Get access

Management of ischemic stroke: Part 2. The inpatient stay

Authors

  • Christine Lu-Emerson MD,

    1. Department of Neurology, School of Medicine, University of Washington, Seattle, Washington
    Search for more papers by this author
  • David Likosky MD,

    Corresponding author
    1. Department of Medicine, Hopitalist Program, Stroke Program, Evergreen Hospital Medical Center, Kirkland, Washington
    2. Clinical Faculty, Department of Neurology, School of Medicine, University of Washington, Seattle, Washington
    • MS 105, 12040 NE 128th St, Kirkland, WA 98034
    Search for more papers by this author
    • Telephone: 425-899-2560; Fax: 425-899-2079

  • Alpesh Amin MD, MBA, FACP,

    1. Department of Medicine, Hospitalist Program, University of California, Irvine, California
    Search for more papers by this author
  • David Tirschwell MD, MSc

    1. Department of Neurology, School of Medicine, University of Washington, Seattle, Washington
    2. University of Washington (UW) Medicine Stroke Center, Harborview Medical Center, Seattle, Washington
    Search for more papers by this author

  • Disclosure: David Likosky and Alpesh Amin performed research and contributed to a supplement that was supported by Boehringer Ingelheim Pharmaceuticals, Inc. Alpesh Amin also discloses a research/speaker's bureau relationship with sanofi aventis.

Abstract

BACKGROUND:

Acute ischemic stroke is commonly encountered by the hospitalist. There have been dramatic changes in our ability to care for these patients both acutely and in secondary prevention. The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) primary stroke center certification has become progressively more important to institutions nationally and emphasizes many elements of the inpatient stay and discharge process.

PURPOSE:

After admission, the focus changes to avoidance of complications and the appropriate initiation of allied therapies and secondary prevention.

DATA SOURCES:

Primary trials, current guidelines.

CONCLUSIONS:

The hospitalist is well-positioned to play a major role in the treatment of stroke patients as well as the systems work that aids in the management of this population. Journal of Hospital Medicine 2010;5:88–93. © 2010 Society of Hospital Medicine.

Ancillary