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Neurosciences and Musculoskeletal Services
Stroke Treatment/Prevention
Trillium Health
Centre - Mississauga
Comprehensive Stroke Unit
Trillium's Comprehensive Stroke Unit
(CSU) adds a valuable component to the delivery of stroke
services through the continuum of care for patients.
This specialized unit has six acute and eight rehabilitation
beds for regional stroke patients on a 24/7 basis. It provides
a patient-centred model of care delivered by a team of experts,
which allows the patient to remain in the same room, with
the same expert clinicians, for the duration of their hospital
stay.
The team delivers care based on the Stroke Care Guidelines
the Stroke Network stakeholders developed in 2001. Patient
treatment plans and discharge goals are managed through daily
and weekly rounds with the attending stroke neurologist, physiatrist,
and the interdisciplinary team.
To date, the unit has cared for 51 stroke patients, admitted
directly from Emergency, with an average length of stay of
six days. The EMS “bypass” system, which has been
operating within the region since June 2002, has enabled a
total of 96 patients to be admitted directly to Trillium from
other facilities, with six patients admitted to the CSU.
Initial statistics show 44% of our acute patients went on
to the rehabilitation phase of their recovery within the unit.
We discharged 27% to their homes and the remaining 29% were
transferred to another hospital or unit. From rehabilitation,
75% were discharged home with the balance of patients needing
placement in appropriate facilities.
“The regional ambulance bypass system enables Trillium
to offer tPA (clot buster medication) on a 24/7 basis to patients
from the entire Network region who meet the clinical criteria
and can be treated within three hours of the stroke onset,”
says Dr. Daniel Selchen, Trillium’s Chief of Neurology
and Director of the Regional Stroke Program. “With the
opening of the CSU, we can now offer advanced stroke care
to patients including post-thrombolytic management.”
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