Stroke patient transfers to Vancouver criticized

Delayed access to clot-busting drugs 'poor' care, Fraser Health review says

CT scan showing damage in the brain of a stroke victim.

Hospitals in Surrey, Abbotsford and New Westminster that are Fraser Health’s designated centres to treat stroke victims have so far failed to provide optimum care for them and redirect too many of those patients to Vancouver instead.

That’s one of the findings of a health ministry-ordered review of the health authority released earlier this month.

Many ischemic strokes can be effectively treated with clot-busting thrombolytic drugs, but time is of the essence – patients need to get to to stroke specialists within three to four hours for the treatment to be useful.

Too often, the review report said, those patients are diverted to Vancouver General Hospital instead of designated Fraser hospitals, adding extra delay when they should be treated in the region as quickly as possible.

The report said Royal Columbian Hospital has the expertise to treat those stroke victims but “capacity issues in the RCH emergency department make this site reluctant to accept more patient volume.”

Surrey Memorial Hospital’s ER and neurology departments haven’t embraced the use of thrombolytic drugs for stroke cases, it said, and Abbotsford Regional has made “some efforts” to meet its role as a designated site, but with “modest” results.

“This is poor patient care as it results in time delays to a treatment that is time-sensitive,” the review said of transfers to Vancouver.

Redirecting Fraser stroke patients to VGH worsens congestion there and demand on ambulance transfers, the report said, and means those patients must be transported back to Fraser later.

Fraser Health last year sent 135 stroke victims to VGH, some of them from as far away as Langley and Abbotsford.

Dr. Dave Williams, Fraser Health’s program medical director for medicine, said stroke services in the region are rapidly improving.

“We expect that number will be significantly reduced for this fiscal year because we have been able to build capacity at some of our sites,” he said.

Williams said he met ER doctors at Royal Columbian and resolved their concerns that the already congested hospital may be overwhelmed.

As a result, he said, RCH now is taking all stroke cases out of Eagle Ridge Hospital that were often being referred to Vancouver before.

A new stroke unit has opened at Surrey Memorial’s new critical care tower, he added.

Although it is still short of neurologists, more are being actively recruited.

“Abbotsford has actually made a lot of progress,” he said, adding four neurologists are in place there and the hospital is looking for a fifth to ensure round-the-clock coverage.

Recruitment is a challenge – the report notes neurologists specializing in stroke are concentrated in the Vancouver area.

Williams stressed anyone having stroke symptoms – such as facial droop, drift of the arm or speech problems – should call 911 immediately, even if the symptoms quickly stop.

The review also suggested too many Fraser region patients are treated for cardiac care at Vancouver Coastal hospitals, with less-than-ideal results.

About 25 per cent of angioplasties and 40 per cent of heart surgeries required by Fraser patients are performed at either VGH or St. Paul’s.

“There are significant wait time issues with an increasing number of patients exceeding the recommended wait time,” the review said.

Just Posted

Langley chamber joins call to kill ‘no pipeline ever’ law

Bill C-69 will hurt the local Langley economy, Chamber warns

World Day of Prayer returns to Langley

St. Joseph’s Catholic Church is hosting the annual day on March 1.

Young Langley family plagued by angry cab customers

A couple rents a house formerly used by a cab firm, and unwelcome visitors knocking.

Woman groped on Langley’s 208th Street

Police are asking for tips to identify the man responsible.

PHOTOS: Family Day a success at Aldergrove Telephone Museum

A record number of people visited the Telephone Museum on Monday to tour the historic exhibits.

VIDEO: Nail-biter game against Germany tonight earns Langley’s Team Canada a win

Langley’s Team Tardi is 5-2 at the junior curling worlds in Nova Scotia, hoping to defend their title

Ontario man accused of killing 11-year-old daughter dies in hospital, police say

Roopesh Rajkumar had been hospitalized with what police described as a self-inflicted gunshot wound

Manitoba ‘pauses’ link with ex-B.C. premier Gordon Campbell after allegations

Campbell had been hired to review two major hydro projects

Heritage minute features Japanese-Canadian baseball team, internment

The Vancouver Asahi baseball team won various championships across the Pacific Northwest

UPDATE: Woman, off-duty cop in critical condition after stabbing outside B.C. elementary school

The officer was interceding in an alleged assault when he and the woman were stabbed

$10-a-day child care not in 2019 budget, but advocate not irked

Sharon Gregson with the Coalition of Child Care Advocates of B.C. says NDP on track to deliver promise

B.C. Seniors Advocate questions labour shortage in care homes

Are there really no workers, or are care aide wages too low?

B.C. business groups worry about looming economic decline in wake of NDP budget

The party’s second government budget focused on plenty of spending, business advocates say

Man injured in police shooting near Nelson has died: B.C. police watchdog

The death follows an incident in Bonnington on Feb. 13

Most Read