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Georgetown leads major effort to combat disparities in DC stroke care
Date:10/24/2007

, assistant professor of neurology at Georgetown, is the principal investigator on this project.

  • Project PROTECT DC (Preventing Recurrence of Thromboembolic Events through Coordinated Treatment in the District of Columbia) will examine whether patient navigatorscommunity health workers paired with stroke patientscan help patients adhere to at-home regimens aimed at preventing a second stroke. The patient navigator model has worked well in cancer, but has never been tested in stroke, said Kidwell. If we can help these patients increase compliance with their medications and other preventive behaviors, we can have a significant public health impact in preventing recurrent strokes. Alexander Dromerick, professor of medicine at Georgetown, is the principal investigator on this project.

  • Project DECIPHER (Differences in the Imaging of Primary Hemorrhage based on Ethnicity or Race) DECIPHER addresses the finding that African Americans (who make up about 60 percent of D.C.s population) are more likely to have chronic brain microbleeds (small regions of asymptomatic bleeding in the brain), which can be a marker for risk of more serious cerebral hemorrhaging. Some MRI studies have shown that African Americans are more likely to have these tiny microbleeds in their brain, even if they have no symptoms, explained Kidwell. We may learn that these microbleeds could be an important marker of brain hemorrhages and possibly predictors of long-term survival. This research will give us new insight into prevention and treatment of intracerebral hemorrhage in this population.

"We are extremely excited about this multi-level, city-wide, acute and secondary stroke intervention program, said Richard T. Benson, MD, PhD, of the NINDS Office of Minority Health and Research. It is one of the first NINDS-funded studies to address stroke disparities using community-based patient management, state of the art imaging, and the identificatio
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Contact: Becky Wexler
rjw43@georgetown.edu
202-687-5100
Georgetown University Medical Center
Source:Eurekalert

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