Hornsby Highlights Newsletter May 2025 - Issue 4

PLAQUE PRESENTATION – STROKE SITE CERTIFIED

Celebrating Stroke Care: A Milestone Achievement at HKH

We extend our heartfelt gratitude to the Stroke Foundation and the Australian Stroke Coalition for their accreditation process. This accomplishment stands as a testament to the unwavering dedication of our Neurology team—doctors, nurses, and allied health professionals—whose collective efforts have been instrumental in this achievement. Since the reorganisation of our stroke services, we have observed a 40% increase in stroke presentations. Stroke admissions have surged by 94% over the past six years, and in the previous year alone, we managed 262 stroke patients, with 433 individuals following the stroke pathway.

Our dedication is reflected in the following advancements:

• A 39% improvement in door-to-needle and door-to-CT times since 2022, minimizing delays to therapy. • A median door-to-needle time of just 57 minutes over the past 12 months. • Our thrombolysis rate increased to 14%, up from 5% or less in previous years. • 67% of stroke patients receiving therapy within 60 minutes, surpassing national targets.

We are committed to achieving the 2030 national stroke targets, which include:

• Endovascular clot retrieval door-to-puncture time under 30 minutes for transfers and under 90 minutes for primary presenters. • Thrombolysis door-to-needle time under 60 minutes. • Endovascular clot retrieval door-in-door-out time under 60 minutes in metropolitan hospitals. • Certified stroke unit care provided to over 90% of patients with a primary stroke diagnosis. The successful accreditation of our stroke unit marks a significant achievement, making us one of only two hospitals in our Local Health District with this distinction. This accomplishment underscores our commitment to delivering quality stroke care to our community.

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