Stroke Quality Scores

Stroke Core Measures

Short Overview

Stroke ‘core measures’ are critical steps in a patient’s hospital stay that have been established based on outcomes. The Duke Health system tracks and measures the care we provide to our patients based on these quality measures.

The quality scores below communicate how well hospitals in the Duke Health system follow the guidelines set by the American Heart Association / American Stroke Association (AHA/ASA) for treating strokes. We also compare ourselves to North Carolina hospitals and stroke hospitals nationwide that participate in Get With the Guidelines - Stroke (GWTG – STK a data registry from the AHA).

The following information is from fiscal year (FY) 2022 (July 2021 through June 2022)

	Duke Health Hospitals	All NC Hospitals	All GWTG STK Hospitals
Stroke patients who are eligible for thrombolytics and receive it within 60 minutes or less of arrival	95.4%	85.2%	87.9%
Stroke patients who are evaluated by physical therapy, occupational therapy, and/or speech therapy during hospital stay	99.2%	99.5%	99.3%
Stroke patients who receive stroke education during their stay and receive handouts pertaining to education	96.3%	96.4%	94.9%
Stroke patients who are prescribed a cholesterol-lowering medications to reduce stroke reoccurrence	99.7%	99.2%	98.7%
Stroke patients with atrial fibrillation who are prescribed anticoagulant to reduce stroke reoccurrence	100%	98.7%	98.0%
Stroke patients who are prescribed an antithrombotic to reduce stroke reoccurrence	100%	99.8%	99.5%

Procedures at Duke University Hospital (DUH)

Diagnostic Cerebral Angiogram at DUH (FY 21 and FY 22)
[gathering data]

Asymptomatic Carotid Stenting at DUH (FY 21 and FY 22)
No stroke or death as a result of this procedure

Asymptomatic Carotid Endarterectomy at DUH (FY 21 and FY 22)
No stroke or death as a result of this procedure