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Hoag Hospital Participates in Clinical Trial to Find Best Treatment for Acute Stroke

August 24, 2009 - Newport Beach, CA: 
Hoag Memorial Hospital Presbyterian today announced that its comprehensive Neurosciences Institute will be a site for a clinical trial evaluating two different ways of treating patients who have suffered an acute stroke to determine which treatment gives patients a better outcome.  The trial is sponsored by the National Institute of Neurological Disorders and Strokes (NINDS), an institute of the National Institutes of Health; University of Cincinnati; Medical University of South Carolina; and University of Calgary.

“Hoag Hospital is unique among community hospitals in having comprehensive neurosciences facilities and processes that allow us to translate cutting edge clinical science to directly impact the improvement of patient health outcomes,” noted David M. Brown, MD, medical director of Hoag Hospital’s stroke program. 


Approximately 900 people will participate in this study at 50 hospitals in the United States and Canada over five years. In it, patients who qualify will be randomized to receive one of two different treatment regimens of acute thrombolytic therapy.  At the close of the study, the two treatment arms will be compared to see which protocol generated better patient outcomes.


Acute thrombolytic therapy, the only therapy for acute strokes approved by the U.S. Food and Drug Administration, is used when a patient arrives at a hospital within three hours of stroke onset.  A drug called recombinant tissue plasminogen activator (tPA) is given intravenously for one hour to dissolve clots in blood vessels in the brain that cause stroke.  This treatment can result in the early reopening of blocked arteries, help save tissue and improve patient outcomes.  However, because intravenous tPA is not always effective for all patients, other techniques combining tPA with interventional techniques are being investigated.


Specially-trained neurologists at Hoag Hospital will offer qualifying patients the option of participating in this clinical trial. Those who participate will be randomized to be treated with intravenous tPA alone or in combination with tPA administered by catheters in the arteries at the site of the blood clot. Special tools may be used to remove the clots from the brain.


“Early stroke intervention is critical, for the sooner patients receive appropriate stroke treatment, the better their chances for survival and for suffering the least amount of permanent damage,” continued Dr. Brown. “What might seem like a relatively minor change in treatment protocol may offer a significant improvement in patient outcomes.  Hoag Hospital is pleased to lend our stroke care expertise in this national trial to help determine the best treatment option for this devastating condition.”


About Hoag Neurosciences Institute
Hoag, through its Neurosciences Institute, is one of only a few Orange County hospitals whose Stroke Program is designated as a Stroke-Neurology Receiving Center to provide 24-hour availability of neurologists, neurosurgeons, radiologists, interventional neuroradiologists, stroke-trained nurses and emergency medicine physicians.  Through its multidisciplinary team of medical experts and clinical research, the Neuroscience Institute is dedicated to offering a comprehensive approach to the prevention, diagnosis and management of a variety of neurological disorders including stroke, brain tumors, dementia, epilepsy, Parkinson’s disease and others. The Institute’s stroke program ranks among the top five percent in the nation and has received the American Stroke Association’s Get With the GuidelinesSM Gold Performance Achievement Award. For more information, visit www.hoaghospital.org/neuroscience


About Hoag Memorial Hospital Presbyterian

Hoag Memorial Hospital Presbyterian is a 498-bed, not-for-profit, acute care hospital located in Newport Beach, CA. Fully accredited by the Joint Commission on Accreditation of Healthcare Organizations and designated as a Magnet hospital by the American Nurses Credentialing Center (ANCC), Hoag offers a comprehensive mix of services, including Centers of Excellence in cancer, heart and vascular, neurosciences, orthopedics and women’s health. National Research Corporation has endorsed Hoag as Orange County’s most preferred hospital for the past 13 consecutive years. For an unprecedented 13 years, residents have chosen Hoag as the county’s best hospital in a local newspaper survey. In order to meet the growing needs of Irvine and South County residents, Hoag will open an Irvine campus in 2010. Hoag continues to offer additional services to the community through the seven Hoag Health Centers located throughout Orange County.

                                                                                     

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