Establishing a Stroke Response Team in a Rural Setting

Abstract

Stroke, a substantial public health problem because of high incidence, prevalence, mortality and economic burden, is the leading cause of long-term disability and the third leading cause of death in the United States (National Institute of Health, 2005). Improvements have been made in the management of ischemic stroke, including the use of a fibrinolytic agent known as tissue plasminogen activator (tPA), and the utilization of stroke response teams. While larger hospitals have the capabilities of instituting improvements, rural hospitals still lack the resources and ability to offer this vital service. The organization of a stroke response team can vary depending on location. However, all such teams can facilitate rapid evaluation and treatment of patients with stroke, thus allowing hospital systems to respond in organized, efficient, and emergent ways. Such rapid responses prevent extensive disability: “time is brain.” This manuscript discusses the effectiveness of a stroke response team on tPA utilization and offers an algorithm for rural hospitals to follow.
https://doi.org/10.14574/ojrnhc.v8i1.129
PDF

Authors who publish with this journal agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share (for non-commerical purposes) the work with an acknowledgement of the work's authorship and initial publication in this journal.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).