Predictors of increased intravenous tissue plasminogen activator use among hospitals participating in the massachusetts primary stroke service program
Circulation: Cardiovascular Quality and Outcomes, 05/17/2012
Rost NS et al. – In this nearly complete capture of statewide data, rates of IV tPA improved significantly in Massachusetts from 2005 to 2008 in association with a state Primary Stroke Service designation program. Further studies are needed to confirm that treatment disparities exist for older acute ischemic stroke patients and that the rates of thrombolysis have increased above and beyond secular trends.



