Recent studies suggest that patients with stroke may benefit if medical care begins as soon as possible after the onset of symptoms. The goal of this research project is to evaluate pre- hospital care of acute stroke patients in Seattle, Washington. In this population based study we will identify and characterize all patients admitted to a hospital in Seattle from 1990 through 1994 and discharged with a diagnosis of acute ischemic or hemorrhagic stroke using the Comprehensive Hospitals Abstract Reporting System (CHARS) databases maintained by Washington State. Next we will identify and characterize all patients treated by pre-hospital emergency medicine personnel using databases maintained by the Medic One organization and Shepard Lifefleet, a private ambulance company. The databases will be merged, allowing determination of: 1) the proportion of all patients with a hospital discharge diagnosis of stroke who are treated by pre-hospital emergency medical personnel; 2) the sensitivity, specificity and predictive values of a pre-hospital diagnosis of stroke relative to the hospital discharge diagnosis.

Agency
National Institute of Health (NIH)
Institute
National Institute of Neurological Disorders and Stroke (NINDS)
Type
Postdoctoral Individual National Research Service Award (F32)
Project #
5F32NS010445-02
Application #
2735526
Study Section
Epidemiology and Disease Control Subcommittee 2 (EDC)
Program Officer
Marler, John R
Project Start
1998-07-01
Project End
Budget Start
1998-07-01
Budget End
1999-06-30
Support Year
2
Fiscal Year
1998
Total Cost
Indirect Cost
Name
University of Washington
Department
Neurology
Type
Schools of Medicine
DUNS #
135646524
City
Seattle
State
WA
Country
United States
Zip Code
98195
Becker, K; Fruin, M; Gooding, T et al. (2001) Community-based education improves stroke knowledge. Cerebrovasc Dis 11:34-43
Becker, K J; Baxter, A B; Bybee, H M et al. (1999) Extravasation of radiographic contrast is an independent predictor of death in primary intracerebral hemorrhage. Stroke 30:2025-32