Stroke patients receive better care if they have their stroke outside the hospital than in the hospital. These worrisome findings come from a study based on data from the American Heart Association's Get With the Guidelines program.
"Maybe the emergencies we are least prepared for are the emergencies that happen in our very own backyard," Ethan Cumbler, MD, said here at Hospital Medicine 2013. ...
Defect-free care, defined as the proportion of patients who received all of the achievement-measure interventions for which they were eligible, was significantly worse for in-hospital stroke than for community-onset stroke... .
"The gap in defect-free care was larger than I expected," Dr. Cumbler told Medscape Medical News.This also might show the value of being an advocate for someone in the hospital.