Recommendations for the establishment of stroke systems of care: recommendations from the American Stroke Association's Task Force on the Development of Stroke Systems.

Lee H. Schwamm, MD; Arthur Pancioli, MD; Joe E. Acker III, EMT-P, MPH, MS; Larry B. Goldstein, MD; Richard D. Zorowitz, MD; Timothy J. Shephard, PhD(c), CNRN, CNS; Peter Moyer, MD, MPH; Mark Gorman, MD; S. Claiborne Johnston, MPH, MD, PhD; Pamela W. Duncan, PhD; Phil Gorelick, MD; Jeffery Frank, MD; Steven K. Stranne, MD, JD; Renee Smith, MPA; William Federspiel, BA; Katie B. Horton, RN, JD; Ellen Magnis, MBA; Robert J. Adams, MD

[1]  B. McNeil,et al.  Improving quality of care through disease management: principles and recommendations from the American Heart Association's Expert Panel on Disease Management. , 2004, Stroke.

[2]  R. Gliklich,et al.  Get with the guidelines for cardiovascular secondary prevention: pilot results. , 2004, Archives of internal medicine.

[3]  Scott Hamilton,et al.  Association of outcome with early stroke treatment: pooled analysis of ATLANTIS, ECASS, and NINDS rt-PA stroke trials , 2004, The Lancet.

[4]  S. Mayer,et al.  Effect of acute physiologic derangements on outcome after subarachnoid hemorrhage* , 2004, Critical care medicine.

[5]  Joseph P Broderick,et al.  Eligibility for Recombinant Tissue Plasminogen Activator in Acute Ischemic Stroke: A Population-Based Study , 2004, Stroke.

[6]  Daniel W. Jones,et al.  Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. , 2003, Hypertension.

[7]  L. Lisabeth,et al.  Access to Care, Acculturation, and Risk Factors for Stroke in Mexican Americans: The Brain Attack Surveillance in Corpus Christi (BASIC) Project , 2003, Stroke.

[8]  David C. Hess,et al.  Remote Evaluation of Acute Ischemic Stroke: Reliability of National Institutes of Health Stroke Scale via Telestroke , 2003, Stroke.

[9]  S. Mayer,et al.  Impact of hospital-related factors on outcome after treatment of cerebral aneurysms. , 2003, Stroke.

[10]  F. Silver,et al.  Advertising Strategies to Increase Public Knowledge of the Warning Signs of Stroke , 2003, Stroke.

[11]  A. Pancioli,et al.  Feasibility of Neuroprotective Agent Administration by Prehospital Personnel in an Urban Setting , 2003, Stroke.

[12]  K. Slavin,et al.  Current management of intraventricular hemorrhage. , 2003, Surgical neurology.

[13]  D. Summers,et al.  Expanded Modes of Tissue Plasminogen Activator Delivery in a Comprehensive Stroke Center Increases Regional Acute Stroke Interventions , 2003, Stroke.

[14]  S. Warach,et al.  Impact of Establishing a Primary Stroke Center at a Community Hospital on the Use of Thrombolytic Therapy: The NINDS Suburban Hospital Stroke Center Experience , 2003, Stroke.

[15]  D. Hanley,et al.  Prevalence and knowledge of transient ischemic attack among US adults , 2003, Neurology.

[16]  K. York,et al.  Rural case management for stroke: the development of a community-based screening and education program. , 2003, Lippincott's case management : managing the process of patient care.

[17]  P. Heuschmann,et al.  Frequency of Thrombolytic Therapy in Patients With Acute Ischemic Stroke and the Risk of In-Hospital Mortality: The German Stroke Registers Study Group , 2003, Stroke.

[18]  R. Handschu,et al.  Emergency Calls in Acute Stroke , 2003, Stroke.

[19]  R. Grubb,et al.  Guidelines for the Early Management of Patients With Ischemic Stroke: A Scientific Statement From the Stroke Council of the American Stroke Association , 2003, Stroke.

[20]  M. Hammer,et al.  Quality Improvement and Tissue-Type Plasminogen Activator for Acute Ischemic Stroke: A Cleveland Update , 2003, Stroke.

[21]  P. Hu,et al.  Telemedicine for Acute Stroke: Triumphs and Pitfalls , 2003, Stroke.

[22]  S. Silliman,et al.  Use of a Field-to-Stroke Center Helicopter Transport Program to Extend Thrombolytic Therapy to Rural Residents , 2003, Stroke.

[23]  J. Sallis,et al.  American Heart Association guide for improving cardiovascular health at the community level: a statement for public health practitioners, healthcare providers, and health policy makers from the American Heart Association Expert Panel on Population and Prevention Science. , 2003, Circulation.

[24]  Bev O'Connell,et al.  The Educational Needs of Caregivers of Stroke Survivors in Acute and Community Settings , 2003, The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses.

[25]  R. Force,et al.  Detriments of tPA for acute stroke in routine clinical practice. , 2003, The Journal of family practice.

[26]  S. Jencks,et al.  Change in the quality of care delivered to Medicare beneficiaries, 1998-1999 to 2000-2001. , 2003, JAMA.

[27]  M. Sayre Damage control: past, present, and future of prehospital stroke management. , 2002, Emergency medicine clinics of North America.

[28]  A. Molyneux International Subarachnoid Aneurysm Trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised trial , 2002, The Lancet.

[29]  J. Concato,et al.  Thrombolysis for acute stroke in routine clinical practice. , 2002, Archives of internal medicine.

[30]  M. Hill,et al.  Stroke units in Canada. , 2002, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[31]  J. Suyama,et al.  Prehospital care of the stroke patient. , 2002, Emergency medicine clinics of North America.

[32]  James F Sallis,et al.  AHA Guidelines for Primary Prevention of Cardiovascular Disease and Stroke: 2002 Update: Consensus Panel Guide to Comprehensive Risk Reduction for Adult Patients Without Coronary or Other Atherosclerotic Vascular Diseases. American Heart Association Science Advisory and Coordinating Committee. , 2002, Circulation.

[33]  M. Oris,et al.  Sources and reasons for delays in the care of acute stroke patients , 2002, Journal of the Neurological Sciences.

[34]  Lalit Kalra,et al.  A multicentre observational study of presentation and early assessment of acute stroke , 2002, BMJ : British Medical Journal.

[35]  A. Sucov Primary and secondary prevention of stroke. , 2002, Medicine and health, Rhode Island.

[36]  P. Gorelick Stroke Prevention Therapy Beyond Antithrombotics: Unifying Mechanisms in Ischemic Stroke Pathogenesis and Implications for Therapy: An Invited Review , 2002, Stroke.

[37]  Laurie Atchity Dressman,et al.  Stroke Awareness and Knowledge Retention in Children: The Brain Child Project , 2002, Stroke.

[38]  G. Mcgwin,et al.  Impact of a Voluntary Trauma System on Mortality, Length of Stay, and Cost at a Level I Trauma Center , 2002, The American surgeon.

[39]  A. Demchuk,et al.  Improving Delivery of Acute Stroke Therapy: The TLL Temple Foundation Stroke Project , 2002, Stroke.

[40]  Sidney C. Smith,et al.  Recommendations for Improving the Quality of Care Through Stroke Centers and Systems: An Examination of Stroke Center Identification Options: Multidisciplinary Consensus Recommendations From the Advisory Working Group on Stroke Center Identification Options of the American Stroke Association , 2002, Stroke.

[41]  V. Hachinski,et al.  Extending Tissue Plasminogen Activator Use to Community and Rural Stroke Patients , 2002, Stroke.

[42]  A. Alexandrov,et al.  Intravenous tissue-type plasminogen activator therapy for ischemic stroke: Houston experience 1996 to 2000. , 2001, Archives of neurology.

[43]  Andrew R Anton,et al.  Building capacity for awareness and risk factor identification in the community: the blood pressure assessment program of the Calgary Fire Department. , 2001, The Canadian journal of cardiology.

[44]  D. Clair,et al.  Brave New Brain: Conquering Mental Illness in the Era of the Genome , 2002, Heredity.

[45]  Lalit Kalra,et al.  Can differences in management processes explain different outcomes between stroke unit and stroke-team care? , 2001, The Lancet.

[46]  S. Ornstein,et al.  Translating research into practice using electronic medical records the PPRNet-TRIP project: primary and secondary prevention of coronary heart disease and stroke. , 2001, Topics in health information management.

[47]  E. Antman,et al.  ACC/AHA/ESC Guidelines for the Management of Patients With Atrial Fibrillation: Executive Summary A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines and Policy Conference , 2001, Circulation.

[48]  S. Cramer,et al.  Treatment With Tissue Plasminogen Activator and Inpatient Mortality Rates for Patients With Ischemic Stroke Treated in Community Hospitals , 2001, Stroke.

[49]  T. Sappok,et al.  Compliance With Secondary Prevention of Ischemic Stroke: A Prospective Evaluation , 2001, Stroke.

[50]  A. Furlan,et al.  Community use of intravenous tissue plasminogen activator for acute stroke: results of the brain matters stroke management survey. , 2001, Stroke.

[51]  A. Gawlinski,et al.  Improved treatment of coronary heart disease by implementation of a Cardiac Hospitalization Atherosclerosis Management Program (CHAMP). , 2001, The American journal of cardiology.

[52]  P A Wolf,et al.  Primary prevention of ischemic stroke: A statement for healthcare professionals from the Stroke Council of the American Heart Association. , 2001, Circulation.

[53]  T. Gooding,et al.  Community-Based Education Improves Stroke Knowledge , 2001, Cerebrovascular Diseases.

[54]  P. Langhorne,et al.  Does the Organization of Postacute Stroke Care Really Matter? , 2001, Stroke.

[55]  S. Manzella,et al.  Establishment of Stroke Treatment Plans: One Hospital's Experience , 2000, The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses.

[56]  H. Lutsep,et al.  Emergi‐paths and Stroke Teams: An Emergency Department Approach to Acute Ischemic Stroke , 2000, The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses.

[57]  W. Rosamond,et al.  Determinants of Use of Emergency Medical Services in a Population With Stroke Symptoms: The Second Delay in Accessing Stroke Healthcare (DASH II) Study , 2000, Stroke.

[58]  J. Broderick,et al.  Combined Intravenous and Intra-Arterial Recombinant Tissue Plasminogen Activator in Acute Ischemic Stroke , 2000, Stroke.

[59]  G. Samsa,et al.  New transient ischemic attack and stroke: outpatient management by primary care physicians. , 2000, Archives of internal medicine.

[60]  A. Demchuk,et al.  Activation of emergency medical services for acute stroke in a nonurban population: the T.L.L. Temple Foundation Stroke Project. , 2000, Stroke.

[61]  A. Kramer,et al.  Outcome and Utilization Differences for Older Persons with Stroke in HMO and Fee‐for‐Service Systems , 2000, Journal of the American Geriatrics Society.

[62]  R E Latchaw,et al.  Recommendations for the establishment of primary stroke centers , 2000 .

[63]  A. Demchuk,et al.  Building a "brain attack" team to administer thrombolytic therapy for acute ischemic stroke. , 2000, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[64]  C. Sila,et al.  Use of tissue-type plasminogen activator for acute ischemic stroke: the Cleveland area experience. , 2000, JAMA.

[65]  A. Demchuk,et al.  Effectiveness of t-PA in acute ischemic stroke , 2000, Neurology.

[66]  J. Sariego Impact of a Formal Trauma Program on a Small Rural Hospital in Mississippi , 2000, Southern medical journal.

[67]  S. Kimmel,et al.  Helicopter transfer offers a potential benefit to patients with acute stroke. , 1999, Stroke.

[68]  J. Chalela,et al.  Safety of air medical transportation after tissue plasminogen activator administration in acute ischemic stroke. , 1999, Stroke.

[69]  J. Kvedar,et al.  Role for telemedicine in acute stroke. Feasibility and reliability of remote administration of the NIH stroke scale. , 1999, Stroke.

[70]  P A Wolf,et al.  Preventing ischemic stroke in patients with prior stroke and transient ischemic attack : a statement for healthcare professionals from the Stroke Council of the American Heart Association. , 1999, Stroke.

[71]  G. Kwakkel,et al.  Intensity of leg and arm training after primary middle-cerebral-artery stroke: a randomised trial , 1999, The Lancet.

[72]  W. Smith,et al.  Emergency medical services dispatcher identification of stroke and transient ischemic attack. , 1999, Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors.

[73]  J. Castillo,et al.  Deteriorating Stroke: Diagnostic Criteria, Predictors, Mechanisms and Treatment , 1999, Cerebrovascular Diseases.

[74]  R. Gonzaga-Camfield,et al.  Developing an emergency department team for treatment of stroke with recombinant tissue plasminogen activator. , 1999, Critical care nursing clinics of North America.

[75]  C. Chudnofsky,et al.  Emergency physician treatment of acute stroke with recombinant tissue plasminogen activator: a retrospective analysis. , 1999, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[76]  D. Cifu,et al.  Factors affecting functional outcome after stroke: a critical review of rehabilitation interventions. , 1999, Archives of physical medicine and rehabilitation.

[77]  Erica B. Stern,et al.  Community education for stroke awareness: An efficacy study. , 1999, Stroke.

[78]  J. Marler Early stroke diagnosis saves time. , 1999, Annals of emergency medicine.

[79]  T Brott,et al.  Cincinnati Prehospital Stroke Scale: reproducibility and validity. , 1999, Annals of emergency medicine.

[80]  J. Grotta,et al.  Guidelines for the management of spontaneous intracerebral hemorrhage: A statement for healthcare professionals from a special writing group of the Stroke Council, American Heart Association. , 1999, Stroke.

[81]  N L Greengold,et al.  Prevention of a first stroke: a review of guidelines and a multidisciplinary consensus statement from the National Stroke Association. , 1999, JAMA.

[82]  W. Rosamond,et al.  Time delays in accessing stroke care in the emergency department. , 1999, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[83]  S. Levine,et al.  "Telestroke" : the application of telemedicine for stroke. , 1999, Stroke.

[84]  G. S. Lavenson A new accurate, rapid and cost-effective protocol for stroke-prevention screening. , 1998, Cardiovascular surgery.

[85]  M. Alberts,et al.  Acute stroke teams: results of a national survey. National Acute Stroke Team Group. , 1998, Stroke.

[86]  L. Goldstein,et al.  North Carolina stroke prevention and treatment facilities survey: rtPA therapy for acute stroke. , 1998, Stroke.

[87]  D. Summers,et al.  Implementation and evaluation of stroke clinical pathways and the impact on cost of stroke care. , 1998, The Journal of cardiovascular nursing.

[88]  M Eckstein,et al.  Design and retrospective analysis of the Los Angeles Prehospital Stroke Screen (LAPSS). , 1998, Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors.

[89]  D. Matchar The value of stroke prevention and treatment , 1998, Neurology.

[90]  W. Smith,et al.  Accuracy of paramedic identification of stroke and transient ischemic attack in the field. , 1998, Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors.

[91]  S. Newell,et al.  Clinical efficiency tools improve stroke management in a rural southern health system. , 1998, Stroke.

[92]  S. Yeh,et al.  Outcomes of stroke patients in Medicare fee for service and managed care. , 1998, JAMA.

[93]  S. Slørdahl,et al.  Stroke unit treatment improves long-term quality of life: a randomized controlled trial. , 1998, Stroke.

[94]  Alfred J. Tuchfarber,et al.  Public perception of stroke warning signs and knowledge of potential risk factors. , 1998, JAMA.

[95]  G. Kongable,et al.  Code Stroke: Rapid Transport, Triage and Treatment Using rt‐PA Therapy , 1997, The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses.

[96]  J. Slattery,et al.  How do stroke units improve patient outcomes? A collaborative systematic review of the randomized trials. Stroke Unit Trialists Collaboration. , 1997, Stroke.

[97]  T Brott,et al.  Patients' awareness of stroke signs, symptoms, and risk factors. , 1997, Stroke.

[98]  N. Mann,et al.  Preferential benefit of implementation of a statewide trauma system in one of two adjacent states. , 1997, Journal of Trauma.

[99]  R. Lagoe,et al.  Development and Implementation of Clinical Pathways for Stroke on a Multihospital Basis , 1997, The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses.

[100]  G. DeFriese,et al.  Knowledge of risk among patients at increased risk for stroke. , 1997, Stroke.

[101]  L. Williams,et al.  Stroke patients' knowledge of stroke. Influence on time to presentation. , 1997, Stroke.

[102]  Langhorne,et al.  Collaborative systematic review of the randomised trials of organised inpatient (stroke unit) care after stroke , 1997, BMJ.

[103]  D. Trunkey,et al.  Influence of a statewide trauma system on pediatric hospitalization and outcome. , 1997, The Journal of trauma.

[104]  A. Kramer,et al.  Outcomes and costs after hip fracture and stroke. A comparison of rehabilitation settings. , 1997, JAMA.

[105]  P. Langhorne,et al.  Physiotherapy after stroke: more is better? , 1996, Physiotherapy research international : the journal for researchers and clinicians in physical therapy.

[106]  D. Trunkey,et al.  Influence of a statewide trauma system on location of hospitalization and outcome of injured patients. , 1996, The Journal of trauma.

[107]  R. Fogelholm,et al.  Factors delaying hospital admission after acute stroke. , 1996, Stroke.

[108]  Joseph P. Broderick,et al.  Tissue plasminogen activator for acute ischemic stroke. The National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group. , 1995 .

[109]  P. Lane,et al.  An evaluation of patient outcomes before and after trauma center designation using Trauma and Injury Severity Score analysis. , 1995, The Journal of trauma.

[110]  M. Kaste,et al.  Intravenous thrombolysis with recombinant tissue plasminogen activator for acute hemispheric stroke. The European Cooperative Acute Stroke Study (ECASS) , 1995, JAMA.

[111]  D B Matchar,et al.  US national survey of physician practices for the secondary and tertiary prevention of ischemic stroke. Design, service availability, and common practices. , 1995, Stroke.

[112]  L. Brass,et al.  Effects of a specialized team on stroke care. The first two years of the Yale Stroke Program. , 1995, Stroke.

[113]  T. Olsen,et al.  The effect of a stroke unit: reductions in mortality, discharge rate to nursing home, length of hospital stay, and cost. A community-based study. , 1995, Stroke.

[114]  J. Broderick,et al.  Frequency and accuracy of prehospital diagnosis of acute stroke. , 1995, Stroke.

[115]  J. Grotta,et al.  Current emergency department management of stroke in Houston, Texas. , 1995, Stroke.

[116]  J. Broderick,et al.  Urgent Therapy for Acute Stroke: Effects of a Stroke Trial on Untreated Patients , 1994, Stroke.

[117]  C. Warlow,et al.  Perceptions and knowledge of stroke among surviving patients with stroke and their carers. , 1994, Age and ageing.

[118]  D. Trunkey,et al.  Outcome of hospitalized injured patients after institution of a trauma system in an urban area. , 1994, JAMA.

[119]  L. Brass,et al.  Factors Associated With Early Presentation of Acute Stroke , 1993, Stroke.

[120]  J. Broderick,et al.  Time of hospital presentation in patients with acute stroke. , 1993, Archives of internal medicine.

[121]  M. Alberts,et al.  Effects of Public and Professional Education on Reducing the Delay in Presentation and Referral of Stroke Patients , 1992, Stroke.

[122]  W. Haskell,et al.  Effect of long-term community health education on blood pressure and hypertension control. The Stanford Five-City Project. , 1990, American journal of epidemiology.

[123]  R. Harmon,et al.  From the Health Resources and Services Administration. , 1990, JAMA.

[124]  C E Basch,et al.  A Review of Five Major Community-Based Cardiovascular Disease Prevention Programs. Part I: Rationale, Design, and Theoretical Framework , 1990, American journal of health promotion : AJHP.

[125]  W. Baxt,et al.  The impact of a regionalized trauma system on trauma care in San Diego County. , 1989, Annals of emergency medicine.

[126]  W G Baxt,et al.  Impact of a trauma system on outcome of severely injured patients. , 1987, Archives of surgery.

[127]  J. Ornato,et al.  Impact of improved emergency medical services and emergency trauma care on the reduction in mortality from trauma. , 1985, The Journal of trauma.

[128]  J. Noland,et al.  HOW IT WAS IN HOUSTON, TEXAS , 1969 .

[129]  G. Hankey,et al.  Organised inpatient (stroke unit) care for stroke , 2007 .

[130]  W. Thies,et al.  Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage A Statement for Healthcare Professionals From a Special Writing Group of the Stroke Council, American Heart Association , 2005 .

[131]  C. Molina,et al.  Selecting the target and the message for a stroke public education campaign: A local survey conducted by neurologists , 2004, European Journal of Epidemiology.

[132]  J. Dion,et al.  Management of ischemic stroke in the next decade: stroke centers of excellence. , 2004, Journal of vascular and interventional radiology : JVIR.

[133]  V. Singh,et al.  A Prospective Evaluation , 2004 .

[134]  P Sandercock,et al.  In-hospital care pathways for stroke. , 2002, The Cochrane database of systematic reviews.

[135]  J. Brice,et al.  Stroke: from recognition by the public to management by emergency medical services. , 2002, Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors.

[136]  Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) final report. , 2002, Circulation.

[137]  J. Milbrandt,et al.  Treating acute stroke patients with intravenous tPA. The OSF stroke network experience. , 2000, Stroke.

[138]  R. Latchaw,et al.  Recommendations for the establishment of primary stroke centers. Brain Attack Coalition. , 2000, JAMA.

[139]  R. Sahni Acute stroke: implications for prehospital care. National Association of EMS Physicians Standards and Clinical Practice Committee. , 2000, Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors.

[140]  L. Goldstein,et al.  North Carolina stroke prevention and treatment facilities survey. Statewide availability of programs and services. , 2000, Stroke.

[141]  M Eckstein,et al.  Identifying stroke in the field. Prospective validation of the Los Angeles prehospital stroke screen (LAPSS). , 2000, Stroke.

[142]  J. Meschia Management of acute ischemic stroke. What is the role of tPA and antithrombotic agents? , 2000, Postgraduate medicine.

[143]  B. Skolnick Guidelines for acute stroke treatment centers. , 1999, Physical medicine and rehabilitation clinics of North America.

[144]  D. Tanné,et al.  Initial clinical experience with IV tissue plasminogen activator for acute ischemic stroke: a multicenter survey. The t-PA Stroke Survey Group. , 1999, Neurology.

[145]  J. Broderick,et al.  Acute stroke: delays to presentation and emergency department evaluation. , 1999, Annals of emergency medicine.

[146]  S. Fagan,et al.  Cost-effectiveness of tissue plasminogen activator for acute ischemic stroke. , 1999, Neurology.

[147]  J. Grotta,et al.  Intravenous tissue plasminogen activator for acute ischemic stroke: feasibility, safety, and efficacy in the first year of clinical practice. , 1998, Stroke.

[148]  W. Rosamond,et al.  Rapid response to stroke symptoms: the Delay in Accessing Stroke Healthcare (DASH) study. , 1998, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[149]  T. Cheng Thromboembolism prophylaxis in chronic atrial fibrillation: practice patterns in community and tertiary-care hospitals. , 1997, Stroke.

[150]  A systems approach to immediate evaluation and management of hyperacute stroke. Experience at eight centers and implications for community practice and patient care. The National Institute of Neurological Disorders and Stroke (NINDS) rt-PA Stroke Study Group. , 1997, Stroke.

[151]  P. Fréchette,et al.  Trauma center designation: initial impact on trauma-related mortality. , 1995, The Journal of trauma.

[152]  K J Ottenbacher,et al.  The results of clinical trials in stroke rehabilitation research. , 1993, Archives of neurology.