be stroke smart-presented by good samaritan hospital
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Good SamaritanTRANSCRIPT
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%
