Time is Brain: Redesigning Stroke Care at Kaiser Permanente Northern CaliforniaJeffrey G Klingman, MD https://doi.org/10.7812/TPP/17-140-20Introduction: Stroke is the number one cause of adult disability. Reduction of time of arrival to the emergency room to administration of alteplase has been shown to reduce mortality and morbidity, and reduce poststroke disability. Endovascular stroke treatment has also been shown to dramatically improve outcomes in patients with large vessel occlusion in a time-senisitve manner, necessitating rapid identification of large vessel occlusion and rapid transfer after alteplase treatment. In 2015, Kaiser Permanente (KP) Northern California (KPNC) redesigned acute stroke treatment at all 21 hospitals to facilitate very rapid alteplase treatment and rapid identification and transfer of patients for endovascular stroke therapy. |
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