Stroke & AI: How the e-Stroke software is reducing door in door out time for stroke patients

Stroke & AI: How the e-Stroke software is reducing door in door out time for stroke patients

Stroke & AI: How the e-Stroke software is reducing door in door out time for stroke patients

8 out of 10 stroke patients who leave the hospital do so with a disability. As a result, stroke costs UK society £26 billion per year. The most severe and disabling strokes are due to a large vessel occlusion (LVO).

The standard of care for LVO stroke in the UK has been the administration of thrombolysis (a clot-busting drug called alteplase). This is only modestly effective for LVO stroke patients, and the majority are dead or disabled at 1 year after their stroke. In 2015 a series of research trials demonstrated the efficacy of mechanical thrombectomy to open the occluded vessel for LVO stroke patients. This has transformed the potential care of patients with LVO stroke: patients who would have ended up in nursing homes are walking out of the hospital the next day. Each thrombectomy is thought to save the economy £80,000.

In the UK fewer than 1% of stroke patients undergo thrombectomy, but it is estimated that over 10% would benefit. The key barrier to delivering this treatment is patient identification due to a lack of real-time neuroradiology imaging expertise at all sites to which stroke patients present, compounded by communication barriers across stroke networks.

Find out how #AI is being used to help improve stroke diagnosis and treatment. 👇
https://ncimi.co.uk/project/stroke-ai/

#Braonimix
#estroke
#stroke
#AI
#ArtificialIntelligence
#KirubaNagaratnam
#MichalisPapadakis
#NCIMI


Content

1.74 -> foreign
7.519 -> especially in younger people is
10.74 -> increasing and also over the years we're
12.9 -> seeing increasing number of people
14.58 -> having strokes and there are two kinds
16.8 -> of stroke one is called ischemic stroke
19.32 -> and the other one is primary interest
20.939 -> cerebral hemorrhage the ischemic stroke
23.58 -> is caused by blockage of a blood vessel
26.72 -> the standard treatment up until 2015 is
30.96 -> to give intravenous thrombolysis which
33.96 -> is inject a medicine called ultiplase
36.6 -> and that disperses the clot
38.579 -> but when a large blood vessel is
40.86 -> occluded the intravenous thrombolysis
43.68 -> alone is not enough to disperse the clot
47.399 -> that's when the mechanical thrombectomy
49.86 -> this is the mechanical removal of the
53.039 -> clots is beneficial for every three
56.699 -> person is treated with this procedure
59.28 -> one person will be independent at three
62.579 -> months
63.66 -> We Believe ten percent of the stroke
65.82 -> patient should receive the treatment in
67.92 -> the UK but if you look at the numbers we
70.92 -> only providing this treatment to one to
73.08 -> two percent of the patients actually
76.7 -> daily most stroke happens in the
79.38 -> community so patients get admitted in
81.9 -> Community Hospitals and every 30 minutes
84.9 -> a stroke patient dies or remains
87.42 -> permanently disabled not because of the
89.58 -> stroke but because they are admitted in
91.74 -> the hospital that doesn't have the right
93.9 -> expertise in a timely manner to diagnose
96.42 -> and treat this patient so what we use
99.06 -> with AI in our technology is essentially
101.88 -> a tool to process the scans of the
104.88 -> stroke patients in an acute setting
106.979 -> where every second counts in order to
110.22 -> provide Frontline clinicians with more
112.92 -> information from the scouts that they
114.659 -> would anyway capture and have to
117.24 -> interpret and ultimately help these
119.759 -> Frontline Physicians to make more timely
122.159 -> and better diagnosis and treatment
124.5 -> decisions
126.36 -> in stroke we always say time is brain
129.66 -> when we lose time we lose brain so when
132.48 -> a patient has large blood vessel
134.4 -> occlusion stroke every minute we delay
136.98 -> patients lose 2 million nerve cells
140.7 -> since we introduced the artificial
142.56 -> intelligence the door and door our time
144.78 -> has come down by more than 60 minutes
147.599 -> and when we looked at the outcome for
150.42 -> the patients since we introduced the
152.64 -> artificial intelligence
154.44 -> the percentage of patients who achieved
157.14 -> Independence as part as a result of this
159.3 -> treatment
160.319 -> has tripled
162.66 -> the second Advantage is that we can have
165.3 -> access to these images remotely so when
168.959 -> a clinician is on call they can have
171.9 -> access to the vital Imaging data within
175.62 -> 2-3 minutes of the scan being undertaken
179.64 -> this opportunity we had through and same
181.56 -> it was a catalyst for us for widespread
183.54 -> adoption across the NHS So currently we
186.84 -> have more than 70 stroke units in the UK
189.42 -> that are routinely using a stroke to
191.76 -> manage patients and we expect that the
195.959 -> AI and in stroke in particular should
198.9 -> become the standard of care so that all
201.239 -> hospitals have a solution to ultimately
203.9 -> diagnose and treat their patients this
206.58 -> is a very good example how a NHS
209.519 -> hospitals providers Commissioners can
212.34 -> work together to improve the care and in
216.3 -> our case artificial intelligence
218.159 -> technology facilitated it
221.76 -> foreign

Source: https://www.youtube.com/watch?v=kNC09DdU7U8