Stroke
Case for Change
Case for Change
National Facts
- Every 45 seconds someone in the United States will have a stroke.
- Every three minutes someone will die of a stroke.
- Every year, an estimated 700,000 Americans suffer a new or recurrent stroke.
- One of every sixteen deaths in the United States today results from stroke.
- In stroke care, time is brain.
- Stroke is the leading cause of adult disability.
- Stroke is treatable.
- Stroke is an emergency.
- Stroke is the third leading cause of death in U.S.
Iowa Facts
- Less than 10% of Iowa hospitals have obtained primary stroke center certification.
- Iowa State Stroke Task Force (ISSTF) was formed to assure all Iowans receive appropriate stroke prevention, treatment and rehabilitation regardless of location within the state.
Source: American Stroke Association (ASA) and ASA Work Group
This toolkit will:
- Provide Iowa hospitals with the resources to treat acute stroke patients.
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Toolkit
Clinical Guidelines and Protocols
Stroke Treatment Recommendations for Acute Stroke Treatment
- Interventions upon Emergency Department Arrival
- Acute Ischemic Stroke
- Care of Hospitalized Acute Ischemic Stroke Patient
- Hemorrhagic Stroke
- Expansion of Time Window for Treatment of Ischemic Stroke with tPA
- Mercy Hospital Des Moines Thombolytic Therapy
- Mercy Hospital Des Moines Stroke Admit Orders
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Educational Materials
Provider Education
Professional Stroke Resources for Health Professionals
- American Stroke Association
The following resources are available through the American Stroke Association website.
- Iowa Stroke Task Force
Includes strategies, best practices and toolkits.
- Get with the Guidelines: Stroke
This is a quality improvement program for acute stroke treatment and ischemic stroke prevention.
- NIH Stroke Scale Training Online
National Institutes of Health free online stroke scale for continuing education credit.
- Recommendations for Imaging of Acute Ischemic Stroke
Top ASA publication of a scientific statement from the American Heart Association.
- Stroke Connection Magazine
Bi--monthly publication for in-depth information on conditions such as aphasia, central pain, high blood pressure and depression, to tips for daily living from healthcare professionals and other stroke survivors.
- Stroke Council
The mission of the Stroke Council is to foster excellence in stroke research and education and to achieve the objectives of the American Stroke Association in stroke research, treatment and prevention.
- The Joint Commission
The JCAHO Primary Stroke Center Certification Program is the first nationwide stroke center certification program for hospitals.
- National Stroke Association
The following resources are available through the National Stroke Association website.
- Improving the Management of TIA to Prevent Stroke
This webcast event will educate healthcare professionals about stroke risk reduction among patients with transient ischemic attack.
- Publications
This website provides information on various publications available for subscription.
- The Journal of Stroke and Cerebrovascular Diseases is a multidisciplinary, bi-monthly journal devoted to all aspects of stroke.
- Stroke Clinical Updates is a bi-monthly newsletter for stroke clinicians and is a benefit of National Stroke Association's professional membership program.
- Stroke Smart Magazine is a bi-monthly publication for stroke survivors and their families, caregivers and stroke care professionals.
- Stroke Rapid Response
This train-the-trainer program is used by EMS educators to train EMS professionals to accurately identify and expedite delivery of stroke patients.
Scientific Statements
- American Heart Association
American Heart Association. (2005) Scientific Statement: Recommendations for the Establishment of Stroke Systems of Care. Dallas, TX.
Provider References
- Centers for Disease Control and Prevention
Casper, M.L., Barnett, E., Williams, G.I., Halverson, J.A., Braham, V.A. & Greenlund, K.J. Atlas of Stroke Mortality: Racial, Ethnic & Geographic Disparities in the United States. Atlanta, GA: Department of Health and Human Services, Centers for Disease Control and Prevention; January 2003.
- Centers for Disease Control and Prevention
Centers for Disease Control and Prevention. Heart-healthy and Stroke-free States: A Communication Guide for Policy and Environmental Change. Atlanta, GA: U.S Department of Health and Human Services, Centers for Disease Control and Prevention, 2004.
Patient Education
- Massachusetts Health Promotion
On this website you will find a colorful and animated 3-minute music video that presents three scenarios for recognizing and responding to the signs of a stroke using the FAST model (Face, Arm, Speech, Time). One free video can be ordered. Also available for Portuguese-speaking and Latino audiences.
- Stroke Resources - Patient
A list of recommended books and articles geared specifically for patients on how to deal with stroke.
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Reference List
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Other
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Success Stories
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Mentors
This tool kit was developed in collaboration with the Iowa State Stroke Task Force. IHC would like to thank those individuals and organizations who have shared their materials and who have agreed to serve as mentors. Please contact IHC if your organization would like to contribute materials to this tool kit.
The following individuals are stroke coordinators for the corresponding hospitals:
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Resources
Websites
Healthcare Professional Organizations
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