
Advanced stroke care in Southeast Michigan
If you or a loved one is experiencing symptoms of a stroke—every second counts. Signs of a stroke include sudden loss of balance, lost or unclear vision, face drooping or uneven smile, arm weakness and speech difficulty. Don’t delay emergency care for signs of stroke. Go directly to the ER or call 9-1-1. Our hospital emergency rooms, Primary Stroke Centers and Comprehensive Stroke Centers are all part of the Ascension Michigan stroke network. We deliver 24/7 advanced stroke care, including neurosurgery, for even the most complex cases.
Recognize the symptoms of stroke — BEFAST
The first step in getting treatment for stroke quickly is recognizing the warning signs. Do this for yourself and your loved ones. Follow these B.E.F.A.S.T. guidelines:
Balance: Check for sudden loss of balance
Eyes: Ask if vision is lost or unclear
Face: Look for face drooping or an uneven smile
Arm: Check for arm weakness
Speech: Listen for speech difficulty
Time: Time to call 911 right away
Understanding different types of strokes
The type of stroke you have affects your treatment and recovery. There are three main types of stroke.
Ischemic stroke: A blood clot that travels to the brain can cause an ischemic stroke. If a patient receives hospital care within three hours of the first symptoms of an ischemic stroke, a clot-busting medication may be given. Patients who receive this medication are more likely to fully recover.
Hemorrhagic stroke: When a blood vessel breaks and bleeds into the brain, a hemorrhagic stroke can occur.
Transient ischemic attack (TIA): When a clogged artery slows the blood supply to the brain, a transient ischemic attack (TIA), sometimes called a mini-stroke, can occur. Having a TIA may increase your risk of having a stroke. A TIA is an emergency, just like a stroke. Recognizing and treating TIAs can lower the risk of a major stroke. If you have a TIA, your health care team can find the cause and take steps to prevent a major stroke.
Advanced stroke care
When you’re having a stroke, it’s important to get the right care, right away. Neurosurgeons and vascular specialists at Ascension Michigan have the expertise to quickly treat stroke. Clot-busting medications, such as intravenous tissue plasminogen activator (tPA), may be given in the first three hours after stroke symptoms appear. This medicine may open the blood vessels and restore blood flow to the brain. For some types of stroke, such as a hemorrhagic stroke, surgical care is needed to stop bleeding.
And our care doesn't stop when you leave the hospital — we can connect you to transitional care in your home, an outpatient stroke rehabilitation center or skilled nursing facilities. Our goal is to improve your quality of life after a stroke.
At Ascension Michigan, we're leaders in stroke care. Our hospital emergency rooms, Primary Stroke Centers and Comprehensive Stroke Centers are all part of a network of stroke care. We deliver advanced stroke care at a time when you need it most. Learn more about our outcome data below.
Comprehensive Stroke Center - Ascension St. John Hospital
Measure |
American Heart Association Goal |
Ascension St. John |
tPA (clot busting medication) treatment: Median time in minutes |
<60 minutes |
49 minutes |
Percentage of eligible patients treated within 60 minutes of arrival | 85% | 99% |
Percentage of eligible patients treated within 45 minutes of arrival | 75% | 86% |
2021 Emergent Treatment of Acute Ischemic Stroke Mechanical Thrombectomy
Outcome |
Ascension St. John Hospital |
Target |
Successful Reperfusion CSTK 8 |
93% |
85% |
2021 Carotid Procedure Outcomes
Outcome |
Ascension St. John Hospital |
30-day stroke & death rate |
9/203=4% |
2021 Diagnostic Cerebral Angiogram
Outcome |
Ascension St. John Hospital |
24-hour stroke & death rate |
0/246 = 0% |
Comprehensive Stroke Center - Ascension Providence Hospital, Novi Campus
Measure |
American Heart Association Goal |
Ascension Providence Novi Campus |
tPA (clot busting medication) treatment: Median time in minutes |
<60 minutes |
61.1 minutes |
2021 Emergent Treatment of Acute Ischemic Stroke Mechanical Thrombectomy
Outcome |
Ascension Providence Hospital, Novi |
Target |
Successful Reperfusion CSTK 8 |
82.90% |
85% |
2021 Carotid Procedure Outcomes
Outcome |
Ascension Providence Hospital, Novi |
30-day stroke & death rate |
1/88 = 0.01% |
2021 Diagnostic Cerebral Angiogram
Outcome |
Ascension Providence Hospital, Novi |
24-hour stroke & death rate |
0/67 = 0% |
Primary Stroke Center - Ascension Providence Hospital, Southfield campus
Measure |
American Heart Association Goal |
Ascension Providence Southfield Campus |
tPA (clot busting medication) treatment: Median time in minutes |
<60 minutes |
71.7 minutes |
Percentage of eligible patients treated within 60 minutes of arrival | 85% | 100% |
Percentage of eligible patients treated within 45 minutes of arrival | 75% | 36% |
2021 Emergent Treatment of Acute Ischemic Stroke Mechanical Thrombectomy
Outcome |
Ascension Providence Hospital, Southfield |
Target |
Successful Reperfusion CSTK 8 |
9/9 = 100% |
85% |
2021 Carotid Procedure Outcomes
Outcome |
Ascension Providence Hospital, Southfield |
30-day stroke & death rate |
1/85 = 0.12% |
2021 Diagnostic Cerebral Angiogram
Outcome |
Ascension Providence Hospital, Southfield |
24-hour stroke & death rate |
0/6 = 0% |
Primary Stroke Center - Ascension Macomb-Oakland Hospital, Warren campus
Measure |
American Heart Association Goal |
Ascension Macomb Oakland |
tPA (clot busting medication) treatment: Median time in minutes |
<60 minutes |
46 minutes |
Primary Stroke Center - Ascension Providence Rochester Hospital
Measure |
American Heart Association Goal |
Ascension Providence Rochester |
tPA (clot busting medication) treatment: Median time in minutes |
<60 minutes |
41 minutes |