Statewide assessment of hospital-based stroke prevention and treatment services in North Carolina: Changes over the last 5 years
The first published statewide assessment of stroke prevention and treatment services in the United States was carried out in North Carolina in 1998. The purpose of the present study was to measure changes in these services that may have occurred over the last 5 years. A 1-page questionnaire was sent...
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| Veröffentlicht in: | Stroke (1970) 2003-12, Vol.34 (12), p.2945-2950 |
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| container_title | Stroke (1970) |
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| creator | CAMILO, Osvaldo GOLDSTEIN, Larry B |
| description | The first published statewide assessment of stroke prevention and treatment services in the United States was carried out in North Carolina in 1998. The purpose of the present study was to measure changes in these services that may have occurred over the last 5 years.
A 1-page questionnaire was sent to each facility in the state in February 2003.
Complete responses were obtained from each of the state's 128 facilities. The proportions of hospitals providing CT angiography (35% versus 55%, P |
| doi_str_mv | 10.1161/01.STR.0000103137.44496.AD |
| format | Article |
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A 1-page questionnaire was sent to each facility in the state in February 2003.
Complete responses were obtained from each of the state's 128 facilities. The proportions of hospitals providing CT angiography (35% versus 55%, P<or=0.01), diffusion-weighted MRI (20% versus 45%, P<or=0.01), transesophageal echocardiography (45% versus 59%, P<or=0.02), and inpatient rehabilitation services (25% versus 43%, P<or=0.01) increased over the 5 years. There was a trend toward more facilities having tissue plasminogen activator protocols (43% versus 54%, P<or=0.09) but a decrease in the proportion of hospitals with interventional radiologists (23% versus 15%, P<0.01). There was no change in the proportion of the state's population living in a county with a basic stroke prevention and treatment center, with the proportion residing in a county with an advanced center increasing by 12%. Entire regions of the state lacked either type of center, and only 14% had even the essential infrastructure recommended for a Brain Attack Coalition-type primary stroke center. There was no difference in the proportions of hospitals with organized stroke teams, those having a stroke acute care unit, those using stroke care maps, or hospitals having community awareness programs.
Certain technologies have become more widely available, but hospital investments in stroke-related programs have not appreciably increased.]]></description><identifier>ISSN: 0039-2499</identifier><identifier>EISSN: 1524-4628</identifier><identifier>DOI: 10.1161/01.STR.0000103137.44496.AD</identifier><identifier>PMID: 14615612</identifier><identifier>CODEN: SJCCA7</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Biological and medical sciences ; Diagnostic Imaging - utilization ; Emergency Service, Hospital - standards ; Emergency Service, Hospital - trends ; Emergency Service, Hospital - utilization ; Fibrinolytic Agents - therapeutic use ; Health Care Surveys ; Health Services Accessibility - statistics & numerical data ; Humans ; Medical sciences ; Neurology ; North Carolina ; Radiography ; Stroke - diagnostic imaging ; Stroke - prevention & control ; Stroke - therapy ; Surveys and Questionnaires ; Tissue Plasminogen Activator - therapeutic use ; Vascular diseases and vascular malformations of the nervous system</subject><ispartof>Stroke (1970), 2003-12, Vol.34 (12), p.2945-2950</ispartof><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c354t-47cffad3c49223b4fac8459f1c4a5b817f06b1574a2b8da0690b66607fc1667e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,3674,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15338896$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14615612$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>CAMILO, Osvaldo</creatorcontrib><creatorcontrib>GOLDSTEIN, Larry B</creatorcontrib><title>Statewide assessment of hospital-based stroke prevention and treatment services in North Carolina: Changes over the last 5 years</title><title>Stroke (1970)</title><addtitle>Stroke</addtitle><description><![CDATA[The first published statewide assessment of stroke prevention and treatment services in the United States was carried out in North Carolina in 1998. The purpose of the present study was to measure changes in these services that may have occurred over the last 5 years.
A 1-page questionnaire was sent to each facility in the state in February 2003.
Complete responses were obtained from each of the state's 128 facilities. The proportions of hospitals providing CT angiography (35% versus 55%, P<or=0.01), diffusion-weighted MRI (20% versus 45%, P<or=0.01), transesophageal echocardiography (45% versus 59%, P<or=0.02), and inpatient rehabilitation services (25% versus 43%, P<or=0.01) increased over the 5 years. There was a trend toward more facilities having tissue plasminogen activator protocols (43% versus 54%, P<or=0.09) but a decrease in the proportion of hospitals with interventional radiologists (23% versus 15%, P<0.01). There was no change in the proportion of the state's population living in a county with a basic stroke prevention and treatment center, with the proportion residing in a county with an advanced center increasing by 12%. Entire regions of the state lacked either type of center, and only 14% had even the essential infrastructure recommended for a Brain Attack Coalition-type primary stroke center. There was no difference in the proportions of hospitals with organized stroke teams, those having a stroke acute care unit, those using stroke care maps, or hospitals having community awareness programs.
Certain technologies have become more widely available, but hospital investments in stroke-related programs have not appreciably increased.]]></description><subject>Biological and medical sciences</subject><subject>Diagnostic Imaging - utilization</subject><subject>Emergency Service, Hospital - standards</subject><subject>Emergency Service, Hospital - trends</subject><subject>Emergency Service, Hospital - utilization</subject><subject>Fibrinolytic Agents - therapeutic use</subject><subject>Health Care Surveys</subject><subject>Health Services Accessibility - statistics & numerical data</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Neurology</subject><subject>North Carolina</subject><subject>Radiography</subject><subject>Stroke - diagnostic imaging</subject><subject>Stroke - prevention & control</subject><subject>Stroke - therapy</subject><subject>Surveys and Questionnaires</subject><subject>Tissue Plasminogen Activator - therapeutic use</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><issn>0039-2499</issn><issn>1524-4628</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkE1v1DAQhi0EotvCX0AWEr0l2LFjJ72ttvRDqkCi5WxNnDEbyMaLx7uoN346abvSzuU9zPPOSA9jH6UopTTys5Dl_cP3UswjhZLKllrr1pTLy1dsIetKF9pUzWu2EEK1RaXb9oSdEv2a-Uo19Vt2IrWRtZHVgv27z5Dx79AjByIk2uCUeQx8HWk7ZBiLDgh7TjnF38i3CfczMMSJw9TznBDyc4Mw7QePxIeJf40pr_kKUhyHCS74ag3Tz3kV95h4XiMfgTKv-SNConfsTYCR8P0hz9iPqy8Pq5vi7tv17Wp5V3hV61xo60OAXnndVpXqdADf6LoN0muou0baIEwna6uh6poehGlFZ4wRNnhpjEV1xs5f7m5T_LNDym4zkMdxhAnjjpyVWlettTN48QL6FIkSBrdNwwbSo5PCPfl3QrrZvzv6d8_-3fJyLn84fNl1G-yP1YPwGfh0AIA8jCHB5Ac6crVSTdMa9R979pC9</recordid><startdate>20031201</startdate><enddate>20031201</enddate><creator>CAMILO, Osvaldo</creator><creator>GOLDSTEIN, Larry B</creator><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20031201</creationdate><title>Statewide assessment of hospital-based stroke prevention and treatment services in North Carolina: Changes over the last 5 years</title><author>CAMILO, Osvaldo ; GOLDSTEIN, Larry B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c354t-47cffad3c49223b4fac8459f1c4a5b817f06b1574a2b8da0690b66607fc1667e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Biological and medical sciences</topic><topic>Diagnostic Imaging - utilization</topic><topic>Emergency Service, Hospital - standards</topic><topic>Emergency Service, Hospital - trends</topic><topic>Emergency Service, Hospital - utilization</topic><topic>Fibrinolytic Agents - therapeutic use</topic><topic>Health Care Surveys</topic><topic>Health Services Accessibility - statistics & numerical data</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Neurology</topic><topic>North Carolina</topic><topic>Radiography</topic><topic>Stroke - diagnostic imaging</topic><topic>Stroke - prevention & control</topic><topic>Stroke - therapy</topic><topic>Surveys and Questionnaires</topic><topic>Tissue Plasminogen Activator - therapeutic use</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>CAMILO, Osvaldo</creatorcontrib><creatorcontrib>GOLDSTEIN, Larry B</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Stroke (1970)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>CAMILO, Osvaldo</au><au>GOLDSTEIN, Larry B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Statewide assessment of hospital-based stroke prevention and treatment services in North Carolina: Changes over the last 5 years</atitle><jtitle>Stroke (1970)</jtitle><addtitle>Stroke</addtitle><date>2003-12-01</date><risdate>2003</risdate><volume>34</volume><issue>12</issue><spage>2945</spage><epage>2950</epage><pages>2945-2950</pages><issn>0039-2499</issn><eissn>1524-4628</eissn><coden>SJCCA7</coden><abstract><![CDATA[The first published statewide assessment of stroke prevention and treatment services in the United States was carried out in North Carolina in 1998. The purpose of the present study was to measure changes in these services that may have occurred over the last 5 years.
A 1-page questionnaire was sent to each facility in the state in February 2003.
Complete responses were obtained from each of the state's 128 facilities. The proportions of hospitals providing CT angiography (35% versus 55%, P<or=0.01), diffusion-weighted MRI (20% versus 45%, P<or=0.01), transesophageal echocardiography (45% versus 59%, P<or=0.02), and inpatient rehabilitation services (25% versus 43%, P<or=0.01) increased over the 5 years. There was a trend toward more facilities having tissue plasminogen activator protocols (43% versus 54%, P<or=0.09) but a decrease in the proportion of hospitals with interventional radiologists (23% versus 15%, P<0.01). There was no change in the proportion of the state's population living in a county with a basic stroke prevention and treatment center, with the proportion residing in a county with an advanced center increasing by 12%. Entire regions of the state lacked either type of center, and only 14% had even the essential infrastructure recommended for a Brain Attack Coalition-type primary stroke center. There was no difference in the proportions of hospitals with organized stroke teams, those having a stroke acute care unit, those using stroke care maps, or hospitals having community awareness programs.
Certain technologies have become more widely available, but hospital investments in stroke-related programs have not appreciably increased.]]></abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>14615612</pmid><doi>10.1161/01.STR.0000103137.44496.AD</doi><tpages>6</tpages></addata></record> |
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| identifier | ISSN: 0039-2499 |
| ispartof | Stroke (1970), 2003-12, Vol.34 (12), p.2945-2950 |
| issn | 0039-2499 1524-4628 |
| language | eng |
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| source | MEDLINE; American Heart Association Journals; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection; Journals@Ovid Complete |
| subjects | Biological and medical sciences Diagnostic Imaging - utilization Emergency Service, Hospital - standards Emergency Service, Hospital - trends Emergency Service, Hospital - utilization Fibrinolytic Agents - therapeutic use Health Care Surveys Health Services Accessibility - statistics & numerical data Humans Medical sciences Neurology North Carolina Radiography Stroke - diagnostic imaging Stroke - prevention & control Stroke - therapy Surveys and Questionnaires Tissue Plasminogen Activator - therapeutic use Vascular diseases and vascular malformations of the nervous system |
| title | Statewide assessment of hospital-based stroke prevention and treatment services in North Carolina: Changes over the last 5 years |
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