Stroke Quality Scores
An ischemic stroke occurs when the blood supply to the brain is blocked or severely reduced, depriving the brain of the oxygen it needs to work properly.
The quality scores below tell you how well Duke University Health System follows the guidelines set by the American Heart Association/American Stroke Association (AHA/ASA) in treating ischemic strokes.
Quickly identifying and treating the stroke leads to the best patient outcomes.
Patient Arrival to Brain Imaging Results (minutes)
| Duke University Hospital | Duke Regional Hospital | Duke Raleigh Hospital | North Carolina Hospitals (1) | |
|---|---|---|---|---|
| Number of minutes | 35 | 37 | 25 | 44 |
The annual averages in this chart cover the time period of January 1, 2016 - December 31, 2016.
(1) North Carolina Hospitals that enter data into Get With The Guidelines
Note: This Get With The Guidelines® Aggregate Data report was generated using the Outcome™ PMT® system. Copy or distribution of the GWTG Aggregate Data is prohibited without the prior written consent of the American Heart Association and Outcome Sciences, Inc.
What Do These Times Mean?
One of the guidelines set by the AHA/ASA is to have brain imaging and results within 45 minutes of patient arriving to the hospital. Our hospitals obtain these results faster than the average for all North Carolina hospitals.
Why Are These Times Important?
Brain imaging is essential in determining your treatment options, and time matters. Our hospitals have processes in place to ensure quick results for quick treatment.
Patients Treated Within 3 Hours of Symptom Onset
| Duke University Hospital | Duke Regional Hospital | Duke Raleigh Hospital | North Carolina Hospitals | |
|---|---|---|---|---|
| Jan - Dec 2016 | 96% | 100% | 100% | 83% |
The percentages in this chart cover the time period of January 1, 2016 - December 31, 2016.
(1) North Carolina Hospitals that enter data into Get With The Guidelines
Note: This Get With The Guidelines® Aggregate Data report was generated using the Outcome™ PMT® system. Copy or distribution of the GWTG Aggregate Data is prohibited without the prior written consent of the American Heart Association and Outcome Sciences, Inc.
What Do These Percentages Mean?
The percent of eligible patients who received clot-busting treatment within 3 hours after the onset of stroke symptoms.
Why Are These Percentages Important?
Fast diagnosis and treatment of a stroke will reduce negative effects of a stroke and permanent disability. Research has shown that patients who suffer a stroke as a result of a blockage in the artery of the brain have better outcomes when they receive clot-busting drugs within 3 hours of the onset of symptoms.
Patients Able to Return Home or Go to Rehab Immediately Following Their Hospital Stay
| Duke University Hospital | Duke Regional Hospital | Duke Raleigh Hospital | North Carolina Hospitals | |
|---|---|---|---|---|
| Jan - Dec 2016 | 69% | 69% | 71% | 65% |
What Do These Percentages Mean?
The percent of patients with an ischemic stroke diagnosis, who have had a positive recovery and are able to return home or go to rehab before returning home.
Why Are These Percentages Important?
Quickly identifying and treating a stroke leads to the best outcome for a patient. A positive outcome is achieved when the patient is able to return home and do all or almost all of the things they were able to do before their stroke.
DUH 90-day Alteplase (t-PA) Outcomes
While fast and effective treatment is always important, this treatment combined with the excellent care provided by our inpatient staff produces great outcomes for our patients. In fact, 65% of patients treated at Duke University Hospital with t-PA are able to go home after their hospital stay with little to no symptoms at all. Our outcomes are significantly better than national t-PA trials.
Time period: January - December 2016
Carotid Artery Stenting
0% complication rate (24 Hour Post Procedure Stroke and Death Rate)
Carotid artery stenting is a procedure to improve blood flow through a major blood vessel that feeds the brain. While all procedures have a risk, at Duke we can report that in the past two years we have had no patients suffer a stroke or death within 24 hours following this procedure.
Time period: July 2015 - June 2016