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 1,214 stroke patients in 2019. To learn about different types of stroke, click here.

Henry Ford Hospital Stroke Patient Volumes by Diagnosis, 2019 (Total = 1,214 patients)

 

Ischemic Stroke Transient Ischemic Attack  Intracerebral Hemorrhage
Subarachnoid Hemorrhage Elective Carotid Intervention Only 
HFH Stroke Diagnosis 2019
72% 7% 11% 5%  5%

Stroke Discharge Locations

When patients with stroke are discharged from Henry Ford Hospital, a higher percentage return home compared to other Comprehensive Stroke Centers.

Henry Ford Hospital Stroke Patient Discharge Disposition, 2019

 

Where Stroke Patients Went After Discharge 2019
Home Inpatient Rehab Facility Skilled Nursing Facility
Long Term Care Hospital Acute Care Facility Hospice   Death  
Henry Ford Hospital 50.0%
17.0% 18.7%
3.0%
0.5%
4.5%  5.6%
Other Comprehensive Stroke Centers 47.5% 19.1% 14.9% 1.3% 3.1% 4.9% 7.3%

Stroke Program Performance

As a Joint Commission-certified Comprehensive Stroke Center, Henry Ford Hospital monitors 18 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.


Henry Ford Hospital Other Comprehensive Stroke Centers
2019 Primary Stroke (STK) Performance Measures
VTE Prophylaxis 99.2 97.6
Antithrombotics at Discharge 99.4 99.6
Anticoagulation 100 98
IV Thrombolytics  97.9 93.5
Early Anithrombotics 96.2 97.5
Statins 99.3 98.6
Stroke Education 98.9 96.4
Assessed for Rehabilitation 99.6 99.3

*Lower is better for these measures.


Henry Ford Hospital Other Comprehensive Stroke Centers
2019 Comprehensive Stroke (CSTK) Performance Measures
NIH Stroke Scale 92.8 88.6
Severity Score 80.1 67.8
Procoagulant Reversal 100 89.3
Hemorrhagic Transformation Rate* 4 5.4
Nimodipine Treatment 96.3 87.6
Successful Reperfusion 87 81.9
 Arrival to Skin Puncture* 53.5 76
 Favorable MRS at 90-Days 37.7 34.4
 Arrival to Reperfusion 64.4 65.2
 Puncture to Reperfusion 52.2 67.6


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.

Following thrombectomy (where a large clot is mechanically removed from a vessel in the brain), success of treatment is measured by how much of the vessel was opened and blood flow restored. A score of 2b or better means that > 50% of the blood flow was restored to the brain.

2019 Successful Reperfusion following Mechanical Endovascular Treatment of Acute Ischemic Stroke

Outcome

Henry Ford Hospital &
Henry Ford West Bloomfield

Target

Thrombolysis in Cerebral Infarction (TICI) Post-Treatment Reperfusion Grade of 2b or greater

87%

> 80%

 

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. To learn more about carotid procedures, click here. To learn about our Departments of Vascular Surgery and Neurosurgery, click here.

2017 - 2019 Carotid Procedure Outcomes

Outcome

Henry Ford Hospital

Target

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

1/11 = 0.9%

< 6%

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

1/41 = 2.4%

< 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.

2017 - 2019 Diagnostic Cerebral Angiograms

Outcome

Henry Ford Hospital

Target

24-hour stroke & death rate following diagnostic cerebral angiogram

1/1,531= 0.0006%

< 1%

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