CLINICAL

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The Ottawa Stroke Program has established a record of excellence across the spectrum of clinical care. The Civic Campus of The Ottawa Hospital is the surrounding region’s tertiary referral centre for acute stroke. Our centre receives a high volume of patients with acute stroke (700 stroke codes/year), and we achieve rapid thrombolysis times with consistent yearly rankings in the top centres across Ontario, as well as holding a record door-to-needle time of 12 minutes. Our close relationship with neuroradiology has also fostered outstanding intra-arterial therapy results including over 120 patients treated with acute endovascular therapy per year.

Stroke Prevention Clinic (established 2004)
Our Stroke Prevention Clinic (SPC) provides rapid assessment of TIA and minor stroke and is consistently recognized as one of Ontario’s most effective programs. The SPC involves a dynamic team of dedicated stroke nurses and administrative personnel to enable prompt assessment and counseling. This team has launched innovative and successful stroke prevention initiatives, including unique approaches to smoking cessation. The SPC sees volumes of about 1700 referrals/year, most from the TOH emergency rooms. Through this clinic, rapid referrals including urgent assessment of symptomatic carotid stenosis are managed.

Neurovascular Unit (established 2015)
The Neurovascular Unit (NVU) is an inpatient clinical stroke teaching unit. The NVU is responsible for all stroke code coverage during the workdays. It operates under the principle that stroke care and training are optimized when patients receiving thrombolysis and/or thrombectomy are subsequently managed by the same clinical team in order to follow the outcomes of acute clinical decisions. This is especially important for clinical practice in an era of rapidly evolving treatments in the stroke field. Weekly Cheemun Lum Neurovascular Rounds support the learning environment and shared clinical management.

Patients on the NVU service are monitored in their hyperacute phase in the Neurosciences Acute Care Unit (NACU), which is an intermediate care unit allowing for hemodynamic monitoring and manipulation for non-ventilated patients. Patients not requiring this level of care are managed on an inpatient stroke unit.