Coronavirus Disease 2019 (COVID-19) Information
Data from China, published this February, indicated cardiovascular disease and hypertension were associated with an increased COVID-19 case fatality rate: 10.5 percent and 6.0 percent, respectively. Among patients who died from COVID-19, substantial cardiac damage was observed. In addition, elderly persons with heart disease or hypertension were more likely to be infected and to develop more severe symptoms and complications from COVID-19.*
Key COVID-19 Resources
- Michigan.gov/Coronavirus (Michigan Department of Health and Human Services)
- CDC.gov/Coronavirus (Centers for Disease Control and Prevention)
- Coronavirus (COVID-19) (American Stroke Association)
*References: Cardiovascular Disease, Hypertension Linked to Increase of COVID-19 Fatality Rate (WDIV-TV/ ClickOnDetroit); What People with High Blood Pressure Need to Know About COVID-19: American Heart Association Guidance (American Heart Association)
Get the Latest! Read the MOSAIC Newsletter
MI Stroke Alert is a quarterly newsletter published by the MOSAIC staff for hospitals and emergency medical services (EMS) agencies, and academics. Regular features include partner spotlights, data dashboards, community stroke awareness tips, and other content of particular interest to MOSAIC participants. The current issue and all past issues of the publication are available on our dedicated MI Stroke Alert webpage.
Most Recent Issue: October 2019
Free Magazine for Stroke Survivors and Their Families
Are you a stroke survivor? Is a family member or friend? If you answered, "Yes" to either of those questions, you may be interested in Stroke Connection, a free, digital magazine published four times a year by the American Heart Association/American Stroke Association for stroke survivors and their support families and healthcare professionals.
Learn more about the magazine and browse current and past articles at http://strokeconnection.strokeassociation.org/. Get a free subscription to Stroke Connection at http://strokeconnection.strokeassociation.org/Subscribe/.
MOSAIC's Statewide Initiative to Promote Stroke Awareness
The MOSAIC Community Awareness initiative was adopted from the work done by St. Joseph Mercy Ann Arbor and St. Joseph Mercy Livingston hospitals to promote a uniform stroke awareness message. The colors blue and silver, as well as the FAST message, were selected to brand materials as being associated with stroke awareness. The color blue recognizes acute stroke victims, and the color silver represents the more than seven million stroke survivors.
To date, community awareness materials created for the initiative include a fact sheet (Recognizing Stroke in Michigan), a stroke awareness pin and t-shirt, and a seven-day pill organizer. Other states funded by the CDC Coverdell grant have agreed to utilize some of these materials in order to expand the reach of this initiative.
We invite you to become an ambassador for change in your community and support our efforts to recognize stroke as its own disease. Please wear these emblems and ribbons proudly to help raise stroke awareness.
Participating hospitals are helping spread the word by distributing the promotional materials to staff, local stroke survivors, and community members via mail and during special events and recruitment and site visits.
Here’s an excerpt from an email sent by the stroke coordinator for Henry Ford Hospital following successful use of the new materials during a recent World Stroke Day event:
“Thanks again for dropping off the t-shirts and pins! They were a big hit. We went through all our t-shirts, which were earned by completing one of the Mad Libs with a FAST message embedded that the American Stroke Association created for World Stroke Day. We educated over 100 people in 2.5 hours, relaying the importance of recognizing stroke signs/symptoms and getting emergency assistance, and we heard some incredible stories from stroke survivors and family members. A good day overall!”
Another Detroit hospital distributed stroke awareness pins and t-shirts during an emergency medical services (EMS) appreciation event. The following is from the thank you message we received from the hospital’s stroke coordinator after the event:
“Thanks again for dropping off the t-shirts and brain pins! We had about 30 EMTs stop in for our appreciation event yesterday, and they LOVED the shirts and pins — even more than I anticipated they would! We were also able to educate them on our extended time windows for stroke treatment, the importance of 'time = brain' and the difference between 'time symptoms started' and 'time last known well.' We had some great conversations!”
For more information about the MOSAIC Community Awareness initiative and how to order stroke awareness pins, t-shirts, pill organizers, and other materials, contact MOSAIC Program Coordinator Adrienne Nickles at 517-335-9649 (e-mail: email@example.com).
Michigan Stroke Centers: What’s the Difference?
PSC = Primary Stroke Center. Hospitals with the PSC designation have achieved Advanced Certification for Primary Stroke Centers, awarded by The Joint Commission and the American Heart Association/ American Stroke Association. Certified hospitals have demonstrated compliance with stroke-related standards and requirements, including program management, the delivery of clinical care, and performance improvement.
CSC = Comprehensive Stroke Center. Hospitals with the CSC designation have achieved Advanced Certification for Comprehensive Stroke Centers, awarded by The Joint Commission and the American Heart Association/ American Stroke Association. In addition to demonstrated compliance with the stroke-related standards and requirements of Advanced Certification for Primary Stroke Centers, hospitals awarded the CSC designation have also met additional requirements related to advanced imaging capabilities, 24/7 availability of specialized treatments, and providing staff with the unique education and competencies to care for complex stroke patients.
TSC = Thrombectomy-Capable Stroke Center. Hospitals with the TSC designation have achieved Certification for Thrombectomy-Capable Stroke Centers, awarded by The Joint Commission and the American Heart Association/ American Stroke Association. Certification signifies the hospital meets rigorous standards for performing mechanical endovascular thrombectomy (EVT), a surgical procedure used to remove a blood clot from the brain during an ischemic stroke by threading a catheter through an artery in the groin to the brain.
- Learn more about the different types of stroke centers
- List of certified stroke centers that participate in MOSAIC
Additional Stroke-Related Resources
â–º American Heart Association/ American Stroke Association (AHA/ASA) (www.heart.org/HEARTORG/)
- Reading Stroke: Rapid Interpretation of Stroke Studies (archived January 2020 webinar with Justin F. Fraser, MD, FAANS, FAHA, University of Kentucky; 46:39)
- Life After Stroke: Rehab Campaign Activation Toolkits
- Stroke Fact Sheet 2018 (Get with the Guidelines-Stroke, June 2018)
- Let’s Talk about Stroke Patient Information Sheets
- Caregiver Guide to Stroke: Practical Tips and Resources for New Caregivers
- Top Ten Things to Know: 2018 Guidelines for the Early Management of Patients with Acute Ischemic Stroke
- AHA’s Target: BP Initiative
- AHA’s Support Network
- Stroke Simulation Event Toolkit
- Get with the Guidelines – Patient Education Materials
- Preserving your Brain Health: A Checklist for Stroke Prevention (ASA, in conjunction with the National Forum for Heart Disease and Stroke Prevention and National Consortium for Building Healthy Academic Communities)
- Stroke Prevention Infographics, Handouts, Toolkits, and Resources
- Four Letters: F-A-S-T, Three Numbers: 9-1-1
- What About African Americans and High Blood Pressure?
- AHA/ASA articles in the March 2018 issue of Stroke:
- Powers WJ, Rabinstein AA, Ackerson T, Adeoye OM, Bambakidis NC, Becker K, Biller J, Brown M, Demaerschalk BM, Hoh B, Jauch EC, Kidwell CS, Leslie-Mazwi TM, Ovbiagele B, Scott PA, Sheth KN, Southerland AM, Summers DV, Tirschwell DL, and on behalf of the American Heart Association Stroke Council. 2018 Guidelines for the Early Management of Patients with Acute Ischemic Stroke: A Guideline for Healthcare Professionals from the American Heart Association/ American Stroke Association. Stroke. 2018;49(3): e46-e110. Originally published January 24, 2018. doi: 10.1161/STR.0000000000000158
- Smith EE, Kent DM, Bulsara KR, Leung LY, Lichtman JH, Reeves MJ, Towfighi A, Whiteley WN, Zahuranec DB, and on behalf of the American Heart Association Stroke Council. Effect of Dysphagia Screening Strategies on Clinical Outcomes After Stroke: A Systematic Review for the 2018 Guidelines for the Early Management of Patients with Acute Ischemic Stroke.. Stroke. 2018;49(3): e123–e128. Originally published January 24, 2018. doi: 10.1161/STR.0000000000000159
- Kaplovitch E, Anand SS. Stroke in Women: Recognizing Opportunities for Prevention and Treatment. Stroke. 2018;49(3):515-517. Originally published February 8, 2018. doi: 10.1161/STROKEAHA.117.020354
- Demel SL, Kittner S, Ley SH, McDermott M, Rexrode KM. Stroke Risk Factors Unique to Women. Stroke. 2018;49(3):518-523. Originally published February 8, 2018. doi: 10.1161/STROKEAHA.117.018415
- McDermott M, Miller EC, Rundek T, Hurn PD, Bushnell CD. Preeclampsia: Association with Posterior Reversible Encephalopathy Syndrome and Stroke. Stroke. 2018;49(3):524-530. Originally published February 8, 2018. doi: 10.1161/STROKEAHA.117.018416
- Gall S, Phan H, Madsen TE, Reeves M, Rist P, Jiménez M, Lichtman J, Dong L, Lisabeth LD. Focused Update of Sex Differences in Patient Reported Outcome Measures After Stroke. Stroke. 2018;49(3):531-535. Originally published February 8, 2018. doi: 10.1161/STROKEAHA.117.018417
- Madsen T, Howard VJ, Jiménez M, Rexrode KM, Acelajado MC, Kleindorfer D, Chaturvedi S. Impact of Conventional Stroke Risk Factors on Stroke in Women: An Update. Stroke. 2018;49(3):536-542. Originally published February 8, 2018. doi: 10.1161/STROKEAHA.117.018418
â–º National Stroke Association (NSA) (www.stroke.org)
- Neurothrombectomy: Improving Stroke Outcomes
This accredited program examines the newest trials and data, and their impact on the stroke care team in pre-hospital and hospital settings over a series of three webinars. Available on demand.
- Neuro Outcomes - Integrated Endovascular Workflow
This fact sheet includes the 5 Rs of EMS Stroke Activation, an EMS Algorithm for Transporting Emergent Large Vessel Occlusions (ELVO), an Example ED Stroke Protocol, and a listing of the Top 10 Tips for Stroke Teams.
- Issues Facing Stroke Survivors and Their Families: Mobility After Stroke
This brochure provides an overview of the treatment options for paralysis and spasticity after stroke, as well as the home adaptations and lifestyle changes that may increase safety and independence.
- Recognizing Stroke in Michigan (MDHHS Fact Sheet)
- Get with the Guidelines – Stroke Program (AHA/ASA)
- Get with the Guidelines-Stroke Registry Fact Sheet (AHA/ASA)
- National Center for Chronic Disease Prevention and Health Promotion, Division for Heart Disease and Stroke Prevention
- National Institute of Neurological Disorders and Stroke
- MDHHS Tobacco Section website (includes resources for quitting)