Stroke Quality Reporting

Virtua Our Lady of Lourdes Hospital offers care for the most complex stroke patients, including 24/7 neurointerventional and neurosurgery care, and is consistently recognized for its commitment to treating patients according to the most up-to-date guidelines.

Virtua Our Lady of Lourdes Hospital is designated by The Joint Commission as a Thrombectomy Capable Stroke Center and has 24/7 neurosurgery capabilities, as well as a dedicated Neuro Critical Care Unit and designated stroke units. The hospital is consistently recognized by the American Heart Association and the American Stroke Association for demonstrating a commitment to treating patients according to the most up-to-date guidelines.

At Virtua Our Lady of Lourdes, the Penn Medicine Virtua Health neurovascular team uses state-of-the-art techniques to treat stroke and minimize long-lasting damage. This includes a hybrid operating room that allows the team to use microsurgery and other approaches to remove stroke-causing blood clots, stop bleeding in the brain, or open a blocked carotid artery. The neurology, neurosurgery, and neurointerventional team is available around the clock to diagnose and treat strokes.

The data below reflects stroke admissions to Virtua Our Lady of Lourdes Hospital.

Measure
Virtua Our Lady of Lourdes 2024

Stroke Education
Our goal is to make sure every patient and/or caregiver receives stroke education. This includes verbal and written education on topics including:

  • Activation of emergency medical system (EMS)
  • Need for follow-up after discharge
  • Medications prescribed at discharge
  • Risk factors for stroke
  • Warning signs and symptoms of stroke
  
The proportion of ischemic or hemorrhagic stroke patients or their caregivers who were given educational materials during the hospital stay. 98.6%

Assessment for Rehabilitation Needs
Post-stroke rehabilitation is key to stroke recovery.  Our goal is that every patient diagnosed with a stroke is assessed and receives appropriate therapy during their stroke recovery.  
Stroke rehabilitation is available on an inpatient, outpatient, or at-home basis, and may include:

  • Physiatrist (a doctor who specializes in physical medicine and rehabilitation) evaluation
  • Physical therapy to increase strength, coordination, and motor skills
  • Speech therapy to regain speech and swallowing abilities and learn food preparation techniques
  • Occupational therapy to help relearning daily skills like walking, dressing, and driving
  
The proportion of ischemic or hemorrhagic stroke patients who were assessed for rehabilitation services.

99.6%

Arrival to Skin Puncture
For ischemic stroke patients needing mechanical thrombectomy, “door-to-puncture” is the time from when they arrive at the hospital to when a vessel in the groin or wrist is accessed for treatment. The team at Virtua Our Lady of Lourdes utilizes standardized processes and care team collaboration to support efficient and timely intervention. The quicker a thrombectomy is performed, the better the chances for recovery.

  

The median time (in minutes) from hospital arrival to the time of skin puncture to access the artery (e.g., brachial, carotid, femoral, radial) selected for endovascular treatment (EVT) of acute ischemic stroke.
          A: Transfers (initial evaluation and work-up done at another hospital)
          B: Direct arriving (all evaluation and work-up done at Virtua Our Lady of Lourdes)

 

 

34 minutes
109 minutes
TICI scores and Rate of Rapid Reperfusion from Skin Puncture
A TICI (Thrombolysis in Cerebral Infarction) score is a grading scale utilized to indicate the amount of blood flow that is restored when a thrombectomy is performed.  The scale ranges from 0 (no perfusion) to 3 (complete perfusion). The team aims to achieve A TICI score of 2b or greater within 60 minutes of puncture for all thrombectomy cases.   		 

The proportion of ischemic stroke patients with a large-vessel cerebral occlusion who receive mechanical endovascular reperfusion (MER) therapy and achieve TICI 2B or higher less than or equal to 60 minutes from the time of skin puncture.

 87.2%
Arrival time to administration of Thrombolytic Therapy (TNK)
Ischemic strokes are caused by the blockage of blood flow.  The approved treatment for ischemic stroke patients that arrive at the hospital within three hours of their symptoms starting is a clot-busting medication called tenecteplase (TNK). Treatment with TNK is time sensitive.  The quicker a patient receives this treatment the more likely they are to have a good recovery from their stroke. We aim to treat as many patients as safely possible, within 45 minutes of their arrival in the emergency department.		  

The proportion of ischemic stroke patients with a large-vessel cerebral occlusion who receive mechanical endovascular reperfusion (MER) therapy and achieve TICI 2B or higher less than or equal to 60 minutes from the time of skin puncture.

 85%