Evolution of ”The Guideline Advantage”: Lessons Learned From the Front Lines of Outpatient Performance Measurement

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AHA: 4/30/14 Heart disease, cancer, stroke, and diabetes mellitus collectively account for >1.37 million US deaths each year. Compounding the tragedy is the knowledge that many of those deaths could be avoided through better application of clinical guidelines related to primary and secondary prevention or dis- ease management. The combined control of blood pressure, lipids, and […]

Sex differences and stroke prevention

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The Lancet Neurology: April 2014 International Women’s Day was fast approaching as this issue of The Lancet Neurology went to press, so it seemed appropriate to celebrate the publication of the first set of guidelines to focus exclusively on the prevention of stroke in women. The guidelines from the American Heart Association (AHA) and the American Stroke Association identify stroke risk […]

State of the Science Nursing Review

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STROKEAHA: February 4, 2014 The National Institutes of Health Stroke Scale (NIHSS) is used widely among stroke neurologists and neuroscience nurses. It is most commonly used with acute ischemic stroke (AIS) but is also used to assess patients after hemorrhagic stroke or a suspected transient ischemic attack. The scale is used widely to assess patient status […]

Risk Adjustment of Ischemic Stroke Outcomes for Comparing Hospital Performance

AHA: January 23, 2014 Background and Purpose—Stroke is the fourth-leading cause of death and a leading cause of long-term major disability in the United States. Measuring outcomes after stroke has important policy implications. The primary goals of this consensus statement are to (1) review statistical considerations when evaluating models that define hospital performance in providing stroke […]

No Need to Screen All Adults for Clogged Neck Arteries, Experts Say

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Healthday:  Feb 17, 2014Only people with history of stroke should get regular scans, U.S. panel concludes MONDAY, Feb. 17, 2014 (HealthDay News) — Adults in the general population should not be screened for narrowing of the neck arteries, according to a draft recommendation from the influential U.S. Preventive Services Task Force (USPSTF). Narrowing of the neck […]

Dronedarone for Atrial Fibrillation The Limited Reliability of Clinical Practice Guidelines

JAMA: February 17, 2014 Concerns have been expressed about the reliability of clinical practice guidelines. We analyzed 3 guidelines from medical specialty societies about dronedarone hydrochloride, an antiarrhythmic drug related to amiodarone hydrochloride, for treatment of patients with atrial fibrillation. We compared the recommendations in these guidelines with the conclusions about dronedarone that we reached by applying […]

Stroke Outcomes Measures Must Be Appropriately Risk Adjusted To Ensure Quality Care of Patients

American Heart Association- Stroke: February 12, 2014 Because stroke is among the leading causes of death, disability, hospitalizations, and healthcare expenditures in the United States, there is interest in reporting outcomes for patients hospitalized with acute ischemic stroke. The American Heart Association/American Stroke Association, as part of its commitment to promote high-quality, evidence-based care for cardiovascular […]

Ahajournals: February 6, 2014 Purpose—The aim of this statement is to summarize data on stroke risk factors that are unique to and more common in women than men and to expand on the data provided in prior stroke guidelines and cardiovascular prevention guidelines for women. This guideline focuses on the risk factors unique to women, such as reproductive factors, and those that are more common in women, including migraine with aura, obesity, metabolic syndrome, and atrial fibrillation. Read More

Ahajournals: February 6, 2014 Purpose—The aim of this statement is to summarize data on stroke risk factors that are unique to and more common in women than men and to expand on the data provided in prior stroke guidelines and cardiovascular prevention guidelines for women. This guideline focuses on the risk factors unique to women, such […]

Recommendations for the Management of Cerebral and Cerebellar Infarction With Swelling

AHA: January 30, 2014 A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association Background and Purpose—There are uncertainties surrounding the optimal management of patients with brain swelling after an ischemic stroke. Guidelines are needed on how to manage this major complication, how to provide the best comprehensive neurological and medical care, and […]

Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Disease Risk in Adults: Synopsis of the 2013 ACC/AHA Cholesterol Guideline

American College of Physicians: January 28, 2014 Description: In November 2013, the American College of Cardiology and American Heart Association (ACC/AHA) released a clinical practice guideline on the treatment of blood cholesterol to reduce cardiovascular risk in adults. This synopsis summarizes the major recommendations. Methods: In 2008, the National Heart, Lung, and Blood Institute convened the Adult Treatment […]

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