1,000+ stroke patients / year1,000+ stroke patients / year24x7x365 stroke neurology,24x7x365 stroke neurology,
neurosonology and n.radiolneurosonology and n.radiolservicesservices4 Stroke Center EDs4 Stroke Center EDs
EMS brings usEMS brings us46% of all strokes46% of all strokes50% < 2 hrs50% < 2 hrs75% < 5 hrs75% < 5 hrs
100+ TPA/year100+ TPA/year17% of all ischemic17% of all ischemic stroke pts. stroke pts. 28% treated < 2hrs28% treated < 2hrs
Post-Intervention City-Wide Stroke Center Development --Results
• Of all HFD-EMS transported stroke patients, those taken to Stroke Centers increased from 58% to 70%
• Door to CT times decreased:– By 8% to 30.5 minutes +/- 21.3 in 2 previously designated
stroke centers.– By 27% to 52.6 minutes +/- 45.6 in newly trained stroke
centers.
• Door to needle time decreased from mean of 68 minutes (+/- 28), to 54 minutes (+/- 11).
• Thrombolysis treatment rate increased from 7.4% to 10.8% across all 6 centers.