Stroke

With Stroke, Time is of the Essence

Seconds matter when it comes to stroke.

Without quick and accurate diagnosis and treatment, the effects can be disabling and long-lasting. Approximately two million of your brain cells die every minute during a stroke. Therefore, recognizing the symptoms and getting medical attention F.A.S.T. can save your life or that of a loved one.

If you or a loved one suffers a stroke, you want to be at the right place at the right times.

Nebraska Medicine's Stroke & Neurovascular Center provides around-the-clock care of stroke patients using a well-defined, systematic approach to care and treatment to achieve optimal results.

When you come to Nebraska Medicine, you can be sure you will receive the best care available from a highly skilled and dedicated stroke team, providing you or your loved one the best chance for a full recovery.

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Nebraska Medicine Expertise

The Only Certified Comprehensive Stroke Center in Nebraska

You’ll get immediate and specialized care, which is crucial in treating acute stroke patients. It is important to remember 'time is brain" and every second counts.

People who are treated by stroke experts as soon as possible once symptoms of a stroke are recognized are much more likely to experience the most positive outcomes.

Nebraska Medicine's Stroke & Neurovascular Center is dedicated to the management and prevention of strokes in the state, our specially trained stroke team will ensure you receive the most appropriate and expert care available.

We Rank Among the Fastest Teams in the State at Delivering the Proper Treatment for a Stroke

The most common type of stroke is an ischemic stroke. It is caused by a blockage in a blood vessel that stops the flow of blood and deprives the surrounding brain tissue of oxygen, causing cell death.

Here at Nebraska Medicine we give a drug called, tPA, tissue Plasminogen Activator. This medicine is the only thrombolytic agent approved by the Food and Drug Administration (FDA) for treating an acute ischemic stroke.

Our 24/7 stroke team has the training and expertise in giving this clot busting drug quickly upon your arrival, knowing every minute counts.

We Perform the Newest Type of Surgery for the Most Severe Form of Stroke

We are experienced at performing a potentially life-saving procedure approved for large vessel ischemic strokes called a mechanical thrombectomy, which involves surgical removal of the clot from the brain.

Study results show that this procedure can significantly improve outcomes for these individuals by as much as 70 percent.

Nebraska Medicine is the only health care system in the region with vascular neurosurgeons performing this procedure 24 hours a day, seven days a week. Since a stroke can happen anytime, it is important to know where in your area you can receive this potentially life-saving procedure.

Overall, our patients have shown great outcomes after intervention treatments such as tPA and/or thrombectomy.

Our patients' average NIH score, which is a tool used to help measure the severity of a stroke and it's impairments, is 14.

After our patients' received an interventional treatment for their stroke, the average NIH score went down to five.

This shows that overall stroke patients being treated here have a significant improvement in their mobility and overall function after receiving tPA/thrombectomy treatment.

We Provide Specialized Around-the-Clock Care

If you have a stroke, you will be treated by the only stroke team in the region capable of providing specialized around-the-clock care.

We are the only facility in the area with three fellowship-trained endovascular neurosurgeons, neurology vascular specialists, a neuro-intensivist, a neuro hospitalist and a stroke nurse practitioner.

Our endovascular neurosurgeons have special training in endovascular surgeries, which are innovative, less invasive procedures used to treat problems affecting the blood vessels.

When a patient arrives in the emergency room who is suspected of having a stroke, our dedicated stroke team is immediately notified and deployed.

A CT scan would be performed to find out what kind of stroke is occurring. It is evaluated by a stroke team neurologist to determine if you are a candidate for medication or surgery.

Our skilled and comprehensive stroke team will ensure you received the most advanced and comprehensive stroke care from the moment you arrive through your recovery.

We Have State-of-the-Art Neurointensive Care and Stroke Units

Here at Nebraska Medicine we have dedicated stroke units with highly trained staff specializing in stroke care. Our neuroscience intensive care unit and state-of-the-art stroke unit make up of 64 beds where patients recovering from a stroke can receive specialized monitoring and care.

We Offer Excellent Rehabilitation Services

Stroke is the leading cause of disability in the United States, therefore implementing rehabilitation services after a stroke is crucial in your recovery.

The outlook for stroke patients today is more hopeful than ever due to advances in both stroke treatment and rehabilitation.

Our rehabilitation program is customized for each patient to help restore you or your loved one to optimal health, functioning and well-being.

Our rehabilitation therapists are specifically stroke-trained and work with patients immediately following a stroke. They then follow them through the continuum of care. Our goal is to help you achieve the highest level of independence and quality of life possible.

Our stroke rehabilitation program also will work with a stroke victim's family members to help their loved one achieve optimal function again.

We Supply the Doctors Other Nebraska Hospitals Rely on to Diagnose Strokes

Launched in 2016, Nebraska Medicine now provides expertise on stroke issues through our telestroke program.

We Provide Access to New Medications and Clinical Trials

We are among the first to learn about and use new drugs and clinical trials that may be applicable to helping combat strokes. See an updated list of what clinical trials in stroke we are currently conducting.

Accreditations and Awards

The Nebraska Medical Center is certified as a Comprehensive Stroke Center by The Joint Commission, in collaboration with the American Heart Association/American Stroke Association’s Brain Attack Coalition — the highest level of stroke certification available. This advanced designation by the nation’s largest independent health care evaluation body means that the Nebraska Medical Center is equipped to handle the most complex stroke cases. The hospital is the only care facility in the region to receive this certification.

The requirements to be a Comprehensive Stroke Center include:

  • Having a dedicated neurosciences intensive care unit beds for complex stroke patients that provide neuro-critical care 24  hours a day, seven days a week
  • Use of advanced imaging capabilities
  • Annually provide care to 20 or more patients with a diagnosis of subarachnoid hemorrhage; perform 15 or more endovascular coiling or surgical clipping procedures for aneurysm; and administer IV tPA to an average of 15 or more eligible patients
  • Use of a peer-review process to evaluate and monitor the care provided to patients with ischemic stroke and subarachnoid hemorrhage
  • Participating in stroke research

 

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The Nebraska Medical Center and Bellevue have each been recognized by the American Heart Association/American Stroke Association with the Get With The Guidelines® Gold Plus Achievement Award. This award is given to hospitals that have reached an aggressive goal of treating patients with 85 percent or higher compliance to core standard levels of care as outlined by the American Heart Association/American Stroke Association for two consecutive calendar years. In addition, these hospitals have demonstrated 75 percent compliance to (seven out of 10 stroke quality measures) during the 12-month period.

NMC_Stroke_Honor_Roll_Elite_Plus.jpgNebraska Medical Center additionally received the association’s Target: Stroke Honor Roll Elite Plus recognition. To qualify for this recognition, hospitals must meet quality measures developed to reduce the time between the patient’s arrival at the hospital and treatment with the clot-buster tissue plasminogen activator, or tPA, the only drug approved by the U.S. Food and Drug Administration to treat ischemic stroke. The Stroke Honor Roll Elite Plus recognition is given to hospitals that demonstrate door to needle administration of IV tPA within 60 minutes in 75 percent or more of eligible patients and within 45 minutes in 50 percent of eligible patients.

 

BMC_Stroke_Honor_Roll2018.jpgBellevue additionally received the association's Target: Stroke Honor Roll recognition for achieving door to needle administration of IV tPA within 60 minutes in 50 percent or more of eligible patients.

 

 

 

 

 

“Stroke is a time-critical diagnosis and well-organized expert care can reduce death and disability. We know that for every minute that stroke is untreated, brain tissue is at risk and salvageable brain tissue diminishes. Research has demonstrated that when compared with the normal rate of neuron loss in brain aging, the ischemic brain ages 3.6 years each hour without treatment, says Denise Gorski, program manager, Neurosciences. This type of organized care involves significant commitment and collaboration with EMS and many departments within the hospital. Nebraska Medical Center and Bellevue are truly making an impact and changing outcomes for our patients.”