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Changing the Landscape of Stroke

                 Dr. Robert G. Holloway,            Every 40 seconds someone in the United States has a stroke. At this rate, it
       Edward A. and Alma Vollertsen Rykenboer      is estimated that by 2030, 11 million people over the age of 20 years old will
                                                    have suffered a stroke. Beyond the staggering individual impact of stroke,
                          Chair in Neurophysiology  there are significant underlying social and economic effects. Currently,
                   Chair, Department of Neurology   two-thirds of the American population knows someone who has had a
Professor of Neurology and Public Health Sciences   stroke, and nearly half of those people provided some form of care or
            and Dr. Webster H. Pilcher,             assistance to a stroke victim. The annual total cost of stroke care in Monroe
     Chairman, Department of Neurosurgery and       County and surrounding regional counties is more than $228 million.
       Ernest & Thelma Del Monte Distinguished
                                                    Today, the University of Rochester Medical Center (URMC) is helping
                        Professor in Neuromedicine  to change the landscape of stroke. Over the past decade, we have been a
                                                    source of stroke expertise and leadership in western New York. Our multi-
       ON THE COVER:                                system approach, collaborative initiatives, and cutting-edge research are
                                                    allowing us to provide some of the most advanced, cost effective care for
       Babak Jahromi, M.D., Ph.D., FRCSC,           stroke patients available. In state-of-the-art facilities, we are employing new
       and Curtis G. Benesch, M.D., M.P.H.,         imaging technologies that enable us to visualize viable brain tissue, and we
       Co-Directors of the Stroke Program,          are using innovative devices that enhance our ability to remove blood clots
       review angiographs of the blood flow         from the brain. With the help of these and other medical advancements,
       in a stroke patient’s brain from before      including the expanded time windows for acute treatment, we are
       and after treatment.                         providing world-class care for stroke patients.

                                                    These improvements, coupled with educational programming, empower
                                                    our collaborative partnerships, such as the Stroke Treatment Alliance of
                                                    Rochester, which ultimately enable us to increase stroke awareness and
                                                    care for patients beyond the walls of our hospital. In order to take the
                                                    stroke program at the URMC to the next level, we must capitalize on this
                                                    momentum. Stroke care and the needed research are entering a revolution,
                                                    and we are positioned to be among its leaders!

Fostering New Collaborations: Stroke Patients Get a New STAR

In 2007, URMC Drs. Webster H. Pilcher, Curtis Benesch, and Babak Jahromi began a process that facilitated
collaboration between stroke teams from Strong Memorial, Highland, Rochester General, and Unity hospitals. The
result was the formation of an initiative unique to New York State: the Stroke Treatment Alliance of Rochester (STAR).

With support from the Greater Rochester Health Foundation, the STAR initiative is working to standardize stroke
patient evaluation, treatment, and transfer to ensure the delivery of immediate, comprehensive, and cost effective care
across multiple health care systems for stroke patients. With the creation of a community-wide data registry to share
outcomes and practices, STAR is helping to redefine stroke care as we know it.
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