Integrated stroke care key to reducing patient disability

Swift and integrated stroke care is paramount to enhancing patient recovery and minimizing the risk of long-term disability, according to medical experts. Dr. Ni Gusti Ayu Putri Mayuni, Director of Siloam Hospitals Bali, stressed that rapid diagnosis and effective cross-disciplinary coordination are critical components of successful stroke treatment.

Dr. Mayuni explained that stroke patients, particularly those with ischemic stroke, have a narrow "golden period" of approximately 4.5 hours from symptom onset to receive appropriate therapy. This urgency underscores the need for immediate medical attention and efficient hospital protocols. In Indonesia, stroke remains a leading cause of disability and a significant contributor to mortality, accounting for about 18.5 percent of all deaths.

The hospital highlighted that a comprehensive stroke service involves multiple stages, from emergency room care and diagnostic imaging to reperfusion therapy, intensive care, and rehabilitation. Effective implementation of these stages, based on evidence-based clinical guidelines, is essential. Siloam Hospitals Bali reported handling 44 stroke cases between August 2025 and January 2026, with a notable percentage receiving advanced treatments like intravenous thrombolysis and mechanical thrombectomy, and approximately 93 percent showing improvement.

Recently, Siloam Hospitals Bali's stroke care system earned the Clinical Care Program Certification (CCPC) for Stroke from the Joint Commission International (JCI). This certification recognizes the hospital's adherence to international standards in emergency care, diagnosis, medical procedures, and rehabilitation, affirming its commitment to providing high-quality stroke management.

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The most important thing is how these standards are translated into fast, safe, coordinated care that offers a better chance of recovery for every patient.