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Recommendations for the establishment of primary stroke centers

the Primary Stroke Center. This comprehensive commitment ensures the delivery of high quality and efficient care to acute stroke patients.

  • Neuroimaging -- The ability to perform brain imaging studies on acute stroke patients is vital for physicians to make a fast, accurate diagnosis of stroke patients. Brain imaging studies include CT scans. A Primary Stroke Center must be capable of performing an imaging study within 25 minutes of the physicians order. The image should be evaluated by a physician within 20 minutes of completion.

  • Laboratory Services -- Standard laboratory services should be available around-the-clock, seven days per week at a Primary Stroke Center. Standard laboratory services include rapidly performing and reporting blood counts, blood chemistries and coagulation studies. A Primary Stroke Center also should be able to rapidly obtain ECG and chest x-rays.

  • Outcomes/Quality Improvement -- Primary Stroke Centers should have a database or registry for tracking the number and type of stroke patients seen, their treatments, timeline for treatments and some measurement of patient outcome.

  • Educational Programs -- The professional staff of a Primary Stroke Center should receive at least eight hours per year of continuing medical education credit. In addition to professional education, the Primary Stroke Center should plan and implement at least two annual programs to educate the public about stroke prevention, diagnosis and availability for emergency treatment.


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    • Contact: Margo Warren or Marian Emr
    301-496-5751
    NIH/National Institute of Neurological Disorders and Stroke
    19-Jun-2000


    Page: 1 2

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