Yale New Haven Hospital Stroke Center Quality Report
(Calendar Year 2023)
Yale New Haven Hospital (YNHH) aims to provide the highest quality of stroke care using national standard performance measures. This report shows the percent of patients provided selected treatments compared to patients at other Connecticut hospitals and New England hospitals.
The national benchmark goal is > to 85% compliance with each measure. YNHH’s goal is 95% or greater compliance.
|
Performance Measure
|
YNHH
|
All CT Hospitals
|
New England Hospitals
|
|
Venous thrombus embolism (VTE)
Treated to prevent blood clots from forming when confined to bed
|
98%
|
98%
|
96%
|
|
Discharged on anti-thrombotic therapy
Discharged to home on a blood thinner to prevent another ischemic stroke
|
100%
|
100%
|
100%
|
|
Anti-coagulation for atrial fibrillation/flutter
Treated with a strong blood thinner when you have an abnormal heart rhythm that could cause blood clots
|
99%
|
99%
|
99%
|
|
Thrombolytic therapy
Arrived at the hospital within 2 hours of stroke symptoms and treated with a clot-busting drug within 3 hours of symptoms
|
89%
|
96%
|
86%
|
|
Anti-thrombotics by hospital day #2
Treated with a blood thinner within two days after admission to prevent additional ischemic strokes
|
96%
|
97%
|
97%
|
|
Discharged on a statin medication
Treated with a cholesterol-lowering drug to reduce your ischemic stroke risk
|
100%
|
99%
|
99%
|
|
Stroke education
Provided with information about warning signs, stroke risk factors, and the importance of calling 9-1-1
|
98%
|
97%
|
96%
|
|
Assessed for rehabilitation
Evaluated by a member of the rehabilitation team to assess your need for recovery therapy
|
100%
|
99%
|
99%
|
This information is based on data retrieved from Outcomes Science Get With The Guidelines® data
Yale New Haven Hospital Stroke Center Outcomes Report
(Calendar Year 2023)
Yale New Haven Hospital’s stroke program monitors outcomes for selected ischemic stroke patients who undergo emergency neuro-interventions.
From January through December 2023, YNHH performed approximately 190 emergency thrombectomy procedures. This procedure removes a blood clot from a major blood vessel in the brain by using a clot-retrieving catheter; 88% of patients had meaningful improvement of blood flow to their brain.
|
Performance Measure
|
YNHH
|
All CT Hospitals
|
New England Hospitals
|
|
Hemorrhagic transformation after IV thrombolytics
Ischemic stroke patients who develop significant bleeding in the brain within 36 hours after receiving a clot-busting medication (lower percentage is better)
|
4%
|
2%
|
2%
|
|
Hemorrhagic transformation after IA thrombolytics or thrombectomy
Ischemic stroke patients who develop significant bleeding in the brain within 36 hours after undergoing a surgical procedure to remove a blood clot (lower percentage is better)
|
7%
|
9%
|
6%
|
|
TICI* reperfusion grade of 2B or higher
Ischemic stroke patients who had meaningful improvement of blood flow to their brain after undergoing a surgical procedure
|
88%
|
85%
|
87%
|
|
Arrival to skin puncture (procedure start)
Median time from hospital arrival to the time of skin puncture to access the artery for a thrombectomy procedure (lower number is better). Goals: 60 minutes if transferred from outside hospital; 90 minutes if direct from community.
|
76 mins
|
83 mins
|
68 mins
|
This information is based on data retrieved from Outcomes Science Get With The Guidelines® data
*Thrombolysis in cerebral infarction (TICI) scale is a score used to grade brain tissue revascularization
Advanced Comprehensive Stroke Centers are required to demonstrate a 24-hour post-procedure stroke and death rate of less than 1% after diagnostic catheter angiography.
|
Quality Outcomes
|
|
|
|
24-hour mortality after diagnostic catheter angiography
|
Jan.-Dec.
2022
|
Jan.-Dec.
2023
|
|
24-hour complication rate
|
0.1%
|
0.3%
|
