Title: MMWR Vol. 58 / No. SS-7
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Surveillance Summaries
Volume 58, No. SS-7
November 6, 2009
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Paul Coverdell National Acute
Stroke Registry Surveillance
Four States, 2005--2007
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Each year, approximately 795,000 persons in the United States experience a new or recurrent stroke. Data from the prototype phase (2001–2004) of the Paul Coverdell National Acute Stroke Registry (PCNASR) suggested that numerous acute stroke patients did not receive treatment according to established guidelines. This report summarizes PCNASR data collected during 2005–2007 from Georgia, Illinois, Massachusetts, and North Carolina, the first states to have PCNASRs
implemented in
and led by state health departments. Adherence to acute stroke care measures defined by PCNASR were as follows: received antithrombotic therapy at discharge (97.6%), received antithrombotic therapy within 48 hours of admission or by the end of the second hospital day (94.6%), assessed for rehabilitation services (90.1%), received deep venous thrombosis prophylaxis (85.5%), received anticoagulation therapy for atrial fibrillation (82.5%), received smoking cessation counseling (78.6%), received
lipid level testing (69.9%), received stroke education (58.8%), received dysphagia screening (56.7%), and received tissue plasminogen activator (among eligible patients) (39.8%). Results from PCNASR indicate the need for additional public health measures to inform the public of the need for timely activation of EMS services for signs and symptoms of stroke. In addition, low rates of adherence to certain measures of stroke care underscore the need for continuing coordinated programs to improve
stroke quality of care.
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Department of Health and Human Services
Centers for Disease Control and Prevention
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