Navigation Links
Translation of research into practice for post-stroke care goes national

INDIANAPOLIS -- Researcher-clinicians from the Regenstrief Institute, the Department of Veterans Affairs and Indiana University School of Medicine are leading a national effort to coordinate and organize acute stroke care across the entire VA medical system. This initiative to improve in-hospital management of stroke with the goal of reducing disability and death was implemented by the VA this summer and may serve as a model for public and private hospital systems around the country.

"This undertaking grew out of our research into evidence-practice gaps in care, where we showed that the VA had high quality of post-acute and discharge care for stroke, but some room for improvement in very early stroke care," said Regenstrief Institute investigator Dawn Bravata, M.D., clinical coordinator of the VA's Stroke Quality Enhancement Research Initiative, or QUERI. She is a research scientist with the Center of Excellence on Implementing Evidence-Based Practice at the Richard L. Roudebush VA Medical Center in Indianapolis and associate professor of medicine at the IU School of Medicine.

All VA facilities that treat stroke patients, no matter the size of the unit or the number of hours per week when stroke care is available, are affected. Coordination and organization of care doesn't mean stroke care will be practiced identically at every facility. It does, however, encourage more uniform quality according to Dr. Bravata. Stroke care quality will initially be measured in three areas: administration of thrombolytic clot dissolving drugs; screening for swallowing difficulties; and use of the National Institutes of Health Stroke Scale to determine critical information about the severity of the stroke.

The specifics of the national quality initiative are tailored to the type of facility and what works in each locality -- from major medical center to small facility. For example, screening for swallowing difficulty will become part of standard care, but it is up to each hospital to determine how that evaluation is done -- perhaps by a nurse in the emergency room or a speech pathologist on an inpatient hospital unit.

"Improving stroke care and outcomes is a challenge as the population ages and hospital systems expand. The VA's experience in stroke care improvement can potentially be adapted to any health care system as a model of how care improvements can be provided in a coordinated, integrated fashion across different types of hospitals," said Regenstrief Institute investigator Linda Williams, M.D., research coordinator of the VA's Stroke QUERI. She is a research scientist with the Center of Excellence on Implementing Evidence-Based Practice at the Roudebush VAMC and associate professor of neurology at the IU School of Medicine. "The VA has been doing a good job using research to better inform how and where care improvements can be made. As health care is increasingly provided by networks of multiple hospitals, this VA example can be used to show how care improvements can be translated throughout the system for the benefit of all patients."

Risk factors for stroke include older age, hypertension, high cholesterol, smoking, physical inactivity and atrial fibrillation. Stroke is one of the leading causes of death and also of long-term disability in the United States. According to the National Institute of Neurological Disorders and Stroke, more than 780,000 strokes occur annually in the United States.

Contact: Cindy Fox Aisen
Indiana University School of Medicine

Related medicine news :

1. Weill Cornell awarded $1.8 million for translational blood cancer research
2. SU2C, Dutch Cancer Society announce new International Translational Cancer Research Grant recipients
3. U-Ms Taubman Institute awards inaugural $100,000 translational medical research prize
4. TMC institutions get $20 million renewal grant for translational medicine center
5. Moffitt cancer center researchers find novel predictor for MDS progression risk
6. Kessler Foundation presents Brain Injury: From Research to Rebuilding Lives on Sept. 27-28
7. HF/E researchers examine older adults willingness to accept help from robots
8. UNH researcher receives NFL Charities grant to advance work on football equipment
9. Wayne State University researcher recognized by American Psychological Association
10. Key research from the 2012 Breast Cancer Symposium highlights treatment advances for early breast cancer
11. Local talent: Global impact public invited to meet world-class researchers at Queens
Post Your Comments:
Related Image:
Translation of research into practice for post-stroke care goes national
(Date:6/25/2016)... ... June 25, 2016 , ... The temporary closing of Bruton Memorial Library on June 21 due ... up a new, often overlooked aspect of head lice: the parasite’s ability to live away ... a common occurrence, but a necessary one in the event that lice have simply gotten ...
(Date:6/25/2016)... ... June 25, 2016 , ... ... non-athletes recover from injury. Recently, he has implemented orthobiologic procedures as a method ... —Johnson is one of the first doctors to perform the treatment. Orthobiologics are ...
(Date:6/24/2016)... , ... June 24, 2016 , ... Those who have ... these feelings, many turn to unhealthy avenues, such as drug or alcohol abuse, as ... Michigan, has released tools for healthy coping following a traumatic event. , Trauma sufferers ...
(Date:6/24/2016)... ... June 24, 2016 , ... Global law firm Greenberg Traurig, P.A. ... The attorneys chosen by their peers for this recognition are considered among the top ... Shareholders received special honors as members of this year’s Legal Elite Hall of Fame: ...
(Date:6/24/2016)... ... ... People across the U.S. are sharpening their pencils and honing their writing ... which patients and their families pay tribute to a genetic counselor by nominating him ... Genetic Counselors (NSGC) Annual Education Conference (AEC) this September. , In April, Genome ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... 2016   Bay Area Lyme Foundation , ... Center for Tick Borne Illness , Harvard Medical ... Hacking Medicine, University of California, Berkeley, and the ... five finalists of Lyme Innovation , the ... 100 scientists, clinicians, researchers, entrepreneurs, and investors from ...
(Date:6/24/2016)... Va. , June 24, 2016 The ... set of recommendations that would allow biopharmaceutical ... (HCEI) with entities that make formulary and coverage decisions, ... the "value" of new medicines. The recommendations ... does not appear on the drug label, a prohibition ...
(Date:6/24/2016)... Research and Markets has announced the addition of the ... to their offering. ... World Market for Companion Diagnostics covers the world market for ... report includes the following: , World IVD ... (N. America, EU, ROW), 2015-2020 , World IVD Companion ...
Breaking Medicine Technology: