Recommendations for the Establishment of Stroke Systems of Care: A 2019 Update

Opeolu Adeoye, Karin V. Nyström, Dileep R. Yavagal, Jean Luciano, Raul G. Nogueira, Richard D. Zorowitz, Alexander A. Khalessi, Cheryl Bushnell, William G. Barsan, Peter Panagos, Mark J. Alberts, A. Colby Tiner, Lee H. Schwamm, Edward C. Jauch

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

In 2005, the American Stroke Association published recommendations for the establishment of stroke systems of care and in 2013 expanded on them with a statement on interactions within stroke systems of care. The aim of this policy statement is to provide a comprehensive review of the scientific evidence evaluating stroke systems of care to date and to update the American Stroke Association recommendations on the basis of improvements in stroke systems of care. Over the past decade, stroke systems of care have seen vast improvements in endovascular therapy, neurocritical care, and stroke center certification, in addition to the advent of innovations, such as telestroke and mobile stroke units, in the context of significant changes in the organization of healthcare policy in the United States. This statement provides an update to prior publications to help guide policymakers and public healthcare agencies in continually updating their stroke systems of care in light of these changes. This statement and its recommendations span primordial and primary prevention, acute stroke recognition and activation of emergency medical services, triage to appropriate facilities, designation of and treatment at stroke centers, secondary prevention at hospital discharge, and rehabilitation and recovery.

Original languageEnglish (US)
Pages (from-to)e187-e210
JournalStroke
Volume50
Issue number7
DOIs
StatePublished - Jul 1 2019

Fingerprint

Stroke
Primary Prevention
Delivery of Health Care
Triage
Certification
Emergency Medical Services
Secondary Prevention
Publications
Rehabilitation
Organizations
Therapeutics

Keywords

  • AHA Scientific Statements
  • brain
  • neurology
  • primary prevention
  • secondary prevention

ASJC Scopus subject areas

  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine
  • Advanced and Specialized Nursing

Cite this

Adeoye, O., Nyström, K. V., Yavagal, D. R., Luciano, J., Nogueira, R. G., Zorowitz, R. D., ... Jauch, E. C. (2019). Recommendations for the Establishment of Stroke Systems of Care: A 2019 Update. Stroke, 50(7), e187-e210. https://doi.org/10.1161/STR.0000000000000173

Recommendations for the Establishment of Stroke Systems of Care : A 2019 Update. / Adeoye, Opeolu; Nyström, Karin V.; Yavagal, Dileep R.; Luciano, Jean; Nogueira, Raul G.; Zorowitz, Richard D.; Khalessi, Alexander A.; Bushnell, Cheryl; Barsan, William G.; Panagos, Peter; Alberts, Mark J.; Tiner, A. Colby; Schwamm, Lee H.; Jauch, Edward C.

In: Stroke, Vol. 50, No. 7, 01.07.2019, p. e187-e210.

Research output: Contribution to journalArticle

Adeoye, O, Nyström, KV, Yavagal, DR, Luciano, J, Nogueira, RG, Zorowitz, RD, Khalessi, AA, Bushnell, C, Barsan, WG, Panagos, P, Alberts, MJ, Tiner, AC, Schwamm, LH & Jauch, EC 2019, 'Recommendations for the Establishment of Stroke Systems of Care: A 2019 Update', Stroke, vol. 50, no. 7, pp. e187-e210. https://doi.org/10.1161/STR.0000000000000173
Adeoye O, Nyström KV, Yavagal DR, Luciano J, Nogueira RG, Zorowitz RD et al. Recommendations for the Establishment of Stroke Systems of Care: A 2019 Update. Stroke. 2019 Jul 1;50(7):e187-e210. https://doi.org/10.1161/STR.0000000000000173
Adeoye, Opeolu ; Nyström, Karin V. ; Yavagal, Dileep R. ; Luciano, Jean ; Nogueira, Raul G. ; Zorowitz, Richard D. ; Khalessi, Alexander A. ; Bushnell, Cheryl ; Barsan, William G. ; Panagos, Peter ; Alberts, Mark J. ; Tiner, A. Colby ; Schwamm, Lee H. ; Jauch, Edward C. / Recommendations for the Establishment of Stroke Systems of Care : A 2019 Update. In: Stroke. 2019 ; Vol. 50, No. 7. pp. e187-e210.
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