A stroke, sometimes called a “brain attack”, occurs when blood flow to the brain is interrupted. When a stroke occurs, brain cells in the immediate area begin to die because they stop getting the oxygen and nutrients they need to function. Stroke can cause a loss of the ability to speak, memory problems, or paralysis on one side of the body. Getting the right care at the right time can help reduce the risk of complication and another stroke. The measures reported in this section show some of the standards of stroke care that Partners HealthCare hospitals follow, for adults who have had a stroke.
This measure looks specifically at hospital patients who have had an ischemic stroke and are not walking independently. It tracks the percentage of those patients who received therapy to prevent DVT or VTE by the end of their second day in the hospital.
For many patients who have had an acute ischemic stroke or transient ischemic attack (TIA), antithrombotic therapy, which is a type of medication that can help prevent blood clots in brain arteries, can reduce mortality and complications when it is started within two days of symptom onset.
Among patients who have had an ischemic stroke or transient ischemic attack (TIA), the measure looks at the percentage of patients who were discharged from the hospital on antithrombotic therapy, which can reduce stroke mortality and complications for many patients.
Among patients who have had an ischemic stroke or transient ischemic attack (TIA) and also have atrial fibrillation/flutter, the measures looks at the percentage who were prescribed anticoagulant medication when they were discharged from the hospital.
This measure shows the percentage of patients admitted with an ischemic stroke who got a prescription for a statin before they were discharged from the hospital. Statins are medications that can help lower LDL (bad) cholesterol levels.
Among patients who have had an ischemic stroke, this measure looks at the percentage of patients or caregivers who were given education and/or educational materials during their hospital stay.
The risk of having a stroke doubles for smokers, when compared to non-smokers. Among patients who have had an ischemic stroke or TIA with a history of smoking, this measure looks at the percentage of patients who were given counseling during their hospital stays to help them quit smoking.
Studies have found that the sooner patients who have an ischemic stroke receive intravenous t-PA, a medication that breaks up blood clots, the greater their functional recovery. Among patients who have had an ischemic stroke and arrived at the hospital within 2 hours of their symptom onset, this measure looks at the percentage who were treated with IV t-PA within 3 hours of symptom onset.
Studies have found that the sooner ischemic stroke patients receive a type of medication called IV-tPA, which is used to dissolve blood clots, the greater chance of returning home and resuming a normal lifestyle. Among ischemic patients who received t-PA, this measure looks at the percentage who received IV t-PA within 60 minutes of arrival to the hospital.