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  1. Article ; Online: Defining Optimal Brain Health in Adults: A Presidential Advisory From the American Heart Association/American Stroke Association.

    Gorelick, Philip B / Furie, Karen L / Iadecola, Costantino / Smith, Eric E / Waddy, Salina P / Lloyd-Jones, Donald M / Bae, Hee-Joon / Bauman, Mary Ann / Dichgans, Martin / Duncan, Pamela W / Girgus, Meighan / Howard, Virginia J / Lazar, Ronald M / Seshadri, Sudha / Testai, Fernando D / van Gaal, Stephen / Yaffe, Kristine / Wasiak, Hank / Zerna, Charlotte

    Stroke

    2017  Volume 48, Issue 10, Page(s) e284–e303

    Abstract: Cognitive function is an important component of aging and predicts quality of life, functional independence, and risk of institutionalization. Advances in our understanding of the role of cardiovascular risks have shown them to be closely associated with ...

    Abstract Cognitive function is an important component of aging and predicts quality of life, functional independence, and risk of institutionalization. Advances in our understanding of the role of cardiovascular risks have shown them to be closely associated with cognitive impairment and dementia. Because many cardiovascular risks are modifiable, it may be possible to maintain brain health and to prevent dementia in later life. The purpose of this American Heart Association (AHA)/American Stroke Association presidential advisory is to provide an initial definition of optimal brain health in adults and guidance on how to maintain brain health. We identify metrics to define optimal brain health in adults based on inclusion of factors that could be measured, monitored, and modified. From these practical considerations, we identified 7 metrics to define optimal brain health in adults that originated from AHA's Life's Simple 7: 4 ideal health behaviors (nonsmoking, physical activity at goal levels, healthy diet consistent with current guideline levels, and body mass index <25 kg/m
    MeSH term(s) Adult ; Advisory Committees/standards ; American Heart Association ; Brain/physiology ; Cognition Disorders/epidemiology ; Cognition Disorders/physiopathology ; Cognition Disorders/prevention & control ; Health Behavior/physiology ; Health Promotion/methods ; Health Promotion/standards ; Humans ; Stroke/epidemiology ; Stroke/physiopathology ; Stroke/prevention & control ; United States/epidemiology
    Language English
    Publishing date 2017-09-07
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 80381-9
    ISSN 1524-4628 ; 0039-2499 ; 0749-7954
    ISSN (online) 1524-4628
    ISSN 0039-2499 ; 0749-7954
    DOI 10.1161/STR.0000000000000148
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 448: Show issues Location:
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  2. Article ; Online: Translating evidence into practice: a decade of efforts by the American Heart Association/American Stroke Association to reduce death and disability due to stroke: a presidential advisory from the American Heart Association/American Stroke Association.

    Schwamm, Lee / Fayad, Pierre / Acker, Joseph E / Duncan, Pamela / Fonarow, Gregg C / Girgus, Meighan / Goldstein, Larry B / Gregory, Tammy / Kelly-Hayes, Margaret / Sacco, Ralph L / Saver, Jeffrey L / Segrest, Wendy / Solis, Penelope / Yancy, Clyde W

    Stroke

    2010  Volume 41, Issue 5, Page(s) 1051–1065

    MeSH term(s) Advisory Committees/trends ; American Heart Association ; Disability Evaluation ; Evidence-Based Medicine/methods ; Evidence-Based Medicine/trends ; Humans ; Mortality/trends ; Societies, Medical/trends ; Stroke/diagnosis ; Stroke/mortality ; Stroke/therapy ; United States/epidemiology
    Language English
    Publishing date 2010-05
    Publishing country United States
    Document type Comparative Study ; Journal Article
    ZDB-ID 80381-9
    ISSN 1524-4628 ; 0039-2499 ; 0749-7954
    ISSN (online) 1524-4628
    ISSN 0039-2499 ; 0749-7954
    DOI 10.1161/STR.0b013e3181d2da7d
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Translating research into practice for healthcare providers: the American Heart Association's strategy for building healthier lives, free of cardiovascular diseases and stroke.

    Jones, Daniel W / Peterson, Eric D / Bonow, Robert O / Masoudi, Frederick A / Fonarow, Gregg C / Smith, Sidney C / Solis, Penelope / Girgus, Meighan / Hinton, Patricia C / Leonard, Anne / Gibbons, Raymond J

    Circulation

    2008  Volume 118, Issue 6, Page(s) 687–696

    Abstract: The American Heart Association's (AHA's) mission is "to build healthier lives, free of cardiovascular diseases and stroke." This first article in a 2-part series will serve to present an overview of the work the AHA has undertaken to translate evidence ... ...

    Abstract The American Heart Association's (AHA's) mission is "to build healthier lives, free of cardiovascular diseases and stroke." This first article in a 2-part series will serve to present an overview of the work the AHA has undertaken to translate evidence into practice for healthcare professionals. It describes the extensive work of the AHA to support and further the delivery of evidence-based medicine, which includes the following: (1) supporting scientific discovery and the next generation of healthcare professionals and researchers; (2) disseminating scientific information; (3) developing evidence-based guidelines and statements; (4) creating and advocating for the implementation of performance indicators/measures; (5) developing clinical decision support and quality improvement tools; and (6) developing directed-cause campaigns, all of which can lead to improved patient care. This article also discusses the need for novel approaches and some of the AHA's evolving strategies to help address gaps in care. The second article, which will be published shortly after this one, will examine the AHA's efforts to engage and empower healthcare consumers to become more involved with their own health and health care.
    MeSH term(s) American Heart Association ; Evidence-Based Medicine ; Health Promotion ; Heart Diseases/prevention & control ; Humans ; Information Dissemination ; Practice Guidelines as Topic/standards ; Stroke/prevention & control ; United States
    Language English
    Publishing date 2008-08-05
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 80099-5
    ISSN 1524-4539 ; 0009-7322 ; 0069-4193 ; 0065-8499
    ISSN (online) 1524-4539
    ISSN 0009-7322 ; 0069-4193 ; 0065-8499
    DOI 10.1161/CIRCULATIONAHA.108.189934
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Partnering to reduce risks and improve cardiovascular outcomes: American Heart Association initiatives in action for consumers and patients.

    Jones, Daniel W / Peterson, Eric D / Bonow, Robert O / Gibbons, Raymond J / Franklin, Barry A / Sacco, Ralph L / Faxon, David P / Bufalino, Vincent J / Redberg, Rita F / Metzler, Neil M / Solis, Penelope / Girgus, Meighan / Rogers, Kathy / Wayte, Patrick / Gardner, Timothy J

    Circulation

    2009  Volume 119, Issue 2, Page(s) 340–350

    MeSH term(s) American Heart Association ; Cardiovascular Diseases/epidemiology ; Cardiovascular Diseases/prevention & control ; Cardiovascular Diseases/therapy ; Consumer Behavior ; Health Promotion/methods ; Health Promotion/trends ; Humans ; Patient Satisfaction ; Public-Private Sector Partnerships/trends ; Risk Factors ; Treatment Outcome ; United States
    Language English
    Publishing date 2009-01-20
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 80099-5
    ISSN 1524-4539 ; 0009-7322 ; 0069-4193 ; 0065-8499
    ISSN (online) 1524-4539
    ISSN 0009-7322 ; 0069-4193 ; 0065-8499
    DOI 10.1161/CIRCULATIONAHA.108.191328
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: The American Heart Association's recommendations for expanding the applications of existing and future clinical registries: a policy statement from the American Heart Association.

    Bufalino, Vincent J / Masoudi, Frederick A / Stranne, Steven K / Horton, Katie / Albert, Nancy M / Beam, Craig / Bonow, Robert O / Davenport, Roger L Vern / Girgus, Meighan / Fonarow, Gregg C / Krumholz, Harlan M / Legnini, Mark W / Lewis, William R / Nichol, Graham / Peterson, Eric D / Rumsfeld, John S / Schwamm, Lee H / Shahian, David M / Spertus, John A /
    Woodard, Pamela K / Yancy, Clyde W

    Circulation

    2011  Volume 123, Issue 19, Page(s) 2167–2179

    MeSH term(s) American Heart Association ; Cardiovascular Diseases/therapy ; Clinical Medicine/trends ; Humans ; Outcome Assessment (Health Care)/methods ; Policy ; Quality Assurance, Health Care/methods ; Registries ; Stroke/therapy ; United States
    Language English
    Publishing date 2011-05-17
    Publishing country United States
    Document type Consensus Development Conference ; Journal Article
    ZDB-ID 80099-5
    ISSN 1524-4539 ; 0009-7322 ; 0069-4193 ; 0065-8499
    ISSN (online) 1524-4539
    ISSN 0009-7322 ; 0069-4193 ; 0065-8499
    DOI 10.1161/CIR.0b013e3182181529
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Establishing data elements for the Paul Coverdell National Acute Stroke Registry: Part 1: proceedings of an expert panel.

    Wattigney, Wendy A / Croft, Janet B / Mensah, George A / Alberts, Mark J / Shephard, Timothy J / Gorelick, Philip B / Nilasena, David S / Hess, David C / Walker, Michael D / Hanley, Daniel F / Shwayder, Patti / Girgus, Meighan / Neff, Linda J / Williams, Janice E / LaBarthe, Darwin R / Collins, Janet L

    Stroke

    2003  Volume 34, Issue 1, Page(s) 151–156

    Abstract: Background and purpose: Stroke is the third-leading cause of death and a leading cause of disability in adults in the United States. In recent years, leaders in the stroke care community identified a national registry as a critical tool to monitor the ... ...

    Abstract Background and purpose: Stroke is the third-leading cause of death and a leading cause of disability in adults in the United States. In recent years, leaders in the stroke care community identified a national registry as a critical tool to monitor the practice of evidence-based medicine for acute stroke patients and to target areas for continuous quality of care improvements. An expert panel was convened by the Centers for Disease Control and Prevention to recommend a standard list of data elements to be considered during development of prototypes of the Paul Coverdell National Acute Stroke Registry.
    Methods: A multidisciplinary panel of representatives of the Brain Attack Coalition, professional associations, nonprofit stroke organizations, and federal health agencies convened in February 2001 to recommend key data elements. Agreement was reached among all participants before an element was added to the list.
    Results: The recommended elements included patient-level data to track the process of delivering stroke care from symptom onset through transport to the hospital, emergency department diagnostic evaluation, use of thrombolytic therapy when indicated, other aspects of acute care, referral to rehabilitation services, and 90-day follow-up. Hospital-level measures pertaining to stroke center guidelines were also recommended to augment patient-level data.
    Conclusions: Routine monitoring of the suggested parameters could promote community awareness campaigns, support quality improvement interventions for stroke care and stroke prevention in each state, and guide professional education in hospital and emergency system settings. Such efforts would reduce disability and death among stroke patients.
    MeSH term(s) Advisory Committees ; Data Collection ; Disease Management ; Female ; Humans ; Male ; Quality of Health Care ; Registries ; Stroke/diagnosis ; Stroke/therapy ; United States
    Language English
    Publishing date 2003-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80381-9
    ISSN 1524-4628 ; 0039-2499 ; 0749-7954
    ISSN (online) 1524-4628
    ISSN 0039-2499 ; 0749-7954
    DOI 10.1161/01.str.0000048160.41821.b5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 448: Show issues Location:
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  7. Article ; Online: Recommendations for improving the quality of care through stroke centers and systems: an examination of stroke center identification options: multidisciplinary consensus recommendations from the Advisory Working Group on Stroke Center Identification Options of the American Stroke Association.

    Adams, Robert / Acker, Joe / Alberts, Mark / Andrews, Liz / Atkinson, Richard / Fenelon, Kathy / Furlan, Anthony / Girgus, Meighan / Horton, Katie / Hughes, Richard / Koroshetz, Walter / Latchaw, Richard / Magnis, Ellen / Mayberg, Marc / Pancioli, Arthur / Robertson, Rose Marie / Shephard, Tim / Smith, Rene / Smith, Sidney C /
    Smith, Suzanne / Stranne, Steven K / Kenton, Edgar J / Bashe, Gil / Chavez, Altagracia / Goldstein, Larry / Hodosh, Richard / Keitel, Cindy / Kelly-Hayes, Margaret / Leonard, Anne / Morgenstern, Lewis / Wood, Jack Owen

    Stroke

    2002  Volume 33, Issue 1, Page(s) e1–7

    Abstract: Background and purpose: The American Stroke Association (ASA) assembled a multidisciplinary group of experts to develop recommendations regarding the potential effectiveness of establishing an identification program for stroke centers and systems. " ... ...

    Abstract Background and purpose: The American Stroke Association (ASA) assembled a multidisciplinary group of experts to develop recommendations regarding the potential effectiveness of establishing an identification program for stroke centers and systems. "Identification" refers to the full spectrum of models for assessing and recognizing standards of quality care (self-assessment, verification, certification, and accreditation). A primary consideration is whether stroke center identification might improve patient outcomes.
    Methods: In February 2001, ASA, with the support of the Stroke Council's Executive Committee, decided to embark on an evaluation of the potential impact of stroke center identification. HealthPolicy R&D was selected to prepare a comprehensive report. The investigators reported on models outside the area of stroke, ongoing initiatives within the stroke community (such as Operation Stroke), and state and federal activities designed to improve care for stroke patients. The investigators also conducted interviews with thought leaders in the stroke community, representing a diverse sampling of specialties and affiliations. In October 2001, the Advisory Working Group on Stroke Center Identification developed its consensus recommendations. This group included recognized experts in neurology, emergency medicine, emergency medical services, neurological surgery, neurointensive care, vascular disease, and stroke program planning.
    Results: There are a variety of existing identification programs, generally falling within 1 of 4 categories (self-assessment, verification, certification, and accreditation) along a continuum with respect to intensity and scope of review and consumption of resources. Ten programs were evaluated, including Peer Review Organizations, trauma centers, and new efforts by the National Committee on Quality Assurance and the Joint Commission on the Accreditation of Healthcare Organizations to identify providers and disease management programs. The largest body of literature on clinical outcomes associated with identification programs involves trauma centers. Most studies support that trauma centers and systems lead to improved mortality rates and patient outcomes. The Advisory Working Group felt that comparison to the trauma model was most relevant given the need for urgent evaluation and treatment of stroke. The literature in other areas generally supports the positive impact of identification programs, although patient outcomes data have less often been published. In the leadership interviews, participants generally expressed strong support for pursuing some form of voluntary identification program, although concerns were raised that this effort could meet with some resistance.
    Conclusions: Identification of stroke centers and stroke systems competencies is in the best interest of stroke patients in the United States, and ASA should support the development and implementation of such processes. The purpose of a stroke center/systems identification program is to increase the capacity for all hospitals to treat stroke patients according to standards of care, recognizing that levels of involvement will vary according to the resources of hospitals and systems.
    MeSH term(s) Accreditation ; Certification ; Government ; Health Resources ; Humans ; Quality Assurance, Health Care/legislation & jurisprudence ; State Government ; Stroke/economics ; Stroke/therapy ; Technology Assessment, Biomedical ; Trauma Centers/standards ; Treatment Outcome ; United States
    Language English
    Publishing date 2002-01
    Publishing country United States
    Document type Consensus Development Conference ; Journal Article ; Review
    ZDB-ID 80381-9
    ISSN 1524-4628 ; 0039-2499 ; 0749-7954
    ISSN (online) 1524-4628
    ISSN 0039-2499 ; 0749-7954
    Database MEDical Literature Analysis and Retrieval System OnLINE

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