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| Stroke Center at Massachusetts General Hospital | |
|---|---|
| Name | Stroke Center at Massachusetts General Hospital |
| Org | Massachusetts General Hospital |
| Location | Boston, Massachusetts |
| Country | United States |
| Type | Teaching hospital |
| Affiliation | Harvard Medical School |
| Founded | 1811 (Massachusetts General Hospital) |
| Beds | 999 |
Stroke Center at Massachusetts General Hospital
The Stroke Center at Massachusetts General Hospital is a specialized clinical, research, and training program within Massachusetts General Hospital in Boston, Massachusetts, affiliated with Harvard Medical School. It provides acute stroke care, cerebrovascular surgery, neurocritical care, and outpatient stroke prevention services, collaborating with regional systems such as Massachusetts Department of Public Health, New England Regional Stroke Network, and emergency services including Boston EMS. The center participates in multicenter research consortia and national guideline development with organizations like the American Heart Association, American Stroke Association, and the National Institutes of Health.
The center integrates services across inpatient units, including the Neurocritical Care Unit, the Comprehensive Stroke Center model, and outpatient clinics in coordination with departments such as Neurology, Neurosurgery, Radiology, and Emergency Medicine. Clinical pathways emphasize rapid reperfusion through protocols informed by trials from groups such as the Endovascular Therapy for Ischemic Stroke (ETIS) trialists and partnerships with device manufacturers and consortia like Society of NeuroInterventional Surgery and American College of Radiology. The program supports quality initiatives aligned with accrediting bodies such as The Joint Commission and national registries like Get With The Guidelines (Stroke).
Stroke care at Massachusetts General Hospital evolved from early 19th-century general medicine within Massachusetts General Hospital to specialized neuroscience services influenced by key events, including the development of computed tomography at Massachusetts General Hospital and advances in thrombolysis following landmark trials such as the National Institute of Neurological Disorders and Stroke (NINDS) tPA trial and the MR CLEAN trial. The growth of interventional neuroradiology at centers like Massachusetts General Hospital paralleled innovations at institutions including Johns Hopkins Hospital, Mayo Clinic, and Cleveland Clinic. Collaboration with federal funders such as the National Institutes of Health and foundations like the American Heart Association supported expansion into comprehensive stroke programs and telestroke networks reaching rural areas in Massachusetts and New England.
Clinical services include hyperacute stroke care with intravenous thrombolysis and mechanical thrombectomy, coordinated through an acute stroke team drawn from Neurology, Neurosurgery, Interventional Neuroradiology, and Anesthesiology. Advanced imaging capabilities include Computed Tomography and Magnetic Resonance Imaging protocols developed with Radiology and research partners at Broad Institute and Massachusetts Institute of Technology. Rehabilitation services partner with Physical Therapy and Occupational Therapy teams and external centers such as Spaulding Rehabilitation Hospital. Subspecialty programs address stroke prevention in atrial fibrillation with input from Cardiology and arrhythmia specialists who use guidelines from the American College of Cardiology and device trials that involved companies and consortia tied to the Food and Drug Administration approval processes.
The center conducts investigator-initiated and multicenter trials funded by agencies including the National Institutes of Health, private foundations such as the Lasker Foundation, and industry collaborations. Research spans acute reperfusion, neuroprotection, stroke recovery, and health services research with collaborators at institutions like Harvard Medical School, Massachusetts Institute of Technology, Broad Institute, Beth Israel Deaconess Medical Center, Brigham and Women's Hospital, and international partners in Europe and Asia. Investigators publish in journals such as The New England Journal of Medicine, The Lancet, Stroke (journal), and JAMA. The center participates in registries including Get With The Guidelines (Stroke) and trials pioneered by networks like the StrokeNet consortium.
Educational programs include residency and fellowship training for Neurology residents, Neurosurgery residents, and fellows in vascular neurology, neurocritical care, and endovascular surgical neuroradiology, with curricular oversight from Harvard Medical School. Trainees engage in multidisciplinary conferences with faculty from departments such as Radiology and Emergency Medicine and participate in national meetings like the American Academy of Neurology annual meeting, European Stroke Organisation congresses, and Society for Neuroscience symposia. Continuing medical education for community providers is provided through partnerships with the Massachusetts Department of Public Health and regional stroke networks.
The Stroke Center maintains metrics for door-to-needle and door-to-groin times, in-hospital mortality, and functional outcomes at discharge using scales such as the Modified Rankin Scale and tools endorsed by the American Heart Association. Accreditation and certification are maintained with The Joint Commission Comprehensive Stroke Center criteria and state-level requirements administered by the Massachusetts Department of Public Health. Quality improvement efforts leverage data from Get With The Guidelines (Stroke) and collaborative initiatives shared with centers like Mayo Clinic, Cleveland Clinic, and Johns Hopkins Hospital.
Leadership draws from faculty with appointments at Harvard Medical School who hold roles across Neurology, Neurosurgery, Radiology, and Anesthesiology. Senior investigators and clinicians collaborate regionally with leaders at Brigham and Women's Hospital, Beth Israel Deaconess Medical Center, and national organizations including the American Heart Association and Society of NeuroInterventional Surgery. Faculty contributions include guideline authorship, leadership on NIH-funded consortia such as StrokeNet, and editorial roles in journals like Stroke (journal) and Neurology (journal).
Category:Hospitals in Boston Category:Harvard Medical School