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Greenwich Hospital Stroke Center Quality Report
(Calendar Year 2022)

Greenwich Hospital (GH) aims to provide the highest quality of stroke care using national standard performance measures. This report shows the percent of patients provided selected treatments compared to patients at other Connecticut hospitals and like-sized hospitals.

The national benchmark goal is > to 85% compliance with each measure. Greenwich Hospital’s goal is 95% or greater compliance.

 

 

Performance Measure

Greenwich Hospital

All CT hospitals

Like-sized hospitals

 

Venous thrombus embolism (VTE)
Treated to prevent blood clots from forming when confined to bed

 

99.3%

 

96.8%

 

94.9%

 

Discharged on anti-thrombotic therapy
Discharged to home on a blood thinner to prevent another ischemic stroke

 

100%

 

99.9%

 

99.4%

 

Anti-coagulation for atrial fibrillation/flutter
Treated with a strong blood thinner when you have an abnormal heart rhythm that could cause blood clots

 

100%

 

97.6%

 

97.9%

 

Thrombolytic therapy
Arrived at the hospital within 2 hours of stroke symptoms and treated with a clot-busting drug within 3 hours of symptoms

 

100%

 

92.5%

 

89.3%

 

Anti-thrombotics by hospital day #2
Treated with a blood thinner within two days after admission to prevent another ischemic stroke

 

99.1%

 

97.1%

 

97.6%

 

Discharged on a statin medication
Treated with a cholesterol-lowering drug to reduce your ischemic stroke risk

 

99.3%

 

99.3%

 

98.8%

 

Stroke education
Provided with information about warning signs, stroke risk factors, and the importance of calling 9-1-1

 

98.8%

 

95.9%

 

94.2%

 

Assessed for rehabilitation
Evaluated by a member of the rehabilitation team to assess your need for recovery therapy

 

98.0%

 

99.5%

 

99.2%

This information is based on data retrieved from Outcomes Science Get With The Guidelines®

 

Greenwich Hospital Stroke Center Outcomes Report
(Calendar Year 2022)

Greenwich Hospital’s stroke program monitors outcomes for selected ischemic stroke patients who undergo emergency neuro-interventions.

A thrombectomy procedure removes a blood clot from a major blood vessel in the brain by using a clot-retrieving catheter. Seventy-one percent of patients had meaningful improvement of blood flow to their brain.

 

Performance Measure

Greenwich Hospital

All CT hospitals

Like-sized hospitals

 

Hemorrhagic transformation after IV alteplase
Ischemic stroke patients who develop significant bleeding in the brain within 36 hours after receiving a clot-busting medication (lower percentage is better)

 

0%

 

3.8%

 

1.8%

 

Hemorrhagic transformation after IA alteplase (tPA) or thrombectomy
Ischemic stroke patients who develop significant bleeding in the brain within 36 hours after undergoing a surgical procedure to remove a blood clot (lower percentage is better)

 

0%

 

8.4%

 

8.3%

 

TICI* reperfusion grade of 2B or higher
Ischemic stroke patients who had meaningful improvement of blood flow to their brain after undergoing a surgical procedure

 

71.4%

 

81.2%

 

84.9%

 

Arrival to skin puncture (procedure start)
Median time from hospital arrival to the time of skin puncture to access the artery for a thrombectomy procedure (lower number is better). Goal: 90 minutes if direct from the community.

 

95 mins

 

105 mins

 

99 mins

This information is based on data retrieved from Outcomes Science Get With The Guidelines®

*Thrombolysis in cerebral infarction (TICI) scale is a score used to grade brain tissue revascularization

Diagnostic catheter angiography: The Greenwich Hospital Stroke Center’s goal is to demonstrate a 24-hour post-procedure stroke and death rate of less than 1% after diagnostic catheter angiography.

Quality outcomes

 

24-hour stroke and/or death after diagnostic catheter angiography

 

Jan.-Dec. 2021

 

Jan.-Dec. 2022

 

24-hour complication rate

 

0.0%

 

0.0%