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Weekend Stroke Care More Aggressive, But Not Better

Here is an intersting story…one that, at least on the surface is crying out for at least two things:
1) Transparent quality and outcome metrics
2) Comparative Effectiveness Research
 
NEW YORK (Reuters Health) – There is never a good time to have a stroke, but a new study suggests that a person who suffers a stroke on a weekend is more apt to get clot-busting therapy on arrival at the hospital than a person who suffers a stroke on a weekday.
 
But later in the article there is this:
 
Putting those figures together could suggest that the clot-buster tPA wasn’t doing much good. In fact, that authors note that patients who received tPA were more likely to die in the hospital. Dr. Lawrence B. Goldstein, director of the Duke Stroke Center in Durham, North Carolina, and spokesperson for the American Heart Association said the results were not surprising, since “no clinical trials ever showed that treatment with a (clot buster) improves survival.”
 
http://www.reuters.com/article/idUSTRE60A5C020100111
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January 12, 2010 - Posted by | Chronic conditions, healthcare, quality | , , ,

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