Matthew Nied Reaction Time to Ischemic Stroke and Education Overview for the Communities Surrounding Marymount: Implications and Outcomes
SchoolTrinity High School
MentorRomeo Craciun, MD, and Mary Ann Hawkins, RN
DepartmentICU/Stroke Center at Marymount Hospital
Reaction Time to Ischemic Stroke and Education Overview for the Communities Surrounding Marymount: Implications and Outcome
Few patients from outside of the 0-5 mile radius of Marymount Hospital will qualify for tPA treatment. We expect that greater than 50% of patients within the 0-5 mile radius of Marymount Hospital will receive tPA treatment.
Comprehensive reviews of randomly selected charts were completed. To be included, patients must have been diagnosed with an ischemic stroke and have presented directly to the Marymount Emergency Department (ED). The majority (57.3%) of stroke patients came from within 0-5 miles of Marymount and 25.5% of those presented within the recommended three-hour time window. Of the total 75 patients, 17 presented within three hours of symptom onset; the majority who did so presented from the 0-5 mile radius. The only patient who received tPA presented from the 6-11 mile radius. About 74% of patients who presented from within the 0-5 mile radius of Marymount Hospital were not able to be treated with tPA.
None of the patients from the 0-5 mile radius received tPA treatment and only 11 met the time requirement for treatment. It is imperative that Marymount Hospital
expand educational efforts to patients regarding recognizing symptoms of stroke and seeking emergent care.