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Stroke and Cerebrovascular Volume Metrics

The Number of Patients Admitted with Stroke in 2023

For an explanation of the types of stroke, click here. The Cerebrovascular category is the number of patients who were admitted specifically for treatment of aneurysms, arteriovenous malformations (AVM), and blockages of blood vessels (stenosis, occlusion). For more cerebrovascular information, click here. For more information about these problems and treatments at Barnes-Jewish Hospital, click here.

Diagnosis/Case Type # Cases
Stroke
(Ischemic Stroke, Intracerebral Hemorrhage, Subarachnoid Hemorrhage, TIA)
1,254
Cerebrovascular
(Aneurysm, AVM, Moyamoya, Stenosis, Occlusion)
360
Total: 1,614

Total Stroke and Cerebrovascular Volume


Types of Stroke

For an explanation of the types of stroke, click here.

Types of Stroke # Cases
Ischemic Stroke 776
Intracerebral Hemorrhage 309
Subarachnoid Hemorrhage 78
TIA 91
Total: 1,254

Types of Stroke


Ischemic Stroke Treatment

The number of patients treated at Barnes-Jewish Hospital who received tPA for their ischemic stroke, and those who were considered for endovascular thrombectomy therapy. For more information on these treatments, click here.

Ischemic Stroke Treatment # Cases
tPA Administered at Barnes-Jewish Hospital 112
tPA Administered at Stroke Network Hospital and Transferred to Barnes-Jewish Hospital 58
Endovascular Thrombectomy 200
Total: 370

Ischemic Stroke Treatment


Ischemic Stroke Treatment Outcomes

Ischemic stroke patients who develop a symptomatic intracranial hemorrhage (i.e., clinical deterioration ≥ 4 point increase on NIHSS and brain image finding of parenchymal hematoma, or subarachnoid hemorrhage, or intraventricular hemorrhage) within (≤) 36 hours after the onset of treatment with intra-venous (IV) or intra-arterial (IA) thrombolytic (t-PA) therapy, or mechanical endovascular reperfusion procedure (i.e., mechanical endovascular thrombectomy with a clot retrieval device).

Hemorrhagic Transformation for Patients Treated with tPA or Endovascular Thrombectomy

* Smaller numbers represent better outcomes.

Ischemic stroke patients with a post-treatment reperfusion grade of TICI 2B or higher in the vascular territory beyond the target arterial occlusion at the end of treatment with intra-arterial (IA) thrombolytic (t-PA) therapy and/or mechanical endovascular reperfusion therapy

Endovascular Thrombectomy Cases with TICI Score of 2b or 3

*Many of our patients are able to go home 48 hours post thrombectomy. These patients are not included in the GWTG data.
**TICI score = Thrombolysis in Cerebral Infarction in Reperfusion Grade


Aneurysm Treatment

For more information on Aneurysm clipping and coiling, click here.

Aneurysm Treatment # Cases
Endovascular Aneurysm Coiling 84
Aneurysm Clipping 26
Total: 110
 

From 2002 through 2020, more than 2,000 endovascular (coiling) procedures were performed at Barnes-Jewish Hospital to treat unruptured brain aneurysms. Of those cases, 67 had complications of stroke - a complication rate of 3.97%. Read more →

Aneurysm Treatment


Joint Commission Performance Measures

IV tPA Administered by Three Hours of Onset

Ischemic or hemorrhagic stroke patients who received VTE prophylaxis or have documentation why no VTE prophylaxis was given the day of or the day after hospital admission

Antithrombotics at Discharge

Ischemic stroke patients prescribed antithrombotic therapy at hospital discharge

Anticoagulation for Atrial Fibrillation / Flutter

Ischemic stroke patients with atrial fibrillation/flutter who are prescribed anticoagulation therapy at hospital discharge

Assessed for Rehabilitation Before Discharge

Acute ischemic stroke patients who arrive at this hospital within 2 hours of time last known well and for whom IV t-PA was initiated at this hospital within 3 hours of time last known well.

VTE Prophylaxis by Hospital Day 2

Antithrombotic Therapy By End of Hospital Day 2

Statin Prescribed at Discharge for LDL>100

Ischemic stroke patients who are prescribed statin medication at hospital discharge

Early Antithrombotics by Day 2

Ischemic or hemorrhagic stroke patients or their caregivers who were given educational materials during the hospital stay addressing all of the following: activation of emergency medical system, need for follow-up after discharge, medications prescribed at discharge, risk factors for stroke, and warning signs and symptoms of stroke

Stroke Education

Ischemic or hemorrhagic stroke patients who were assessed for rehabilitation services

2023 Best Hospitals - Neurology and Neurosurgery

#17 in the Nation by U.S. News & World Report


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