{"id":213808,"date":"2026-03-21T02:20:11","date_gmt":"2026-03-21T02:20:11","guid":{"rendered":"https:\/\/www.newsbeep.com\/us-tx\/213808\/"},"modified":"2026-03-21T02:20:11","modified_gmt":"2026-03-21T02:20:11","slug":"san-antonio-hospital-adjusts-protocol-as-new-numbers-show-stroke-deaths-rising-in-younger-patients","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/us-tx\/213808\/","title":{"rendered":"San Antonio hospital adjusts protocol as new numbers show stroke deaths rising in younger patients"},"content":{"rendered":"<p class=\"dist__Box-sc-1fnzlkn-0 dist__TextBase-sc-1fnzlkn-3 bYFsJw cuqaEv article-text\">SAN ANTONIO  \u2013 Hospitals in San Antonio are adjusting protocols as new statistics indicate that stroke deaths continue to rise among young patients. <\/p>\n<p class=\"dist__Box-sc-1fnzlkn-0 dist__TextBase-sc-1fnzlkn-3 bYFsJw cuqaEv article-text\">\u201cBoth of my grandmothers had a stroke. One had an ischemic stroke. Then one had two hemorrhagic strokes, and she did fully recover, but it was quite extensive,\u201d said University Health and UT Health San Antonio Vascular Neurology Doctor Sujani Bandela. <\/p>\n<p class=\"dist__Box-sc-1fnzlkn-0 dist__TextBase-sc-1fnzlkn-3 bYFsJw cuqaEv article-text\">Bandela grew up hearing about her grandmother\u2019s recoveries from her father. <\/p>\n<p class=\"dist__Box-sc-1fnzlkn-0 dist__TextBase-sc-1fnzlkn-3 bYFsJw cuqaEv article-text\">\u201cThat was one of the reasons why I went into neurology to pursue stroke,\u201d Bandela said. <\/p>\n<p class=\"dist__Box-sc-1fnzlkn-0 dist__TextBase-sc-1fnzlkn-3 bYFsJw cuqaEv article-text\">Now, she is the co-medical director at University Hospital\u2019s <a href=\"https:\/\/www.universityhealth.com\/services\/brain-and-spine\/stroke-care\" target=\"_blank\" rel=\"nofollow noopener\" title=\"https:\/\/www.universityhealth.com\/services\/brain-and-spine\/stroke-care\">Comprehensive Stroke Center.<\/a> It\u2019s one of the most robust in the state and the main hospital for pediatric stroke in South Texas. <\/p>\n<p class=\"dist__Box-sc-1fnzlkn-0 dist__TextBase-sc-1fnzlkn-3 bYFsJw cuqaEv article-text\">Bandela\u2019s team is reacting quickly to the latest numbers from the American Heart Association and American Stroke Association.<\/p>\n<p class=\"dist__Box-sc-1fnzlkn-0 dist__TextBase-sc-1fnzlkn-3 bYFsJw cuqaEv article-text\">The 2026 report showed stroke death numbers are down overall. Stroke was the underlying cause of death for 162,639 Americans in 2023, down from 165,393 in 2022.<\/p>\n<p class=\"dist__Box-sc-1fnzlkn-0 dist__TextBase-sc-1fnzlkn-3 bYFsJw cuqaEv article-text\">However, there were sharp rises reported in younger people, including pediatrics, pregnancy and postpartum, and generally people under 50 years old. <\/p>\n<p class=\"dist__Box-sc-1fnzlkn-0 dist__TextBase-sc-1fnzlkn-3 bYFsJw cuqaEv article-text\">\u201cCancer has gone up in the younger patient population, and that is the reason for developing clots and holes in the heart,\u201d Bandela said, in part. \u201cSubstance abuse like methamphetamine and cocaine can play a role in major strokes too, and can cause high blood pressure that leads to strokes and brain hemorrhages.\u201d<\/p>\n<p class=\"dist__Box-sc-1fnzlkn-0 dist__TextBase-sc-1fnzlkn-3 bYFsJw cuqaEv article-text\">She said hypertension and pre-eclampsia are more common now during pregnancies, which increases the risk of a stroke. <\/p>\n<p class=\"dist__Box-sc-1fnzlkn-0 dist__TextBase-sc-1fnzlkn-3 bYFsJw cuqaEv article-text\">The good news is that the American Stroke Association and the American Heart Association just released new guidelines on how to handle pediatric and pregnancy-related strokes.<\/p>\n<p class=\"dist__Box-sc-1fnzlkn-0 dist__TextBase-sc-1fnzlkn-3 bYFsJw cuqaEv article-text\">\u201cWhich I was very excited about, because we so far did not have clear guidelines on what to do on pediatric stroke,\u201d Bandela said. \u201cThey did say that it\u2019s safe to do everything, and we should because we should be aggressive. We\u2019re working with our OB-GYN and maternal fetal medicine on updating the protocols on this as well.\u201d<\/p>\n<p class=\"dist__Box-sc-1fnzlkn-0 dist__TextBase-sc-1fnzlkn-3 bYFsJw cuqaEv article-text\">What has not changed is the fact that every second counts during strokes, and getting to the right hospital could save a life. <\/p>\n<p class=\"dist__Box-sc-1fnzlkn-0 dist__TextBase-sc-1fnzlkn-3 bYFsJw cuqaEv article-text\">\u201cComing to a comprehensive stroke center is unique because we always have somebody 24\/7, an on-call stroke neurologist, an on-call endovascular neurosurgeon, and nurses,\u201d Bandela said. \u201cWe see high volumes, and we have all the equipment and medications, the IV clot-busting medication. Not every hospital has the suites to do the thrombectomies, the procedures to remove clots. And those are the potentially life-threatening ones.\u201d<\/p>\n<p class=\"dist__Box-sc-1fnzlkn-0 dist__TextBase-sc-1fnzlkn-3 bYFsJw cuqaEv article-text\">Comprehensive Stroke Centers are the highest level of stroke care: Level One. There are only three in San Antonio, all three in the medical center, including University Hospital, Methodist Hospital and St. Luke\u2019s Baptist Hospital.<\/p>\n<p class=\"dist__Box-sc-1fnzlkn-0 dist__TextBase-sc-1fnzlkn-3 bYFsJw cuqaEv article-text\">The Southwest Texas Regional Advisory Council (STRAC) website has a <a href=\"https:\/\/www.strac.org\/stroke\/\" target=\"_blank\" rel=\"nofollow noopener\" title=\"https:\/\/www.strac.org\/stroke\/\">stroke resource page<\/a> that lists the status of many San Antonio hospitals.<\/p>\n<p class=\"dist__Box-sc-1fnzlkn-0 dist__TextBase-sc-1fnzlkn-3 bYFsJw cuqaEv article-text\">Comprehensive care is provided by an advanced stroke center (Level 2), and the only San Antonio center listed at that level is Northeast Baptist Hospital.<\/p>\n<p class=\"dist__Box-sc-1fnzlkn-0 dist__TextBase-sc-1fnzlkn-3 bYFsJw cuqaEv article-text\">The next level down is the primary stroke center (Level 3), and STRAC lists at least nine of those hospitals in San Antonio.<\/p>\n<p class=\"dist__Box-sc-1fnzlkn-0 dist__TextBase-sc-1fnzlkn-3 bYFsJw cuqaEv article-text\">Then, there are a few centers labeled acute stroke ready, the lowest level of care. <\/p>\n<p class=\"dist__Box-sc-1fnzlkn-0 dist__TextBase-sc-1fnzlkn-3 bYFsJw cuqaEv article-text\">Bandela said the most important thing is to know ahead of time what symptoms to look for that may signal a stroke. <\/p>\n<p class=\"dist__Box-sc-1fnzlkn-0 dist__TextBase-sc-1fnzlkn-3 bYFsJw cuqaEv article-text\">The popularly used acronym is \u201cBE FAST\u201d:<\/p>\n<p>B: balance loss<\/p>\n<p>E: eyesight changes<\/p>\n<p>F: face drooping<\/p>\n<p>A: arm weakness<\/p>\n<p>S: speech difficulty <\/p>\n<p>T: time to call 911 immediately <\/p>\n<p class=\"dist__Box-sc-1fnzlkn-0 dist__TextBase-sc-1fnzlkn-3 bYFsJw cuqaEv article-text\">To prevent stroke altogether, the American Heart Association recommends avoiding smoking, controlling blood pressure, controlling diabetes, limiting alcohol consumption, going to the doctor, exercising and eating less processed food by maintaining a healthy diet like the Mediterranean diet.<\/p>\n<p>Copyright 2026 by KSAT &#8211; All rights reserved.<\/p>\n","protected":false},"excerpt":{"rendered":"SAN ANTONIO \u2013 Hospitals in San Antonio are adjusting protocols as new statistics indicate that stroke deaths continue&hellip;\n","protected":false},"author":2,"featured_media":213809,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8],"tags":[13644,83753,584,82,84,83,9782],"class_list":["post-213808","post","type-post","status-publish","format-standard","has-post-thumbnail","category-san-antonio","tag-american-heart-association","tag-american-stroke-association","tag-health","tag-san-antonio","tag-san-antonio-headlines","tag-san-antonio-news","tag-university-hospital"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/us-tx\/wp-json\/wp\/v2\/posts\/213808","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/us-tx\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/us-tx\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-tx\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-tx\/wp-json\/wp\/v2\/comments?post=213808"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/us-tx\/wp-json\/wp\/v2\/posts\/213808\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-tx\/wp-json\/wp\/v2\/media\/213809"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/us-tx\/wp-json\/wp\/v2\/media?parent=213808"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-tx\/wp-json\/wp\/v2\/categories?post=213808"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-tx\/wp-json\/wp\/v2\/tags?post=213808"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}