroke Team
May 17, 2003·Stroke; a Journal of Cerebral Circulation·Susan Unipan LattimoreUNKNOWN NINDS Suburban Hospital Stroke Center
Mar 2, 2005·Circulation·Lee H SchwammUNKNOWN American Stroke Association's Task Force on the Development of Stroke Systems
Jun 18, 2005·Stroke; a Journal of Cerebral Circulation·Mark J AlbertsUNKNOWN Brain Attack Coalition
Jan 27, 2006·The New England Journal of Medicine·Ellen J MacKenzieDaniel O Scharfstein
Aug 18, 2006·Lancet Neurology·Heinrich J AudebertUNKNOWN Telemedic Pilot Project for Integrative Stroke Care Group
Sep 29, 2007·Stroke; a Journal of Cerebral Circulation·Joe E AckerUNKNOWN American Stroke Association Expert Panel on Emergency Medical Services Systems, Stroke Council
May 12, 2009·The Journal of Trauma·Michael T CudnikSteven M Steinberg
Jun 27, 2009·Cerebrovascular Diseases·Nils HenningerMajaz Moonis
Oct 3, 2009·Stroke; a Journal of Cerebral Circulation·Judith H LichtmanLarry B Goldstein
May 1, 2010·Stroke; a Journal of Cerebral Circulation·Bart M DemaerschalkUNKNOWN STRokE DOC AZ TIME Investigators
Jan 27, 2011·JAMA : the Journal of the American Medical Association·Ying XianBruce Friedman
Apr 23, 2011·Stroke; a Journal of Cerebral Circulation·Yilong WangUNKNOWN China National Stroke Registry Investigators
May 25, 2012·Neurology·Atte MeretojaMarkku Kaste
Jun 7, 2012·Stroke; a Journal of Cerebral Circulation·Wondwossen G TekleAdnan I Qureshi
Jun 16, 2012·Stroke; a Journal of Cerebral Circulation·Gisele S SilvaLee H Schwamm
Dec 6, 2012·Circulation. Cardiovascular Quality and Outcomes·Jeffrey A SwitzerEric Q Wu
Jan 31, 2013·Stroke; a Journal of Cerebral Circulation·E Bernd RingelsteinUNKNOWN ESO Stroke Unit Certification Committee
May 24, 2013·Stroke; a Journal of Cerebral Circulation·Bruce OvbiageleUNKNOWN American Heart Association Advocacy Coordinating Committee and Stroke Council
Jul 31, 2013·Current Atherosclerosis Reports·Gisele Sampaio Silva, Lee H Schwamm
Aug 31, 2013·Stroke; a Journal of Cerebral Circulation·Randall HigashidaUNKNOWN American Heart Association Advocacy Coordinating Committee

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