Text Size




Resource Center

Despite the availability of on-site hospital resources, between 4 and 17 percent of strokes (31,000 to 134,000 strokes each year) occur in patients who are already in the hospital for other reasons. Times-to-treatment for in-hospital strokes can be significantly longer compared with strokes that occur outside of the hospital. Further, patient morbidity and mortality are also worse for in-hospital strokes.

As part of an 18-month pilot program that includes a multi-tiered approach to educating hospital staff on the issues surrounding in-hospital stroke, National Stroke Association has developed the In-Hospital Stroke Resource Center to provide easy access to multiple professional education opportunities that aim to improve hospital processes that reduce time-to-treatment, deliver guidelines-based treatment and improve outcomes for patients with in-hospital strokes.

National Stroke Association Educational Activities

Optimizing our Response to In-Hospital Strokes
This grand rounds series, developed by experts Ethan Cumbler, MD, and Soojin Park, MD, takes a case-based approach in educating hospital staff on the impact of in-hospital stroke, the causes of and where in the hospital they most likely occur and current treatment options. More information...

Improving In-Hospital Stroke through QI Interventions
An accredited webinar for Stroke Center Network™, Stroke Rehabilitation and Recovery Network™ and Professional Society members only. Learn how quality processes have improved in-hospital stroke care metrics and about successful intervention models, tools, and processes that they can apply in their respective situations. View Archive now.

In-Hospital Stroke Quality Improvement Toolkit

This toolkit was designed to assist hospitals in decreasing the time between stroke alert and CT to ultimately improve patient outcomes. Each tool is customizable to encompass individual hospital processes and protocols.

Criteria for In-hospital Stroke Alerts

In-hospital Stroke Practice Trial

In-hospital Stroke Alert Nursing Card

In-hospital Stroke Alert Protocol Card

In-hospital Stroke Feedback Assessment

In-hospital Stroke Alert Record

Other In-Hospital Stroke Presentations

Quality of Care For In-Hospital Stroke: Analysis of a State-wide Registry. Presented November 2009.

In-hospital Acute Ischemic Stroke. Presented April 2009. 

In-Hospital Stroke:  An Evidence-Based Approach to Recognition and Management. Presented August 2007.

In-Hospital Stroke Response Teams: What One Hospital Has Learned. Presented February 2007.

Additional National Stroke Association CME/CE activities on stroke.

Evidence-Based Publications

Stroke Alert Program Improves Recognition and Evaluation Time of In-Hospital Ischemic Stroke. Not yet available.

Comparison of the Characteristics for In-Hospital and Out-of-Hospital Ischaemic Strokes. Published May 2009.

In-Hospital Stroke in a Statewide Stroke Registry. Published 2008.

The Safety and Efficacy of Thrombolysis for Strokes After Cardiac Catheterization.  Published 2008.

Reducing Stroke In-Hospital Mortality: Organized Care Is a Complex Intervention. Published September 2008.

In-Hospital Stroke Treated With Intravenous Tissue Plasminogen Activator. Published July 2008.

Hospitals Need Equivalent of "Code Blue" for Stroke Patients, Canadian Study Shows. Published February 2008.

In-Hospital Stroke Patients More Likely to Die: Study. Published February 2008. 

In-hospital Stroke: Clinical Profile and Expectations for Treatment. Published January 2008.

In-Hospital Onset Ischemic Stroke May Be Associated with Atrial Fibrillation and Right-to-Left Shunt. Published March 2007.

Inpatient and Community Ischemic Strokes in a University Hospital. Published January 2007.

Stroke Complicating Cardiac Catheterization – A Preventable and Treatable Complication. Published January 2007.

Characteristics of In-Hospital Onset Ischemic Stroke. Published 2006.

Successful Intra-Arterial Thrombolysis for Acute  Ischemic Stroke in the Immediate Postpartum Period: Case Report. Published September 2006.

Incidence of Stroke after Myocardial Infarction: A Meta-Analysis. Published April 2006.

In-Hospital Stroke. Published December 2003.

Code Gray – An Organized Approach to Inpatient Stroke. Published October 2003.

Thrombolytic Therapy for Delayed, In-Hospital Stroke After Cardiac Surgery. Published February 2003.

Stroke in Hospitalized Patients: Are There Special Risk Factors? Published 2002.

Safety of Intra-Arterial Thrombolysis in the Postoperative Period. Published 2001.

Safety and Efficacy of Intraarterial Thrombolysis for Perioperative Stroke After Cardiac Operation. Published 2001.

Retrospective Case Note Review of Acute and Inpatient Stroke Outcomes. Published 2000.


The content and views presented in these educational programs are those of the authors and do not necessarily reflect those of National Stroke Association. Before prescribing any medicine, primary references and full prescribing information should be consulted.

back to top

Get Involved

Stroke and You

National Stroke Association

9707 E. Easter Lane, Suite B
Centennial, CO 80112