
Pikeville Medical Center (PMC) is the first hospital in the region to earn the gold seal of approval from The Joint Commission for Primary Stroke Centers. Only 10 hospitals in Kentucky have earned this accreditation, and no other Kentucky hospital east of Lexington has earned this prestigious distinction.
The certification was granted following a detailed, on-site review of the hospital in November. The accreditation recognizes Pikeville Medical Center’s dedication to complying with the Joint Commission’s state-of-the-art standards on a continuous basis.
“This accreditation means our patients have access to world-class technology and physicians when it comes to stroke care,” said Pikeville Medical Center President and Chief Executive Officer Walter E. May. “The guidelines we have in place ensure that our patients receive faster diagnoses, faster treatment and ultimately, a faster recovery.”
Each year about 700,000 people experience a new or recurrent stroke, which is the nation’s third leading cause of death. On average, someone suffers a stroke every 45 seconds and someone dies of a stroke every 3.1 minutes. Stroke is a leading cause of serious, long-term disability in the United States, with about 4.7 million stroke survivors alive today.
“Pikeville Medical Center demonstrated that its stroke care program follows national standards and guidelines that can significantly improve outcomes for stroke patients,” said Jean E. Range, executive director of disease-specific care certification with The Joint Commission.
The Joint Commission’s Primary Stroke Center Certification is based on the recommendations for primary stroke centers published by the Brain Attack Coalition and the American Stroke Association’s statements/guidelines for stroke care. The Joint Commission launched the program—the nation’s first—in 2003.
The “Golden Hour” is a term used by healthcare professionals to define the first hour after a patient first experiences stroke symptoms. This is a critical time period as the chances for surviving a stroke are increased if the patient reaches the hospital during this time period. One possible treatment available at PMC is tPa, a “clot-busting” drug that can only be administered within three hours of the onset of stroke symptoms when medically indicated for an ischemic (clot) stroke. It is important to note that tPa is not used to treat a hemorrhagic (bleed) stroke. Therefore, it is critical for patients to come to the hospital as quickly as possible when they first begin to experience stroke-like symptoms in order for an appropriate treatment to be determined.
According to the American Heart Association’s Get With the Guidelines Stroke Improvement Program, 27.1 percent of more than 100,000 patients who arrived within the “Golden Hour” were able to be treated with tPa. Of those who arrived one to three hours after the onset of symptoms, only 12.9 percent were able to receive tPa.
Early treatment of stroke symptoms may mean more treatment options and a better outcome. A stroke can happen to anyone, but according to the National Stroke Association, after the age of 55, your stroke risk doubles every decade.
Neurologist Dr. Naveed Ahmed, medical director of PMC’s Primary Stroke Center, said the hospital has a dedicated team of healthcare professionals available around the clock to deliver comprehensive care, ranging from diagnosis, to treatment and rehabilitation.
“Being an accredited Primary Stroke Center means we are exceeding the highest standards of stroke care across the nation,” Dr. Ahmed continued. “Having a dedicated stroke team available means we have a plan in place, and that means treatment without hesitation, which ultimately results in saving lives.”
During the on-site survey by The Joint Commission, surveyors took a close look at how efficiently the hospital delivered stroke care. Sandy Tackett, who coordinates PMC’s Primary Stroke Center, said the guidelines the hospital have in place are second to none.
“We understand that the guidelines we have in place ensure that we improve the outcome of our patients,” Tackett said.
The warning signs of a stroke include: sudden numbness or weakness of the face, arm or leg, especially on one side of the body; sudden confusion, trouble speaking or understanding; sudden trouble seeing in one or both eyes; sudden trouble walking, dizziness, loss of balance or coordination; or sudden, severe headache with no known cause.
Jerry Johnson, chief operating officer of Pikeville Medical Center, said the accreditation as the region’s first Primary Stroke Center “shows that the level of service at Pikeville Medical Center is among the very best in the nation.”
For more information on PMC’s Primary Stroke Center, please call (606) 218-3500.