title: Acute ischemic stroke in hospitalized medicare patients: evaluation and treatment.
abstract: OBJECTIVE
  This study describes several quality indicators of care in hospitalized stroke patients in Michigan from 1998 to 1999.
  
  
  METHODS
  Median times from admission to head CT/MRI (89.5 minutes) and thrombolysis (113 minutes) exceeded recommended guidelines. Deep venous thrombosis prophylaxis was used in only 13.8% of eligible patients.
  
  
  CONCLUSIONS
  Timing for brain imaging and acute ischemic stroke symptom onset need to be better documented, along with more provider education for routine deep venous thrombosis prophylaxis.
authors.affiliation: Michigan Peer Review Organization, Plymouth, Mich 48170, USA. croychou@mpro.org
authors.forename: Canopy
authors.initials: C
authors.lastname: Roychoudhury
authors.forename: Bradley S
authors.initials: BS
authors.lastname: Jacobs
authors.forename: Patricia L
authors.initials: PL
authors.lastname: Baker
authors.forename: Daniel
authors.initials: D
authors.lastname: Schultz
authors.forename: Rajendra H
authors.initials: RH
authors.lastname: Mehta
authors.forename: Steven R
authors.initials: SR
authors.lastname: Levine
mesh_terms: D000208:Acute Disease; D000368:Aged; D002545:Brain Ischemia / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D019983:Guideline Adherence / Q000706:statistics & numerical data; D006282:Health Personnel / Q000193:education; D006761:Hospitals / Q000592:standards*; D006801:Humans; D008279:Magnetic Resonance Imaging; D006278:Medicare / Q000706:statistics & numerical data*; D008824:Michigan; D019984:Quality Indicators, Health Care / Q000706:statistics & numerical data; D020521:Stroke / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D015912:Thrombolytic Therapy / Q000706:statistics & numerical data; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D020246:Venous Thrombosis / Q000517:prevention & control