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Quality and Outcomes at UC San Diego Health System

Expert Stroke Care Makes A Difference

Joint Commission SealOur Stroke Center earned The Joint Commission's Gold Seal of Approval in 2004 and became the first primary stroke center in San Diego County.

We were one of the first five medical centers in the nation to achieve The Joint Commission's Comprehensive Stroke Center Certification. This certification reflects our ability to provide the most advanced treatments for the most serious types of strokes. Our primary and comprehensive stroke certifications demonstrate that UC San Diego Health System provides the full complement of available services and technologies to meet the needs of stroke patients, while complying with national standards that improve patient outcomes.

Types of Stroke Treated

The chart below compares the percentage of patients treated for each type of stroke at UC San Diego Health System and locally in San Diego County. Because UC San Diego Health System has the ability to perform advanced procedures, we care for a greater percentage of hemorrhagic stroke patients in the county.

types of stroke chart

Read more about ischemic stroke and hemorrhagic stroke.

Advanced Stroke Treatments

Regardless of the type of stroke, our team is ready 24 hours a day, seven days a week. Our specialty-trained experts provide an immediate response someone having a stroke arrives. Our stroke center specialists are internationally recognized as leaders and experts in the fields of research, diagnosis and care. Read more about our stroke team.

Treating Ischemic Stroke

Discovered at UC San Diego in 1985, tissue plasminogen activator (tPA) is a powerful drug effective in dissolving blood clots that cause ischemic strokes. The drug is usually given through a vein in the arm. To be effective, the drug must be given within three hours, and in selected individuals, within 4.5 hours after a stroke.

The chart below demonstrates a marked improvement of our timely administration of tPA over the years and in staying below the 60 minutes target. We believe that “time is brain!” Read more about how we treat ischemic stroke.

t-PA administration time

 

Successful Surgical Procedures

UC San Diego Health System is a leader in endovascular and surgical treatment of stroke, using specially-designed instruments to remove blood clots and restore blood flow to the brain. Our faculty trains physicians nationally and internationally in these techniques and participates in leading interventional clinical trials.

Beyond the acute treatment of stroke, surgeons at UC San Diego offer:

From July 2012 through June 2013, we performed 21 endovascular coiling or surgical clipping procedures to treat unruptured brain aneurysms, with a 90.5 percent survival rate. Read more about our Stroke and Neurovascular Surgery Program.

Processes of Care

Regardless of the type of stroke, people who go to UC San Diego receive the right care. We closely monitor compliance with processes of care as endorsed by The Joint Commission and American Heart Association. The chart below shows that we continue to provide consistent care across all measures compared to other hospitals throughout the country.

process of care chart

 

Stroke Survival

Of patients admitted to UC San Diego Health System following an ischemic stroke, 96 percent survived while in the hospital. A higher percentage of patients treated at UC San Diego had hemorrhagic strokes compared to patients receiving care at other San Diego County hospitals. 

Roughly 30 percent of stroke patients treated at UC San Diego Health System had hemorrhagic strokes, while only 19 percent of strokes in the county are hemorrhagic. 

The chart below demonstrates the excellent survival of our patients for both inpatient ischemic and hemorrhagic strokes, compared to other academic hospitals who participate in University HealthSystem Consortium.