Stroke Care

Stroke Care Indicators (click on indicator below to learn more)

NA=no cases identified for indicator

Camden average
(01/14-03/14)

Brunswick average
(01/14-03/14)

Georgia average*
(10/12-09/13)

US average*
(10/12-09/13)

Number of records reviewed for these indicators during time period 3 cases 41 cases NA NA
Venous Thromboembolism (VTE) Prophylaxis 100% 85.4% 91% 93%
Discharged on Antithrombolic Therapy 100% 100% 98% 99%
Anticoagulation Therapy for Atrial Fibrillation/Flutter NA 100% 93% 95%
Thrombolytic Therapy NA 100% (1 case) 53% 63%
Antithrombolic Therapy by end of hospital day 2 100% 100% 96% 98%
Discharged on Statin Medication 100% 100% 94% 94%
Stroke Education 100% 88.0% 84% 87%
Assessment for Rehabilitation 100% 95.2% 97% 97%

* Georgia and US average percentages are delayed 6-7 months

 

What does this indicator mean?

Venous Thromboembolism (VTE) Prophylaxis - The percentage (%) of stroke patients receiving venous thrombosis and embolism (VTE) prevention therapies during their hospital stay. Deep vein thrombosis (DVT) is the result of a clot that forms in one of the large veins in the body - most often in the legs or pelvis. It is important to deliver preventative therapies against DVTs to stroke patients with either medication or mechanical compression boots while they are in the hospital. Stroke patients have an increased risk of developing DVTs and the subsequent life-threatening complication of pulmonary embolism if the clot travels from the leg or pelvis to the lungs. Stroke patients need to continue preventative therapies when they are discharged from the hospital.

Discharged on Antithrombolic Therapy - The percentage (%) of stroke patients prescribed antithrombotic medication at discharge. Many stroke patients need to continue using antithrombotic medication after discharge from the hospital to reduce the risk for recurrence of stroke. Anticoagulation Therapy for Atrial Fibrillation/Flutter - The percentage (%) of stroke patients, who also have atrial fibrillation / flutter, receiving anticoagulation therapy at discharge. Atrial fibrillation is a condition where the top chamber (atrium) of the heart does not beat normally. Blood can pool in the atrium because it does not contract with a strong squeeze. Blood clots can form and travel to other places in the body. Blood thinning (anticoagulant) medications like Coumadin (Warfarin) can decrease the risk of a blood clot forming. Blood thinning levels require close monitoring on a routine basis to ensure you are receiving the proper dose.

Thrombolytic Therapy – The percentage (%) of patients diagnosed and treated for ischemic stroke and who arrived at our Emergency Department within 2 hours of their stroke symptoms beginning and receive medication to dissolve blot clots that cause the blockages in blood flow to the brain. To be most effective, stroke patients should receive IV-rtPA within 3 hours of the onset of stroke symptoms. Thus, reducing the time to administration of IV-rtPA in the Emergency Department is critical to providing the best emergency care for stroke patients.

Antithrombolic Therapy by end of hospital day 2 - The percentage (%) of patients treated with antithrombotic or antiplatelet medications by the end of the 2nd day in the hospital. Antiplatelet therapy may reduce the risk of a recurrent stroke by more than 20 percent. Most patients benefit from the most common antiplatelet medication, aspirin, which is used for both the management of acute ischemic stroke and for the prevention of stroke.

Stroke Education – The percentage (%) of stroke patients or their caregivers who received education at time of discharge for Activation of emergency medical system, the need for follow up after discharge, list of medications prescribed at discharge, risk factors for stroke and warning signs/symptoms of a stroke.

Discharged on Statin Medication - The percentage (%) of stroke patients who are prescribed cholesterol-lowering statin medications at discharge. Patients with elevated levels of lipids (fats), including cholesterol and triglycerides, in their blood are at risk for stroke and for developing coronary heart disease (CHD). Lipid levels can almost always be lowered with a combination of diet, weight loss, exercise, and cholesterol lowering medications called statins. As lipid levels fall, so does the risk of developing coronary heart disease, as well as the risk of suffering a stroke.

Assessment for Rehabilitation - The percentage (%) of stroke patients who are assessed for rehabilitation services at discharge. A stroke can cause damage to the brain, and make it difficult for a patient to resume normal daily activities. Rehabilitation after a stroke may help a patient return to their home and their normal daily activities. Rehabilitation can help patients live with any remaining effects of a stroke.