Stroke Resources and Supportive Documents

The Nebraska Stroke Advisory Council was created with the objective to raise awareness of stroke, promote stroke prevention and improve systems of stroke care throughout the state. Over the past few years, the Council has been working diligently putting together documents and protocols to aid Nebraska Hospitals in the task of improve and standardize stroke care across the State.

You can download the below documents including sample protocols and other supportive documents and resources to improve acute stroke treatment in your hospital. Our goal is to come together as a state and provide the best stroke care possible to the citizens of Nebraska.

Sample Protocols:



1.Wentworth DA, and Atkinson RP. Implementation of an acute stroke program decreases    hospitalization costs and length of stay. Stroke 1996;27(6): pp. 1040-1043.
2.Bowen J, and Yaste C. Effect of a stroke protocol on hospital costs of stroke patients. Neurology 1994;44(10): pp. 1961-1964.
3.Wentworth DA, and Atkinson RP. Implementation of an acute stroke program decreases hospitalization costs and length of stay. Stroke 1996;27(6): pp. 1040-1043.
4.Summers D, and Soper PA. Implementation and evaluation of stroke clinical pathways and the impact on cost of stroke care. J Cardiovasc Nurs 1998;13(1): pp. 69-87.
5.Odderson IR, and McKenna BS. A model for management of patients with stroke during the acute phase. Outcome and economic implications. Stroke 1993;24(12): pp. 1823-1827.
6.Newell SD, Jr., Englert J, Box-Taylor A, et al. Clinical efficiency tools improve stroke management in a rural southern health system. Stroke 1998;29(6): pp. 1092-1098
7.Adams HP, Brott TG, Furlan AJ, et al. Guidelines for thrombolytic therapy for acute stroke: a supplement to the guidelines for the management of patients with acute ischemic stroke. A statement for healthcare professionals from a special writing group of the Stroke Council, American Heart Association. Circulation 1996;94: pp. 1167-1174.
8.Albers GW, Bates VE, Clark WM, et al. Intravenous tissue-type plasminogen activator for treatment of acute stroke: the Standard Treatment with Alteplase to Reverse Stroke (STARS) study. JAMA 2000;283: pp. 1145-1150.
9.Lopez-Yunez AM, Bruno A, Williams LS, et al. Protocol violations in community-based rt-PA stroke treatment are associated with symptomatic intracerebral hemorrhage. Stroke 2001;32: pp. 12-16.
10.Tanne D, Bates VE, Verro P, et al. Initial clinical experience with IV tissue plasminogen activator for acute ischemic stroke: a multicenter survey. The t-PA Stroke Survey Group. Neurology 1999;53: pp. 424-427.
11.Halm EA, Lee C, and Chassin MR. Is volume related to outcome in health care? A systematic review and methodologic critique of the literature. Ann Intern Med 2002;137(6): pp. 511-520.
12.Nathens AB, Jurkovich GJ, Cummings P, et al. The effect of organized systems of trauma care on motor vehicle crash mortality. JAMA 2000;283(15): pp. 1990-1994.
13.Mann NC, Mullins RJ, MacKenzie EJ, et al. Systematic review of published evidence regarding trauma system effectiveness. J Trauma 1999;47(3 Suppl): pp. S25-S33.
14.Mullins RJ, and Mann NC. Population-based research assessing the effectiveness of trauma systems. J Trauma 1999;47(3 Suppl): pp. S59-S66.
15.Wenneker WW, Murray DHJ, and Ledwich T. Improved trauma care in a rural hospital after establishing a level II trauma center. Am J Surg 1990;160(6): pp. 655-657; discussion pp. 657-658.
16.Alberts MJ, Hademenos G, Latchaw RE, et al. Recommendations for the establishment of primary stroke centers. Brain Attack Coalition. JAMA 2000;283(23): pp. 3102-3109.
17.Jones, K., Mason, M., Shambaugh-Miller, M., & Xu, L. (2006). An assessment of acute stroke treatment in Nebraska hospitals. Lincoln, NE: Nebraska Health and Human Services System.
18.Jauch, E. C., et al Guideline for Healthcare Professionals From the American Heart Association/American Guidelines for the Early Management of Patients With Acute Ischemic Stroke : American Stroke Association. Stroke. 2013;44:870-947.