Main Outcomes and Measures
stroke, Stroke, ischemic stroke
STROKE, TRANSIENT ISCHEMIC ATTACK, STROKE, ISCHEMIC STROKE, SECONDARY, REGRESSION
The prespecified primary outcome was the proportion of patients hospitalized with ischemic stroke or transient ischemic attack from Flint who received thrombolysis before and after the intervention. The association between thrombolysis and the Stroke Ready combined intervention, including the ED and community components, was estimated using logistic regression models, clustering at the hospital level and adjusting for time and stroke type. In prespecified secondary analyses, the ED and community intervention were explored separately, adjusting for hospital, time, and stroke type.