Loma Linda University Medical Center is committed to comprehensive, competent, and compassionate care of individuals affected by stroke. The Stroke Program will strive to streamline an interdisciplinary effort to rapidly recognize and treat stroke patients with the highest quality of care.
Our Comprehensive Stroke program is an alliance of health professionals all working toward the common goal of protecting and healing patients from stroke.
Education is one of the key elements of our Stroke program; we are committed to educating staff and patients alike in the most current care and prevention of stroke.
We are dedicated to the continual pursuit of the highest quality of stroke care by constantly tracking stroke outcomes and evaluating our methods.
After advanced care is delivered in our dedicated neuro critical care unit and dedicated stroke unit by specialty trained physicians, nurse practitioners and nurses, our dedicated critical care stroke nurses and the critical care specialty team together respond 24 hrs 7 days a week to expedite timely acute interventions for both ischemic and hemorrhagic strokes patients. The neuro backpack carried by the team provides immediate access to t-PA "clot buster" and other medications needed for immediate stabilization.
These experienced neuro critical care nurses and critical care specialty team RN have received extensive education and training to fulfill the requirements.
Stroke rehabilitation occurs in our spacious and beautiful 24 bed facility, the Zapara Rehabilitation Pavilion, located on the East Campus. At the Zapara Rehabilitation Pavilion, evidence-based healing is supported by a connection to nature, access to social support, elimination of environmental stressors, and innovative rehabilitative therapies.
Our neurology clinic follows patients for both primary and secondary stroke prevention. Our physicians and nurse practitioners will ensure that patients are taking the right medications and participating in the necessary lifestyle modifications to prevent future strokes by collaborating with our Wellness Center.
Stroke Outcomes and Quality: 2019 & 2020
In 2019, our program had a total of 45 carotid endarterectomies (CEA) with 20 cases being asymptomatic and 21 cases being symptomatic. There was one (1/21, 4.8%) major complication (death or stroke) from CEA for both asymptomatic and symptomatic patients.
There were 6 carotid arterial stenting (CAS) that were both asymptomatic. There was one major complication (1/6, 16.7%) from CAS.
There were zero (0) major complications for 380 diagnostic catheter angiographies within 24-hour post-procedure.
There were also zero (0/21) cerebral spinal fluid (CSF) infections in patients with ischemic or hemorrhagic stroke.
From January 1 to November 5, 2020, our program had a total of 46 carotid endarterectomies (CEA) with 28 cases being asymptomatic and 18 cases being symptomatic. There were 14 trans carotid artery revascularizations (TCAR). There were zero (0) major complications (death or stroke) from CEA.
During the same time frame, there were 12 CAS (1 trans-femoral and 3 trans-cervical) with 1 case being asymptomatic and 3 cases being symptomatic. There were zero (0) major complications from CAS.
There were zero (0) major complications for 318 diagnostic catheter angiographies within 24-hour post-procedure.
There were also zero (0/22) cerebral spinal fluid (CSF) infections in patients with ischemic or hemorrhagic stroke.