Collaboration and Community Stroke Education

Barriers to seeking Care Barriers Lack of Knowledge Fear of Hospitals Denial Living Alone Preexisting Health Concerns Budgets 50/50

What is Community System/Local/Regional Hospitals EMS & Fire Schools & Organizations Individuals & Families Define your community Be Creative!

Beg...Borrow…Steal Don’t reinvent the wheel Go Above and beyond the “Health Fair” Collaborate with System/Local/Regional Coordinators & EMS/Fire Demonstrate “Team” to your Community 50/50 Impact!

Statistics By 2030, an additional 3.4 million people ≥18 will have had a stroke. In people with a history of TIA, impaired glucose tolerance nearly doubled the stroke risk compared with those with normal glucose levels and tripled the risks for those with DM.

Total direct medical stroke-related costs are projected to triple, from $71.6 billion to $184.1 billion. Approximately 15% of all strokes are heralded by a TIA.

Data have shown a steady increase in the proportion of ischemic stroke patients who are treated with tPA therapy. For example, administrative data in 2009 found that between 3.4% and 5.2% of acute ischemic strokes were treated with tPA, which was approximately double the treatment rate observed in Similarly, analysis of data from the GWTG-Stroke program demonstrated substantial increases in tPA treatment rates over the period from 2003 to 2011.

Analysis of tPA-treated patients in the GWTG-Stroke program between 2003 and 2009 found that the majority were not treated within the guideline-recommended interval of 60 minutes from hospital arrival and that this proportion had increased only modestly during this period (from 19% in 2003 to 29% in 2009). Paradoxically, door-to needle times were found to be inversely related to onset to arrival times; thus, tPA-treated patients who arrived earlier were less likely to receive treatment within 60 minutes of arrival.

When it all comes together

Different Strokes for Different Folks