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Neurosciences Outcomes | 2013


Table of Contents 4-7 // Volumes Outcomes 4 // Cerebrovascular / Hemorrhagic 4 // Cerebrovascular / Ischemic 4 // Cerebrovascular / Other 5 // Epilepsy 5 // Movement Disorder 5 // MS 6 // Neuromuscular 6 // Neuro-Oncology 6 // Other Neurology & Neurosurgery 7 // Surgery 7 // Total Inpatient and Outpatient Visits / UCH Neurosciences 8-11 // Stroke Outcomes 8 // Anticoag for AFib/Aflutter 8 // Antithrombotics Discharge 8 // Antithrombotics Early 9 // Dysphagia Screen 9 // DVT/VTE Prophylaxis 10 // LDL 100 or ND – Statin 10 // IV rt-PA / Arrive by 2 Hour, Treat by 3 Hour 11 // Rehabilitation Considered 11 // Smoking Cessation 11 // Stroke Education 12-13 // Survival Outcomes 12 // Brain (GBM Only) / 5–Year Survival 12 // Brain (Including Benign Brain) / 5–Year Survival 13 // Brain & CNS (Excluding Benign Brain) / 5–Year Survival 13 // Pituitary Gland / 5–Year Survival 14 // Mortality Outcomes 14 // Hemorrhagic 14 // Ischemic 15 // UCH Insider 15 // UCH Insider Article


University of Colorado Hospital

is the leading academic medical center in the nation. University of Colorado Hospital (UCH) is recognized as one of the highest-performing academic hospitals in the United States for delivering quality health care by the University HealthSystem Consortium for the past several years, including consecutive #1 rankings by U.S. News & World Report. UCH is best known as an innovator in patient care and often is one of the first hospitals to bring new medicine to the patient’s bedside. The hospital’s physicians are affiliated with the University of Colorado School of Medicine, part of the University of Colorado system. Based at the expansive Anschutz Medical Campus in Aurora, Colo., UCH is where patient care, research and education converge to establish the future of health care delivery.

The University of Colorado Hospital Difference… The University of Colorado Hospital Department of Neurosciences is one of the nation’s leading neurosciences programs and is comprised of some of the country’s top neurologists, neurosurgeons, neurointerventional radiologists, neurocritical care specialists, neurohospitalists, NPs, PAs, researchers, social workers, counselors, dieticians and other caregivers. With a multidisciplinary team that subspecializes in and treats a broad spectrum of neurological conditions, the neurosciences division is a contributing reason why University of Colorado Hospital is consistently named as one of the top performing academic hospitals in the nation by the University HealthSystem Consortium, again. For more information, please visit us at uch.edu.

Certified Comprehensive Stroke Center

3


1666

355

350

329

Volume OUTCOMES data FY2011

FY2012

FY2013

Based on the July 1 - June 30 fiscal year

Cerebrovascular/Hemorrhagic

Inpatient Admissions Cerebrovascular/Hemorrhagic Inpatient Days

2184

2005

1519

118

91

127

FY2011

KEY

Cerebrovascular/Ischemic Cerebrovascular/Ischemic 997

168 168 FY2011 FY2011

Inpatient Admissions

283 283

197 197 FY2012 FY2012

Inpatient Days

641 641

424 424

274 274

4

KEY

Inpatient Admissions

288 288

225 225 FY2013 FY2013

Outpatient Visits

468 468

98 98 FY2011 FY2011

1094 1094

Inpatient Admissions Inpatient Inpatient Days Admissions Inpatient Days

Cerebrovascular/Other Cerebrovascular/Other Cerebrovascular/Other

67 67

Outpatient Visits

Inpatient Admissions Inpatient Days Admissions Inpatient Days 848 848

997

109 FY2013

Inpatient Days

Cerebrovascular/Ischemic

KEY

141

FY2012

Inpatient Admissions

153 153

96

347 347

418 418

75 75 FY2012 FY2012

Inpatient Days

Other Neurology & Neurosurgery Volume

FY2013 FY2013 Outpatient Visits

9312


1010

883

613

FY2011

1002

897

FY2012

FY2013

Based on the July 1 - June 30 fiscal year

Epilepsy Volume Epilepsy

Inpatient Admissions 3708

1419

FY2012

Inpatient Admissions

Movement Disorder Volume Movement Disorder Inpatient Admissions 2784

118

FY2013

Inpatient Days

Outpatient Visits

Inpatient Days Outpatient Visits 2820

76

FY2011

KEY

368

359 FY2011

74

1605

1360

350

KEY

4480

4217

147

92

FY2012

Inpatient Admissions

Inpatient Days

Outpatient Visits

KEY

Outpatient Visits Outpatient Visits 3661 9241

3013 8630

7891

37

133

47

159

51

60

288 FY2011

75

329 FY2012

90

FY2011 Inpatient Admissions

244 FY2013

Inpatient Admissions Inpatient Days Neuromuscular Inpatient Admissions Inpatient Days MS Volume 3442

MS

3073

FY2012 Inpatient Days

142 449 FY2013 FY2013

Outpatient Visits 5


Volume OUTCOMES data 74

118

76

FY2011 Inpatient Admissions

147

92

FY2012 Inpatient Days

MS Volume

244

Based on the July 1 - June 30

FY2013 Outpatient Visits 9241

Inpatient Admissions 8630 Inpatient Days Outpatient Visits Neuromuscular Cerebrovascular/Ischemic Inpatient Admissions Neuromuscular 1094 7891

997

168

153 60

288

3661

Inpatient Days

3442

848

3013

283

197 75

329

288

225 90

449

FY2011 133 37 FY2011

FY2012 159 47 FY2012

FY2013 142 51 FY2013

FY2011

FY2012

FY2013

Inpatient Admissions KEYCerebrovascular/Other

Inpatient Days

Inpatient Admissions Neuro-Oncology 641 Neuro-Oncology

Inpatient Days

3287

424 274 1842

3224

3045 468

347

329

FY2011

75 350

FY2012 FY2012

Inpatient Admissions

FY2013 FY2013

Inpatient Days

Outpatient Visits

Other Neurology & Neurosurgery Volume

9312

Inpatient Admissions

Cerebrovascular/Hemorrhagic Inpatient Days& Neurosurgery Other Neurology Inpatient Admissions Inpatient Days 6645

418

1881

98

FY2011

KEY

Inpatient Days Outpatient Visits

1666

67 355

Outpatient Visits Admissions Inpatient

2005

7815

2184

1519

118 370

91 FY2011 FY2011

6

KEY

2456

2398

2091

Inpatient Admissions

127 424

96 FY2012 FY2012

Inpatient Days

141 378

109 FY2013 FY2013

Outpatient Visits

fiscal year


10402

9336

8681

1770

1732

1584 FY2011

FY2012

Based on the July 1 - June 30

FY2013

fiscal year

Surgery

Surgery Volumes Spine Surgery

Neurosurg (excl Spine)

Total Surgeries

1623 1010

1002

883

613

FY2011

KEY

1159

897

FY2012

Spine

2056

1885

FY2013

Neurosurgery (excluding spine)

Total Surgeries

Epilepsy Volume

Inpatient Admissions

4480

4217

3708

1419

1605

1360 359

350

Total Inpatient and Outpatient Visits / UCH Neurosciences

368

Total Inpatient and Outpatient Visits FY2012

InpatientFY2011 Admissions

Inpatient Days

30387

28657

1770

1732

1584 FY2011

FY2012

Inpatient Admissions

Surgery Volumes Spine Surgery

1010

FY2013

Inpatient Days

Neurosurg (excl Spine)

Outpatient Visits

Total Surgeries

2056

1885

1623

613

10402

9336

8681

KEY

FY2013 33806

Outpatient Visits

883

1002

897

1159

7


8

UCH DVT/VTE Prophylaxis

Colorado

99.0% 100.0% 97.5%96.1% 97.3%94.7% 97.4% 93.9% 97.6% 98.2%

90.9%100.0% 96.2% 83.2% 92.8% 98.8% 80.5% 98.0% 86.5% 76.6% 97.4% 88.5% 91.6% 94.8% 99.3% 100.0% 100.0% 100.0% 84.9% 98.8%94.1% 84.8% 98.7%89.7% 78.9% 97.8% 89.6% 91.6% 95.0% 99.2% 100.0% 100.0% 100.0% 87.1% 98.9%95.3% 91.0% 93.3% 99.1% 82.5% 91.9% 98.2% 92.4% 98.9%96.1%

100.0% 95.7% 94.7% 93.4% 98.4%

100.0% 95.4% 90.9% 93.3% 98.8%

Academic Hospitals FY2010

UCH Anticoag for Afib/Aflutter

Academic Hospitals Colorado

100.0% 95.5% 92.5% 93.2% 97.7%

100.0% 96.1% 94.7% 93.9% 98.2%

UCH Anticoag for AFib/Aflutter Anticoag for Afib/Aflutter

Academic Hospitals Colorado

UCH LDL 100 or ND-Statin

FY2009 FY2010 FY2011 FY2012 FY2013

FY2009 FY2010 FY2011 FY2012 FY2013

3 hour

Colorado FY2011

Colorado National

FY2012

FY2009 FY2010 FY2011 FY2012 FY2013

Academic Hospitals National

National

Academic Hospitals National Academic Hospitals National Academic Hospitals National

National FY2012

FY2009

FY2010

FY2011

FY2012

FY2013

FY2009

FY2010

FY2011

FY2012

Academic Hospitals National

Academic Hospitals National

Academic Hospitals

National

Academic Hospitals National

100.0 98.9% 99.1% 98.2% 98.9%

100.0 98.8% 98.7% 97.8% 99.2%

100.0 98.8% 98.0% 97.4% 99.3%

100.0 98.6% 98.0% 97.6% 99.2%

100.0 98.3% 97.4% 97.2% 98.9%

Percent of Patients

FY2011

00.0% .3% .3% .9% .1%

100.0% 100.0% 97.4%95.5% 97.0% 92.5% 97.0% 93.2% 97.8% 97.7%

UCH FY2009

FY2010

00.0% .1% .7% .6% .0%

UCH Antithrombotics Early Early Antithrombotics Colorado

98.3% 100.0% 97.2%95.4% 95.5% 90.9% 96.6%93.3% 97.5% 98.8%

Antithrombotics AT Discharge

90.9%100.0% 100.0% 80.5% 98.6%92.6% 80.6% 98.0% 88.3% 73.9% 97.6% 87.6% 91.8% 95.8% 99.2%

Colorado

100.0% 95.3% 94.0% 93.5% 97.8%

Percent of Patients

FY2009

.2% .8% 5% .5% .8%

Colorado

100.0% 100.0% 96.9% 95.7% 97.6% 94.7% 96.4%93.4% 97.6% 98.4%

Colorado UCH Antithrombotics at Discharge Colorado UCH IV rt-PA Arrive by 2 hour, treat by Colorado

92.3%100.0% 87.5% 75.8% 98.3%83.5% 79.7% 97.4% 71.4% 64.5% 97.2% 75.5% 91.8% 88.0% 98.9%

Percent of Patients Percent of Patients Percent of Patients

UCH

00.0% .0% .6% .3% .6% .8%

KEY

UCH LDL 100 or ND-Statin

UCH

% .0%

KEY

100.0% 100.0% 96.8% 95.3% 95.6% 94.0% 96.5%93.5% 97.8% 97.8%

Percent of Patients Percent of Patients

KEY

5% .0% 5%

ts

Stroke OUTCOMES data Based on the

July 1 - June 30

FY2013

fiscal year

Comprehensive Stroke Centers

Comprehensive FY2013Stroke Centers

FY2013

Comprehensive Stroke Centers


KEY 97.7% 94.9% 91.7% 91.7% 97.1% 97.8% 95.0% 94.5% 93.2% 97.1% 98.3% 94.9% 94.3% 93.8% 96.7%

Colorado

100.0% 94.0% 94.4% 92.6% 96.2%

100.0% 100.0% 97.1% 96.9% 92.7% 97.6% 96.2% 96.4% 97.9% 97.6% 100.0%98.3% 97.5% 97.2% 97.1% 95.5% 96.6% 96.6% 98.0% 97.5% 96.3% 100.0% 97.6% 97.4% 96.2% 97.0% 97.0% 97.0% 97.4% 97.8%

UCH Smoking Cessation

96.8% 100.0% 96.0% 96.8% 92.9% 95.6% 95.0% 96.5% 97.2% 97.8%

Percent ofPercent Patientsof Patients

KEY

100.0% 94.9% 96.9% 92.8% 96.8%

Percent of Patients FY2009 UCH Early Antithrombotics

FY2009 FY2010 FY2011 FY2012

UCH

UCH

90.9% 83.2% 80.5% 76.6% 91.6% 100.0% 84.9% 84.8% 78.9% 91.6% 100.0% 87.1% 91.0% 82.5% 92.4%

95.4% 84.1% 73.4% 80.0% 88.5% 87.6% 84.4% 77.9% 82.1% 88.3%

Colorado

90.9% 82.1% 72.0% 78.0% 87.8%

FY2009

90.9% 80.5% 80.6% 73.9% 91.8%

Colorado

84.5% 79.9% 71.7% 75.9% 88.1%

UCH Dysphagia Screen

Academic Hospitals

Colorado

DVT/VTEDVT/VTE Prophylaxis FY2009 UCH FY2010 Prophylaxis

Academic Hospitals

Percent of P

FY2011 FY2012 Academic Hospitals

FY2010 FY2011 FY2012 FY2013

FY2010 FY2011 Academic HospitalsFY2012 FY2013

Academic Hospitals National

National

Colorado

Colorado National

National

Comprehensive Stroke Centers

Academic Hospitals National

99.0% 94.4% 97.7% 97.5% 96.7% 97.3% 97.0% 97.4% 98.1% 97.6%

Dysphagia Screen

57.0% 92.3% 75.1% 75.8% 65.7% 79.7% 71.0% 64.5% 84.2% 91.8%

Percent of Patients Percent of Patients

Colorado

FY2009 FY2010 IV rt-PA Arrive UCH by 2 hour, treat by 3 hour National

FY2013 Based on the

July 1 - June 30

fiscal year

FY2009 FY2010 FY2011 FY2012 FY2013*

National

FY2013

FY2011 FY2012 Academic Hospitals FY2013

Comprehensive Stroke Centers

9


FY2009

FY2010

FY2011

FY2013 fiscal year

100.0% 92.6% 88.3% 87.6% 95.8%

96.2% 92.8% 86.5% 88.5% 94.8%

100.0% 94.1% 89.7% 89.6% 95.0%

100.0% 95.3% 93.3% 91.9% 96.1%

87.5% 83.5% 71.4% 75.5% 88.0%

LDL 100 or ND – Statin Percent of Patients

July 1 - June 30

FY2012

Academic Hospitals National

Colorado

FY2010

FY2011

FY2012

FY2013

FY2009 UCH

96 94. 93.9 Based on the

UCH LDL 100 or ND-Statin

KEY

95 92.5 93.2

95. 90.9% 93.3

95 94. 93.4

95. 94. 93.5

Percent of Patients

Stroke OUTCOMES data

Academic Hospitals

Colorado

IV rt-PA Arrive UCH by 2 hour, treat by 3 hour Colorado

National

Comprehensive Stroke Centers

Academic Hospitals National

90.9% 80.5% 80.6% 73.9% 91.8%

90.9% 83.2% 80.5% 76.6% 91.6%

100.0% 84.9% 84.8% 78.9% 91.6%

100.0% 87.1% 91.0% 82.5% 92.4%

FY2009

FY2010

FY2011

FY2012

FY2013

UCH Early Antithrombotics

100.0% 96.8% 95.6% 96.5% 97.8%

100.0% 96.9% 97.6% 96.4% 97.6%

10

Percent of Patients

Colorado

FY2009

FY2010

Colorado

National

Comprehensive Stroke Centers

Academic Hospitals National

FY2011

99.0% 97.5% 97.3% 97.4% 97.6%

Academic Hospitals

100.0% 97.4% 97.0% 97.0% 97.8%

UCH

98.3% 97.2% 95.5% 96.6% 97.5%

KEY

92.3% 75.8% 79.7% 64.5% 91.8%

Percent of Patients

IV rt-PA Arrive by 2 Hour, Treat by 3 Hour

FY2012

FY2013


KEY

Stroke Education

100.0% 97.5% 97.1% 96.6% 98.0%

97.4% 90.0% 86.6% 85.3% 92.9%

94.0% 94.4% 91.6% 97.7% 92.1% 96.7% 89.0% 97.0% 93.7% 98.1%

100.0% 90.9% 97.5% 82.1% 97.1% 72.0% 96.6% 78.0% 98.0% 87.8% 96.3% 95.4% 97.6% 84.1% 96.2% 73.4% 97.0% 80.0% 97.4% 88.5% 94.4% 87.6% 97.7% 84.4% 96.7% 77.9% 97.0% 82.1% 98.1% 88.3%

UCH

UCH Academic Hospitals

FY2009

UCH Rehabilitation Considered

Colorado

Colorado

FY2010 FY2011

UCH Dysphagia Screen

Smoking Cessation

FY2009

FY2010

FY2011

FY2012

FY2013

FY2009

FY2010

FY2011

FY2012

FY2013

Academic Hospitals National

Academic Hospitals

Colorado

96.3% 97.6% 96.2% 97.0% 97.4%

100.0% 84.5% 97.1% 79.9% 92.7% 71.7% 96.2% 75.9% 97.9% 88.1%

Colorado

98.8% 97.3% 95.8% 96.4% 98.4%

100.0% 97.7% 95.9% 96.6% 98.7% 99.3% 97.8% 96.3% 96.8% 98.7%

100.0% 97.8% 96.3% 97.3% 98.5%

57.0% 75.1% 65.7% 71.0% 84.2% 84.5% 79.9% 71.7% 75.9% 88.1% 90.9% 82.1% 72.0% 78.0% 87.8% 95.4% 84.1% 73.4% 80.0% 88.5% 87.6% 84.4% 77.9% 82.1% 88.3%

95.6% 96.3% 92.9% 94.8% 97.5%

Percent of Patients Percent of Patients UCH Dysphagia Screen

FY2009 FY2010 FY2011 FY2012 FY2013

Academic Hospitals National

Academic Hospitals National

National

Colorado National Academic Hospitals

National

National

Academic Hospitals National

%

Colorado

84.8% 87.2% 70.9% 80.6% 90.8%

UCH UCHAcademic Hospitals Cessation KEYSmoking Colorado

100.0% 68.1% 97.1% 82.2% 70.3% 92.7% 96.2% 75.0% 97.9% 87.9%

Colorado UCH Smoking Cessation Colorado

96.8% 57.0% 96.0% 75.1% 92.9% 65.7% 95.0% 71.0% 97.2% 84.2%

Percent of Patients Percent of Patients UCH Rehabilitation Considered Rehabilitation Considered Colorado

%

UCH Stroke Education

96.8% 60.3% 96.0% 74.5% 92.9% 55.7% 95.0% 67.9% 97.2% 83.2%

of Patients PercentPercent of Patients

KEY

PercentPercent of Patients of Patient

98.8% 68.1% 97.3% 82.2 95.8% 70.3 96.4% 75.0 98.4% 87. 100. 84. 97.7% 87. 95.9% 70.9 96.6% 80.6 98.7% 90. 99.397 97.8% 90. 96.3% 86. 96.8% 85. 98.7% 92.

FY2010 FY2011 FY2012 July 1 - June 30 FY2013

FY2009 FY2010 FY2011 FY2012 FY2013

100. 94 97.8% 91. 96.3%92. 97.3% 89. 98.5% 93

95.6% 60.3% 96.3% 74.5 92.9% 55.7% 94.8% 67.9% 97.5% 83.2

Based on the

FY2009 fiscal year

Comprehensive Stroke Centers

FY2012 FY2013

FY2009 FY2010 FY2011 FY2012 FY2013

FY2009 FY2010 FY2011 FY2012 FY2013

Academic Hospitals National Academic Hospitals National

Comprehensive Stroke Centers

Comprehensive Stroke Centers

11


Year 1

Year 2

Year 3

Brain (Including Benign) 74%

UCH

SURVIVAL OUTCOMES data 61%

62%

Year 1

Year 5

51%

49%

State

55%

48%

Year 4

42%

40%

38%

Year 3

Year 4

Year 5

Brain (GBM Only) / 5–Year Survival UCH

50%

State

37% 25% 15%

Year 1

Year 2

14%

8%

Year 3

10%

10%

5%

Year 4

4%

Year 5

Gland KEY PituitaryUCH Colorado 99%

98%

98%

Observed survival data based on patients diagnosed between 2003 – 2005.

96%

94%

97% 94%

93%

91% 88%

Year 1

Year 2

Year 3

Year 4

Year 5

Brain (Including Benign Brain) / 5–Year Survival Brain (Including Benign)

74% 61%

62% 48%

Year 1

KEY

UCH

Year 2

55% 42%

Year 3

Colorado

Observed survival data based on patients diagnosed between 2003 – 2006.

12

July 1 - June 30 fiscal year

Year 2

Brain (GBM Only)

Based on the

UCH 51% 40%

Year 4

State 49% 38%

Year 5


Brain & CNS (Malignant Only

73% 58%

UCH

61%

52%

54% 45%

49% 38%

36%

July 1 - June 30

47% 36% 37%

30%

NationalBased on the

State

fiscal year

34% 25%

Brain & CNS (Excluding Benign Brain) / 5–Year Survival 73%

Year 1

Year 2 Brain & CNS (Malignant OnlyYear 3

Brain58% (Including Benign) 61% 74%

52%

61%

Year 1

45%

Year 1

74%

49%

55% 30% 42%

Year 2

Year 3

Year 2

UCH

State

38%

62% 36% 48%

Brain (Including Benign) UCH

KEYBrain (GBM Only)

54% UCH

Year 4 State

National

47% 36% 37%

51%

34%

40%

Year 4

Year 3

Colorado

Year 5

49% 25%

38%

Year 5

Year 4

Year 5

National State

UCH

Observed survival data based on patients diagnosed between 2003 – 2006.

50%

61%

62% UCH 48%

State55%

42%

51%

40%

49%

38%

37% 25% Year 1

Year 215%

Brain (GBM Only) 50% Year 1

UCH

Year 2

Year 3 14%

State

96%

Year 1

25% 98%

10%

Year 3

Pituitary Gland / 5–Year Survival 37% Pituitary Gland 99%

Year 4

8%

94%

Year 2

14%

8% 93%

Year 3

10%

5%

Year 4

98%

15%

Year 5

4%

Year 5

97% 10%

5% 91%

Year 4

10% 94% 4%

88%

Year 5

Pituitary Gland 99% 96%

Year 1

KEY

98%

98% 94%2 Year

97%

Year 3 93%

UCH Colorado

Year 4

Year 5

94%

91% 88%

Observed survival data based on patients diagnosed between 2003 – 2005.

Year 1

Year 2

Year 3

Year 4

Year 5

13


Mortality OUTCOMES data

Based on the July 1 - June 30 fiscal year

hemorrhagic Lower is better (compared to national averages from UHC Reporting Hospitals)

Hemorrhagic

UCH

1.07 0.87

0.77

All UHC

0.96

0.89 0.6

FY2011

FY2012

.29 LOWER than UHC Reporting Hospitals

UCH

KEY

FY2013

UHC Reporting Hospitals

Ischemic Lower is better (compared to national averages from UHC Reporting Hospitals)

Ischemic

1.1 0.8

0.72

FY2011

UHC Reporting Hospitals

Hemorrhagic 14

0.77

1.07 0.87

UCH 0.71

FY2012

UCH

KEY

0.9

All UHC 0.79

FY2013

.08 LOWER than UHC Reporting Hospitals

0.96

UCH

All UHC 0.89


ICU to Thank UCH Providers To say Rick Hamilton’s visit last week to the Neuro Intensive Care To Hamilton’s visit lastHospital week towas the different Neuro Intensive Unitsay at Rick University of Colorado than theCare one Unit at University of Colorado Hospital was different than the one he made last fall would be quite an understatement. he made last fall would be quite an understatement. The last time the Illinois man had seen the unit and many of the The last time Illinois there man had seenhim the July unit and many the providers whothe gathered to greet 12, he wasofonly providers who gathered there to greet him July 12, he was only hours removed from a brush with serious disability – if not death hours removed from ahebrush with while serious – if not – caused by a stroke suffered ondisability a Halloween Daydeath flight –from caused by a stroke he suffered while on a Halloween Day flight St. Louis to Salt Lake City. from St. Louis to Salt Lake City.

Volume 6 | Issue 2 | Through July 31, 2012

Record-setting treatment

UCH Insider Article

Stroke Victim Returns to Neuro ICU to Thank UCH Providers

Hamilton speaks with neurohospitalist Matt West, MD, center, who was aHamilton member of the team treated him. Matt Hospitalist Cumbler, speaks with that neurohospitalist West, Ethan MD, center, whoMD, was stands far right. a member of the team that treated him. Hospitalist Ethan Cumbler, MD, stands far right.

To say Rick Hamilton’s visit last week to the Neuro Intensive Care Unit at University of Colorado Hospital was different than the one he made last fall would be quite an understatement. Rick Hamilton (center, left), who suffered a stroke aboard an airplane

last applauds UCH providers visit many toan theairplane Neuro TheRick lastHalloween, time the(center, Illinoisleft), man had seen the unitaaboard and of the Hamilton who suffered aduring stroke ICU last week. applauds UCH providers during a visit to the Neuro last Halloween, providers who gathered there to greet him July 12, he was only ICU last week. hours an removed from landing a brush at with serious disability –Airport, if not death After emergency Denver International After an emergency landing attoDenver International Airport, –paramedics caused by rushed a strokeHamilton he suffered while on a Halloween Day flight UCH, where a team of providers paramedics Hamilton to Department, UCH, where aassessed team of providers from St. Louis Salt Lake City. admitted himrushed totothe Emergency him, admitted him to the Emergency Department, assessed obtained and interpreted a CT image and administered him, clot-busting obtained andin interpreted CT image and administered clot-busting medication a record 18aminutes. medication in a record 18 minutes. After some additional tense moments and a four-day Neuro ICU After some additional andwith a four-day Neuroeffects ICU stay, Hamilton walked tense out ofmoments the hospital no residual stay, Hamilton walked out of the hospital with no residual effects from the stroke (Insider, Nov. 30, 2011). from the stroke (Insider, Nov. 30, 2011). “It’s rewarding to walk back through this journey and see the “It’s rewarding to walk thistold journey and see thein people who played thisback role,”through Hamilton the small crowd people who played this role,” Hamilton told the small crowd in the Neuro ICU. the Neuro ICU.

Hamilton and West with ( from left) interventional radiologist David Kumpe and Neuro Medical Director Neumann, MD. Hamilton speaks withICU neurohospitalist MattRobert West, MD, center,David who was Hamilton and West with ( from left) interventional radiologist aKumpe memberand of the teamICU that Medical treated him. Hospitalist Cumbler, Neuro Director Robert Ethan Neumann, MD.MD, stands far right. Among those on hand to speak to Hamilton was interventional

Among those on hand to speak to Hamilton interventional radiologist David Kumpe, MD, who threadedwas a catheter through radiologist David Kumpe, a catheter through Hamilton’s femoral artery MD, to thewho clotthreaded in the right middle cerebral Hamilton’s femoral artery to the clot in the right middle cerebral artery that caused the stroke. Kumpe delivered a second dose of artery caused the stroke. (tPA), Kumpe delivered a second tissue that plasminogen activator this one directly to thedose clot,of which dissolved.

Continued

Rick Hamilton (center, left), who suffered a stroke aboard an airplane Continued Subscribe: Insiderduring is delivered viaNeuro email every other Wednesday. To subscribe: uch-publications@uch.edu last Halloween, applauds UCHThe providers a visitfree to the Comment: your feedback, of stories we’ve missed.spoke To Kumpe of the uch-insiderfeedback@uch.edu good that came out of Hamilton’s ordeal. Subscribe:We Thewant Insider is input, delivered free vianotices email every other Wednesday. To comment: subscribe: uch-publications@uch.edu ICU last week. Comment: We want your input, feedback, notices of stories we’ve missed. To uch-insiderfeedback@uch.edu Referring tocomment: the hospital’s record-setting response to the case,

After an emergency landing at Denver International Airport, paramedics rushed Hamilton to UCH, where a team of providers admitted him to the Emergency Department, assessed him, obtained and interpreted a CT image and administered clot-busting medication in a record 18 minutes. After some additional tense moments and a four-day Neuro ICU stay, Hamilton walked out of the hospital with no residual effects from the stroke (Insider, Nov. 30, 2011). “It’s rewarding to walk back through this journey and see the people who played this role,” Hamilton told the small crowd in the Neuro ICU.

Kumpe said, “Little has been said about the effect that you had on us. You set a benchmark for us.” An avid golfer, Hamilton said he’s not quite back to playing 18 holes, but only because of a sore shoulder. HeHamilton was happy come his own power to sayDavid thanks and to West withback ( fromunder left) interventional radiologist Kumpe and Neuro ICU Medical Director Robert Neumann, MD. to those he met under far different circumstances. Among those on hand towho speak to Hamilton was interventional “Thank you to the people allowed me to do this,” Hamilton said. radiologist David Kumpe, MD, who threaded a catheter through For more onfemoral Hamilton’s visittotothe UCH, storymiddle aired on 9News. Hamilton’s artery clotwatch in thetheright cerebral artery that caused the stroke. Kumpe delivered a second dose of Continued

Subscribe: The Insider is delivered free via email every other Wednesday. To subscribe: uch-publications@uch.edu Comment: We want your input, feedback, notices of stories we’ve missed. To comment: uch-insiderfeedback@uch.edu

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Neurosciences Outcomes 2013 - University of Colorado Hospital