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In-Hospital Acute Strokes—Opportunities to Optimize Care and Improve Outcomes

In-Hospital Acute Strokes—Opportunities to Optimize Care and Improve Outcomes Opinion EDITORIAL In-Hospital Acute Strokes—Opportunities to Optimize Care and Improve Outcomes Amy Y. X. Yu, MD, MSc; Michael D. Hill, MD, MSc Stroke is a well-known complication of acute medical or sur- in-hospital stroke events because the assessment and treat- gical illnesses. Prior work has shown that patients with stroke ment are initiated at the local institution, where stroke ex- perts may not be available. In the study by Akbik et al, occurring in the hospital are more likely to encounter delays ap- in diagnosis, have gaps in care, and experience worse out- proximately 3% of all stroke events were considered to have comes compared with pa- occurred in the hospital. This number is low compared with tients with stroke occurring prior reports in which an estimated 6% to 15% of all strokes Related article page 1486 1,2 10 out of the hospital. Delay in occur in patients who are hospitalized for another condition. the recognition of symptoms of stroke is particularly relevant The exclusion of patients who were transferred from another for extremely short-term revascularization therapies, which hospital, who had some missing data (left the hospital against was previously limited to a relatively narrow time window for medical http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Neurology American Medical Association

In-Hospital Acute Strokes—Opportunities to Optimize Care and Improve Outcomes

JAMA Neurology , Volume 77 (12) – Dec 21, 2020

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Publisher
American Medical Association
Copyright
Copyright 2020 American Medical Association. All Rights Reserved.
ISSN
2168-6149
eISSN
2168-6157
DOI
10.1001/jamaneurol.2020.3368
Publisher site
See Article on Publisher Site

Abstract

Opinion EDITORIAL In-Hospital Acute Strokes—Opportunities to Optimize Care and Improve Outcomes Amy Y. X. Yu, MD, MSc; Michael D. Hill, MD, MSc Stroke is a well-known complication of acute medical or sur- in-hospital stroke events because the assessment and treat- gical illnesses. Prior work has shown that patients with stroke ment are initiated at the local institution, where stroke ex- perts may not be available. In the study by Akbik et al, occurring in the hospital are more likely to encounter delays ap- in diagnosis, have gaps in care, and experience worse out- proximately 3% of all stroke events were considered to have comes compared with pa- occurred in the hospital. This number is low compared with tients with stroke occurring prior reports in which an estimated 6% to 15% of all strokes Related article page 1486 1,2 10 out of the hospital. Delay in occur in patients who are hospitalized for another condition. the recognition of symptoms of stroke is particularly relevant The exclusion of patients who were transferred from another for extremely short-term revascularization therapies, which hospital, who had some missing data (left the hospital against was previously limited to a relatively narrow time window for medical

Journal

JAMA NeurologyAmerican Medical Association

Published: Dec 21, 2020

References