Featured Research

from universities, journals, and other organizations

Certified stroke centers more likely to give clot-busting drugs

Date:
March 26, 2013
Source:
American Heart Association
Summary:
Stroke patients are three times more likely to receive clot-busting medication if they're treated at a hospital certified as a primary stroke center. There is a limited window of opportunity for using the drugs, so getting to a hospital quickly for treatment is important. Call 9-1-1 at the first sign of stroke symptoms.

Stroke patients are three times more likely to receive clot-busting medication if treated at a certified stroke center, according to a study in the Journal of the American Heart Association.

Related Articles


Intravenous tissue plasminogen activator (tPA) is the only drug approved by the Food and Drug Administration for emergency treatment for people who have ischemic (clot-caused) stroke. The durg can reduce stroke disability.

"The stroke center concept has rapidly taken off, and this data demonstrates one way that certified centers are doing better than non-certified centers," said Michael T. Mullen, M.D., the study's lead author and an assistant professor of neurology at the Perelman School of Medicine at the University of Pennsylvania in Philadelphia.

The researchers examined hospital discharge data on 323,228 ischemic stroke patients from 26 states in 2004-09.

The clot-buster was administered to:

  • 3.1 percent of patients overall;
  • 6.7 percent of patients at primary stroke centers certified by the Joint Commission; and
  • 2.2 percent of patients at other facilities.

After researchers adjusted for patient and facility characteristics, they found the likelihood of receiving tPA was still almost twice as high in certified stroke centers.

Over time, tPA use increased from 6 percent to 7.6 percent at certified primary stroke centers and 1.4 percent to 3.3 percent at non-certified hospitals.

During a stroke, blood flow must be restored quickly and tPA can only be administered in the first few hours after symptoms start.

"Between 10 percent to 15 percent of patients arriving at the hospital with ischemic strokes are eligible to receive tPA," said Eric Smith, M.D., chair of the American Heart Association/American Stroke Association's Get With The Guidelines-Stroke quality improvement program and an associate professor of neurology at the University of Calgary. "This research shows that the certification program seems to be working, and that treatment is improving over time. Unlike the improvement in the percentage of patients receiving tPA, we haven't seen comparable improvements in the speed at which patients are evaluated and treated, and that is a major factor in determining outcome."

The American Heart Association/American Stroke Association's Target: Stroke program helps hospitals treat 50 percent or more of patients within the first hour after they arrive.

In conjunction with The Joint Commission, the association also offers certification to facilities that meet criteria as Comprehensive Stroke Centers.

"We need more complete systems of care to make sure patients are getting to the best facility to treat their stroke -- and getting there as quickly as possible," Smith said.

At the first sign of a stroke, call 9-1-1 to get to the facility that provides appropriate treatment. The American Stroke Association has more information and tools, including a new mobile app, that can help you recognize and respond to stroke symptoms.

Co-authors are Scott Kasner, M.D.; Michael Kallan, M.S.; Dawn Kleindorfer, M.D.; Karen Albright, D.O., M.P.H.; and Brendan Carr, M.D., M.S.

The Agency for Health Care Research and Quality, National Institutes of Health, funded the research.


Story Source:

The above story is based on materials provided by American Heart Association. Note: Materials may be edited for content and length.


Cite This Page:

American Heart Association. "Certified stroke centers more likely to give clot-busting drugs." ScienceDaily. ScienceDaily, 26 March 2013. <www.sciencedaily.com/releases/2013/03/130326162326.htm>.
American Heart Association. (2013, March 26). Certified stroke centers more likely to give clot-busting drugs. ScienceDaily. Retrieved January 31, 2015 from www.sciencedaily.com/releases/2013/03/130326162326.htm
American Heart Association. "Certified stroke centers more likely to give clot-busting drugs." ScienceDaily. www.sciencedaily.com/releases/2013/03/130326162326.htm (accessed January 31, 2015).

Share This


More From ScienceDaily



More Mind & Brain News

Saturday, January 31, 2015

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

NFL Concussions Down; Still on Parents' Minds

NFL Concussions Down; Still on Parents' Minds

AP (Jan. 30, 2015) The NFL announced this week that the number of game concussions dropped by a quarter over last season. Still, the dangers of the sport still weigh on players, and parents&apos; minds. (Jan. 30) Video provided by AP
Powered by NewsLook.com
Study Shows Newborn Chicks Count From Left to Right Just Like Humans

Study Shows Newborn Chicks Count From Left to Right Just Like Humans

Buzz60 (Jan. 30, 2015) Researchers for the first time identified human&apos;s innate preference for associating low and high numbers with the left and right respectively in another species. Jen Markham (@jenmarkham) explains. Video provided by Buzz60
Powered by NewsLook.com
Best Mood Elevating, Feel Good Shakes & Smoothies

Best Mood Elevating, Feel Good Shakes & Smoothies

Buzz60 (Jan. 30, 2015) You can elevate your mood by having a meal in a glass. Fitness and nutrition expert John Basedow (@JohnBasedow) offers the best &apos;feel good&apos; smoothies and shakes chock full of depression-relieving ingredients...including apples, berries, lemons, cucumbers, papaya, kiwi, spinach, kale, whey protein, matcha, ginger, turmeric and cinnamon. Video provided by Buzz60
Powered by NewsLook.com
Poll Says Firstborn Is Responsible, Youngest Is Funnier

Poll Says Firstborn Is Responsible, Youngest Is Funnier

Newsy (Jan. 30, 2015) According to a poll out of the U.K., eldest siblings feel more responsible and successful than their younger siblings. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins