be stroke smart-presented by good samaritan hospital

Harmeet S. Sachdev, MD, FAAN Director, Stroke Center

Good Samaritan Hospital Good Samaritan Hospital Comprehensive Stroke CenterComprehensive Stroke Center

14th Annual Stroke Update May 21, 2014

1996 First to give IV tPA on July 2, 1996 in a Community Hospital Setting

1997 Stroke Team “Brain Attack” protocol

2003 Among first 5 in the US to become certified Primary Stroke Center

2004 Mechanical revascularization, MERCI Device

2005 Time window to 8 hours, recertified as Primary Stroke Center

2007 Bi-plane imaging, NIR treatment, recertified as Primary Stroke Center

2008 CT Perfusion technology, time window to “Wake Up Stroke”

2009 Recertified as Primary Stroke Center

2011-2012 Certified Comprehensive Stroke Center (Among 13 community / 68 in US)

Good Samaritan HospitalGood Samaritan HospitalThe Leader in Stroke CareThe Leader in Stroke Care

Landmarks/AccomplishmentsLandmarks/Accomplishments

Good Samaritan Hospital Stroke CenterGood Samaritan Hospital Stroke Center Stroke Data 1996 – 2013Stroke Data 1996 – 2013

Total Stroke Patients = 8027Total Stroke Patients = 8027

Brain Attacks3 Hour Window (1997-2004: 794/2761, 29%)8 Hour Window (2005- 2013: 2179/5135, 42%)

2013: 333

Good Samaritan Hospital Stroke Center1996 – 2013 IV tPA: 348

Time Window: 4.5 Hours

Good Samaritan Hospital Stroke Center

Outcome Data1996 – 2013 IV tPA: 348Time Window: 4.5 Hours

Treatment Time Window

Onset ofStroke

Symptoms

Start ofNeurointerventional

Treatment

3 Hours 8 3 Hours 8 HoursHours

Good Samaritan Hospital Stroke CenterGood Samaritan Hospital Stroke CenterIV tPA+ Endovascular Treatment IV tPA+ Endovascular Treatment

Patients: 688 1996 –2013Patients: 688 1996 –2013

IVtPA – 348 Endovascular – 340 (285 IVtPA – 348 Endovascular – 340 (285 Ischemic/55 SAH) Ischemic/55 SAH)

Good Samaritan Hospital Stroke Data Treatment of Hemorrhagic Stroke

2012-2013

Good Samaritan Hospital Stroke Data Endovascular and Surgical Treatment of Ischemic Stroke

2012-2013

Devices: Solataire, TREVO, Penumbra, MERCI

Endovascular TreatmentTime Window: 8 hours 2005 –2013

Patients: 285NIHSS: 21

Complications

Neuro Interventional TreatmentTime Window: 8 Hours

2005-2013 Patients: 285NIHSS Average: 21

Nationwide Mortality: 34%