Stroke Volumes and Outcomes

Expert stroke care makes a difference. Henry Ford Hospital achieved Comprehensive Stroke Center certification from The Joint Commission in 2016 – the first hospital to do so in Detroit and the fifth in the state of Michigan. We monitor our data and outcomes on a regular basis to ensure we are meeting quality and performance standards, and working to identify ways to continue to improve care. Anywhere you go to receive stroke care within Henry Ford Health System, you will be connected with stroke experts.
  • Stroke Volumes

    At Henry Ford Hospital, we are experienced in treating every type of stroke and working with patients to prevent future strokes. We treated 1,215 stroke patients in 2017. To learn about different types of stroke, click here.

    Henry Ford Hospital Stroke Patient Volumes by Diagnosis, 2017 (Total = 1,215 patients)

    bar graph showing HFH Stroke Diagnosis 2017. See table below for data.

    Ischemic Stroke Transient Ischemic Attack  Intracerebral Hemorrhage
    Subarachnoid Hemorrhage Elective Carotid Intervention Only 
    HFH Stroke Diagnosis 2017
    72% 8% 11% 5%  4%

    IV alteplase (referred to as tPA) is a "clot-busting" drug that can be administered to patients experiencing an acute ischemic stroke up to 4.5 hours from when the patient was last known to be normal. The faster IV tPA can be administered, the better. At Henry Ford Hospital we continue to treat more patients each year.

    line graph showing tPA volume 2014 to 2017

    For patients who are experiencing an acute stroke due to a large vessel occlusion, they may be eligible for endovascular treatment where a cather is inserted through the groin up to the brain to remove the clot mechanically. Henry Ford Hospital is a TJC-certified Comprehensive Stroke Center and continues to treat more patients each year with this procedure.

    line graph showing acute ischemic stroke endovascular volumes 2017

  • Stroke Discharge Locations

    When patients with stroke are discharged from Henry Ford Hospital, a higher percentage return home compared to other Comprehensive Stroke Centers, and a lower percentage die during their hospital stay or need to enter hospice care programs.

    Henry Ford Hospital Stroke Patient Discharge Disposition, 2017

    bar graph showing where stroke patients went after discharge 2017. See table below for data.

    Where Stroke Patients Went After Discharge 2017
    Home Inpatient Rehab Facility Skilled Nursing Facility
    Long Term Care Hospital Acute Care Facility Hospice   Death  
    Henry Ford Hospital 48.2%
    16% 20%
    3.3%
    0.2%
    4.7%  6.8%
    Other Comprehensive Stroke Centers 47.3% 20% 15.3% 1.5% 1.8% 4.7% 8.1%
  • Stroke Program Performance

    As a Joint Commission-certified Comprehensive Stroke Center, Henry Ford Hospital monitors 16 measures of performance, and many others that align with the American Stroke Association or with internal measures of success. Compared to other Comprehensive Stroke Centers across the country, we perform the same or better on most measures. For more information on The Joint Commission Primary and Comprehensive Stroke Performance Measures, click here.

    bar graph showing 2017 Primary stroke performance measures. See table below for data.

    Henry Ford Hospital Other Comprehensive Stroke Centers
    2017 Primary Stroke (STK) Performance Measures
    VTE Prophylaxis 99.6 98.1
    Antithrombotics at Discharge 99.4 99.5
    Anticoagulation 96.1 97.8
    IV Thrombolytics 100 94.5
    Early Anithrombotics 97 97.8
    Statins 98.1 98.3
    Stroke Education 97.1 96.8
    Assessed for Rehabilitation 99.7 99.4
     

    bar graph showing 2017 Comprehensive Stroke (CSTK) Performance Measures. See table below for data.

    Henry Ford Hospital Other Comprehensive Stroke Centers
    2017 Comprehensive Stroke (CSTK) Performance Measures
    NIH Stroke Scale 89.5 84.3
    Modified Rankin Score 100 89.2
    Severity Score 84.4 63
    Procoagulant Reversal 81.8 88
    Hemorrhagic Transformation Rate* 2.8 5.7
    Nimodipine Treatment 87.8 84.4
    TICI 2b or 3 84 85.6

    *Lower is better for this measure.

  • Stroke Program Outcomes

    When it comes to acute stroke, time is brain!  Once you arrive to our emergency room, we focus on delivering care as fast as possible in order to provide the best possible outcome for our patients. We participate in the American Stroke Association Target: Stroke initiative. To learn more about Target: Stroke Measures, click here. To learn about our Emergency Department: click here.

    2017 Timeliness of Treatment

    Measure

    Henry Ford Hospital

    Target

    Other Michigan Hospitals (if known) 

    Door to CT Times, when patient arrives < 3 hours from Last Known Well (median)

    17 minutes

    < 20 minutes

     n/a

    Door to lab times, when patient arrives < 4.5 hours from Last Known Well (median)

    39 minutes

    < 40 minutes

     n/a

    % Door to IV tPA in < 60 minutes

    84%

    >75%

     55%

    % Door to IV tPA in < 45 minutes

     43%

     > 50%

     26%

     

    Procedures to prevent a stroke or a future stroke may include carotid endarterectomy (CEA) or carotid artery stenting (CAS) to open up the carotid artery if it becomes narrow. We monitor our complications from these procedures to ensure we are providing the safest, most appropriate care for our patients. Our 2017 outcomes are as follows. To learn more about carotid procedures, click here. To learn about our Departments of Vascular Surgery and Neurosurgery, click here.

    2016 - 2017 Carotid Procedure Outcomes

    Outcome

    Henry Ford Hospital

    Target

    30-day stroke & death rate following symptomatic carotid endarterectomy & carotid artery stenting

    1/77 = 1.3%

    < 6%

    30-day stroke & death rate following asymptomatic carotid endarterectomy & carotid artery stenting

    1/50 = 2.0%

    < 3%

     

    Diagnostic cerebral angiographies are frequently performed to evaluate problems related to blood vessels of the brain, when a non-invasive CT or MRI scan is not adequate. They are invasive, radiological procedures that may result in serious complications (stroke or death), even in patients with no prior stroke. To learn about our Department of Radiology, click here.

    2016 - 2017 Diagnostic Cerebral Angiograms

    Outcome

    Henry Ford Hospital

    Target

    24-hour stroke & death rate following diagnostic cerebral angiogram

    2/1,118 = 0.2%

    < 1%

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