Pharmacy, Health Sciences & Exercise Science
Event Title
Adherence to Stroke Clinical Practice Guidelines for Acute Stroke Management at IU Methodist Hospital
Document Type
Oral Presentation
Location
Indianapolis, IN
Subject Area
Pharmacy, Health Sciences & Exercise Science
Start Date
11-4-2014 8:30 AM
End Date
11-4-2014 10:00 AM
Sponsor
Kevin Tuohy (Butler University)
Description
Background: Stroke is the third leading cause of death in the United States with an average of one stroke occurring every 40 seconds. National annual expenditures relating to patient care after stroke totals 38.6 billion dollars and can cause lifelong disability and loss of income. Of the Midwest, Indiana has the highest incidence of stroke with these risk factors present in approximately 60 percent of Hoosiers aged 40 to 70, making it important to ensure patients can expect to receive the highest standard of care based on research and guidance from years of research.
Purpose: Timely stroke management based on clinical guidelines can reduce the chances of disability and long term complications.
Study Objective: The overall objective is to evaluate and compare the newest guidelines to actual practice at IU Methodist Hospital in Indianapolis, Indiana, in order to evaluate where and why discrepancies in treatment occur.
Methods: This study will be submitted to the Institutional Review Board for approval prior to commencement. A retrospective chart review will be utilized to collect data for up to 100 patients admitted with ischemic stroke between March 1, 2013 and September 30, 2013. Patients will be excluded if they are under eighteen or over eighty-nine years of age, had a hemorrhagic stroke, or were pregnant at the time of admission. The following data will be collected from the patient's course of admission without patient identifiers and while maintaining confidentially: mortality, blood pressure control, tPA administration, comorbidities, initiation and appropriateness of antiplatelet therapy, VTE prophylaxis, and statin use.
Significance: The study's findings will give an indication to guideline compliance and practice trends for treatment of acute ischemic stroke in Indiana. The study results can aid in analyzing and optimizing current practices. Identifying such gaps between practice and evidence based guidelines will help further enhance stroke care and continue the decreasing trend of stroke mortality.
Results: Data collection is currently in progress and will be presented at the URC.
Adherence to Stroke Clinical Practice Guidelines for Acute Stroke Management at IU Methodist Hospital
Indianapolis, IN
Background: Stroke is the third leading cause of death in the United States with an average of one stroke occurring every 40 seconds. National annual expenditures relating to patient care after stroke totals 38.6 billion dollars and can cause lifelong disability and loss of income. Of the Midwest, Indiana has the highest incidence of stroke with these risk factors present in approximately 60 percent of Hoosiers aged 40 to 70, making it important to ensure patients can expect to receive the highest standard of care based on research and guidance from years of research.
Purpose: Timely stroke management based on clinical guidelines can reduce the chances of disability and long term complications.
Study Objective: The overall objective is to evaluate and compare the newest guidelines to actual practice at IU Methodist Hospital in Indianapolis, Indiana, in order to evaluate where and why discrepancies in treatment occur.
Methods: This study will be submitted to the Institutional Review Board for approval prior to commencement. A retrospective chart review will be utilized to collect data for up to 100 patients admitted with ischemic stroke between March 1, 2013 and September 30, 2013. Patients will be excluded if they are under eighteen or over eighty-nine years of age, had a hemorrhagic stroke, or were pregnant at the time of admission. The following data will be collected from the patient's course of admission without patient identifiers and while maintaining confidentially: mortality, blood pressure control, tPA administration, comorbidities, initiation and appropriateness of antiplatelet therapy, VTE prophylaxis, and statin use.
Significance: The study's findings will give an indication to guideline compliance and practice trends for treatment of acute ischemic stroke in Indiana. The study results can aid in analyzing and optimizing current practices. Identifying such gaps between practice and evidence based guidelines will help further enhance stroke care and continue the decreasing trend of stroke mortality.
Results: Data collection is currently in progress and will be presented at the URC.