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Get With the Guidelines-Stroke (GWTG-Stroke)


The Get With The Guidelines (GWTG)-Stroke Program was developed by the American Heart Association/American Stroke Association (AHA/ASA) as a national stroke registry and performance improvement program with the primary goal of improving the quality of care and outcomes for stroke and TIA by promoting consistent adherence to the latest scientific treatment guidelines as well as serve as a scientific resource for new information. The primary goal of GWTG-Stroke program is to improve the quality of care and outcomes for patients hospitalized with stroke and transient ischemic attack (TIA). The GWTG-Stroke registry helps achieve this goal in a variety of ways, including enabling high caliber stroke research, promoting stroke center designation, supporting hospital level quality improvement, and driving the creation of regional stroke systems.


American Heart Association and American Stroke Association (AHA and ASA)

Data Years Available






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The registry collects patient level data on characteristics, diagnostic testing, treatments, adherence to quality measures, and in-hospital outcomes in patients hospitalized with stroke and transient ischemic attack (TIA). Hospitals can also report 30-Day Measures about patients in the 30-day period after hospitalization, such as mortality, re-hospitalization, follow-up visits, medication adherence, rehabilitation, and patient education.

Population covered



Data submission and feedback reporting are performed using the American Heart Association’s Patient Management Tool™ (PMT), an online, interactive system.

Response rate and sample size

Between 2003 and 2013, 1,656 hospitals have entered more than two million patient records into the Get With The Guidelines-Stroke database.

Interpretation Issues

Participation in stroke registries like GWTG-Stroke is voluntary and varies substantially by region. Low participation in some areas reflects a variety of factors including a lack of state-level support, a competitive or autonomous health care culture, and financial barriers. Wider implementation of GWTG-Stroke and other stroke registries will support improved stroke care across the country.