Stroke Medicine

Stroke Medicine at SilverOak Health encompasses the hyper-acute, acute, and rehabilitation phases of stroke care, delivered by a dedicated multidisciplinary stroke team within our Joint Commission-designated comprehensive stroke centre. Our vascular neurologists, stroke-trained nurses, physiotherapists, occupational therapists, and speech-language pathologists work in an integrated stroke unit model shown by international evidence to reduce mortality and disability by 20–30% compared to care in general medical wards.

Hyper-acute stroke management begins with rapid clinical assessment and CT/CT angiography within 15 minutes of arrival. Intravenous thrombolysis with alteplase is administered within 30 minutes for eligible patients, and mechanical thrombectomy for large vessel occlusion is initiated within 60 minutes door-to-groin. Our interventional team achieves successful recanalization in over 85% of thrombectomy cases, with functional independence at 90 days significantly exceeding published benchmarks.

Stroke rehabilitation commences within 24 hours of admission and is delivered using a goal-oriented, high-intensity therapy model with at least 45 minutes each of physiotherapy, occupational therapy, and speech therapy daily for patients who can tolerate it. Early supported discharge to home with community stroke team follow-up enables patients to continue intensive rehabilitation in their own environment. Secondary stroke prevention — addressing atrial fibrillation, hypertension, diabetes, dyslipidaemia, and carotid stenosis — is initiated in hospital and continued in our post-stroke prevention clinic, achieving risk factor targets that reduce recurrent stroke risk by over 50%.