International Stroke Association Meeting, American Stroke Association
2003 Phoenix

The North Carolina Collaborative Stroke Registry: A Prototype for the Paul Coverdell National Acute Stroke Registry

Wayne D. Rosamond, Kelly R. Evenson, Claire Moncrief, Ana Felix, Andrew W. Asimos

In June of 2002, North Carolina became one of 8 states participating in a CDC funded initiative to produce prototypes of the Paul Coverdell National Acute Stroke Registry. The North Carolina Collaborative Acute Stroke Registry has developed and is testing methods of case identification, enrollment, and data collection in 8 North Carolina Hospitals. The proposed poster will describe the information gathered during both the prospective (patient identification and enrollment through patient interviews), and the retrospective (medical record abstraction) aspects of the registry. To date over 900 cases have been enrolled prospectively. Preliminary analysis of the current available 100 cases with complete medical record abstraction, indicate a low level of Thrombolytic therapy in acute stroke (3%), rare use of stroke scales by EMS (5%), and infrequent smoking cessation counseling at discharge (4%). We also found that 37% of cases arriving by EMS did not have trip sheets available and that 51% of the medical records were missing symptom onset time. However, the time of symptom onset was obtained in 97% of the cases enrolled prospectively through patient interviews. The Registry's data collection period will continue through May and a more complete data set will be presented the Tri-State Stroke Summit. The results of the registry will help us gain insight to the feasibility of a state wide registry, the current state of stroke care in North Carolina , and how to enhance that care.