Related Experiment Video
Updated: Oct 19, 2025
09:52
Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
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In-Hospital Stroke Care: A Six-Year Community-Based Primary Stroke Center Experience
Felix Ejike Chukwudelunzu1, Bart M Demaerschalk2, Leonardo Fugoso1
1Department of Neurology, Mayo Clinic Health System Eau Claire, Wisconsin, USA.
The Neurohospitalist
|September 27, 2021
Summary
In-hospital stroke care in community hospitals shows high mortality and low acute intervention rates. Quality improvement is needed to enhance stroke management and outcomes for these patients.
Area of Science:
- Neurology
- Cardiology
- Public Health
Background:
- In-hospital stroke assessment and management are challenging, particularly in community hospitals.
- Key stroke care metrics in community-based primary stroke centers require further investigation.
Purpose of the Study:
- To analyze in-hospital stroke care metrics in a community hospital setting.
- To identify challenges and areas for improvement in managing in-hospital strokes.
Main Methods:
- Retrospective review of medical records for patients with in-hospital stroke alerts (2013-2019).
- Collection of demographic, clinical, radiologic, and laboratory data.
- Descriptive statistics and inferential tests (Kruskal-Wallis, Chi-Square) were used.
Main Results:
- 192 patients experienced in-hospital stroke alerts; 51.6% had confirmed ischemic or hemorrhagic stroke.
- Stroke team response time averaged 26 minutes; intravenous thrombolysis was used in 8% of ischemic stroke patients.
- In-hospital mortality was 17.7%, with only 34.4% discharged home.
Conclusions:
- High in-hospital stroke mortality and low rates of acute intervention highlight significant care gaps.
- Quality improvement initiatives are essential to increase acute stroke intervention and reduce mortality in this population.
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