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Stroke, Volume 55, Issue Suppl_1 , Page AWP147-AWP147, February 1, 2024. Introduction:In-hospital strokes are estimated to account for 2-17% of all strokes. These patients typically have higher mortality, longer length of stay, and higher disability rates than strokes that initiate within the community.
Stroke, Volume 55, Issue Suppl_1 , Page ATP43-ATP43, February 1, 2024. Background:Stroke centers following AHA guidelines for the treatment of acute ischemic stroke, are challenged by compliance with documentation of vital sign, neuro and neurovascular assessments post thrombolysis interventions.
Stroke, Volume 55, Issue Suppl_1 , Page ATP60-ATP60, February 1, 2024. Introduction:In-hospital strokes are estimated to account for 2-17% of all strokes. These patients typically have higher mortality, longer length of stay, and higher disability rates than strokes that initiate within the community.
Stroke, Volume 55, Issue Suppl_1 , Page ATP45-ATP45, February 1, 2024. Background:Because of the time-sensitive nature of stroke treatment, extensive efforts focus on reducing treatment time in the hospital and prehospital setting. A tablet was supplied to highly specialized strokenurses.
Stroke, Volume 56, Issue Suppl_1 , Page ATMP14-ATMP14, February 1, 2025. Time is of the essence - this is one phrase every emergency department (ED) nurse knows. This especially true for stroke where time is brain. The Flow nurse was made effective throughout the network in 2023. The resus role is time limited.
Stroke, Volume 55, Issue Suppl_1 , Page ATP64-ATP64, February 1, 2024. Background:Timely efficient thrombolytic administration has been associated with better clinical outcome in acute ischemic stroke patients. This allows rapid assessment and activation of the code stroke protocol.
Stroke, Volume 55, Issue Suppl_1 , Page ANS3-ANS3, February 1, 2024. Introduction:The 2022 AHA/ASA Guidelines for Intracerebral Hemorrhage (ICH) recommend initiating treatment and lowering blood pressure (BP) within 2 hours of ICH onset and reaching the target systolic BP of 130-150mmHg within one hour of treatment initiation.
Stroke, Volume 55, Issue Suppl_1 , Page AWP56-AWP56, February 1, 2024. This role was developed as a means to meet and fulfill Joint Commission recommendations, along with the Comprehensive Stroke Certification (CSC) standards. All stroke patients are called within a seven-day window, including those on our Neurosurgery service line.
Stroke, Volume 55, Issue Suppl_1 , Page ANS9-ANS9, February 1, 2024. Background and Purpose:As a Joint Commission Comprehensive Stroke Center, the provision of community education is a priority goal of our program. We will partner with our Community Outreach department.
Stroke, Volume 55, Issue Suppl_1 , Page AWP49-AWP49, February 1, 2024. The Neuroscience Nurse Navigator Program [NNN-P], implemented December 2019, included SP who received Alteplase [IV-A] or Mechanical Thrombectomy [MT]. In 2022 SP-S improved from 2021 for f/u instructions & RF [15%].
Stroke, Volume 55, Issue Suppl_1 , Page ANS5-ANS5, February 1, 2024. Introduction:Post-stroke anxiety (PSA) is common, but underestimated and can be distressing during stroke recovery. Anxiety and depression scores correlated positively and were higher in younger patients and those with low NIHSS.
Stroke, Volume 56, Issue Suppl_1 , Page ATP65-ATP65, February 1, 2025. Background and Purpose:In 2023, High Point Medical Center implemented a quality improvement initiative to enhance outcomes for hospitalized patients experiencing strokes. This initiative was created after review of cases entered in a patient event reporting system.
Stroke, Volume 55, Issue Suppl_1 , Page AWP290-AWP290, February 1, 2024. Background:Despite tremendous scientific advancements in acute stroke care, post-stroke management can be challenging. Information overload and a lack of post-discharge understanding can lead to potential stroke readmissions. hospital days).Conclusion:Overall,
Stroke, Volume 56, Issue Suppl_1 , Page AWP72-AWP72, February 1, 2025. Background:Our system, comprised of 21 Northeast Ohio hospitals includes 3 Stroke Ready, 10 Primary and 1 Comprehensive Stroke Center (CSC). Alteplase was the standardized thrombolytic until 2022. Guidelines and references were updated.
Stroke, Volume 55, Issue Suppl_1 , Page AWP61-AWP61, February 1, 2024. Background:The CSC Advanced Disease-Specific Certification program requires hospitals to provide stroke education to patients and family members. A QR code was placed in the patient’s stroke education folder and displayed prominently in visible areas.
Stroke, Volume 56, Issue Suppl_1 , Page ATP136-ATP136, February 1, 2025. Once these post-stroke patients have been identified, they are given a personalized monitoring plan depending on the individuals risk factors, the personalized care and rehabilitation plans are tracked and followed.
Stroke, Volume 55, Issue Suppl_1 , Page ATP47-ATP47, February 1, 2024. All sites have 24/7 neurology provider coverage from an internal Neurohospitalist group that responds to stroke alerts in person or via telestroke. Quarterly stroke education posters team are at all sites and new hire training is standardized.
Stroke, Volume 55, Issue Suppl_1 , Page AWP80-AWP80, February 1, 2024. DESTINY was developed as a single tool to screen for all stroke subtypes.Methods:This study is a Phase II prospective two part adaptive design validation study of DESTINY in ED during the early triage of suspected stroke patients from 05/01/2022 to 08/08/2022.
Stroke, Volume 55, Issue Suppl_1 , Page ATP66-ATP66, February 1, 2024. Introduction:Alteplase was the first approved tissue plasminogen activator and standard of care for acute ischemic stroke (AIS). Patients prior to November 2022 received Alteplase, and those after November 2022 received Tenecteplase. Alteplase vs 53.09
Stroke, Volume 55, Issue Suppl_1 , Page ATP121-ATP121, February 1, 2024. Introduction:Dysphagia or difficulty swallowing after a stroke is a common neurological symptom which occurs in 35-67% of all acute stroke patients. Dysphagia can lead to complications such as aspiration, pneumonia, dehydration, weight loss or death.
Stroke, Volume 56, Issue Suppl_1 , Page ATP62-ATP62, February 1, 2025. Introduction:Education for post-acute stroke patients is crucial for several reasons: recovery and rehabilitation, prevention of recurrence, empowerment, caregiver support, and health literacy. Caregivers can access this education via mobile devices.
Stroke, Volume 55, Issue Suppl_1 , Page AWP111-AWP111, February 1, 2024. Background:Despite substantial to minimize ischemic stroke treatment delays, hospital door-to-needle (DTN) time variations persist. Participants were invited from hospitals with the fastest or slowest DTN times in 2022.
Stroke, Volume 55, Issue Suppl_1 , Page AWP82-AWP82, February 1, 2024. DESTINY was incorporated into EHR and standardized workflow for nursing triage in ED. The NIHSS at presentation, primary diagnosis, and stroke subtypes were recorded. Secondary outcome included stroke performance measures. specificity 0.63 [95% CI 56.8-68.5]).Conclusion:DESTINY
Stroke, Volume 55, Issue Suppl_1 , Page ATP51-ATP51, February 1, 2024. Background and Issue:Type 2 diabetes (DM2) and cardiovascular (CV) disease pose significant risks for ischemic stroke, with a heightened impact on marginalized and under-resourced communities. Results:A review of 273 cases was completed.
Stroke, Volume 56, Issue Suppl_1 , Page ATP45-ATP45, February 1, 2025. 58% of articles assessed ischemic and hemorrhagic stroke participants, and 9 studies only tested aphasia patients. Enhancements in these tools will expand access to testing and allow for increased identification of post-stroke cognitive impairment.
Stroke, Volume 56, Issue Suppl_1 , Page AWP69-AWP69, February 1, 2025. Inclusion criteria included 1) Stroke patients with feeding tube. The intervention program for feeding practices was primarily carried out by ward nurses. Assisting patients with eating is a major task for caregivers and they require better training.
Stroke, Volume 56, Issue Suppl_1 , Page A121-A121, February 1, 2025. Introduction:An estimated 10-14% of all strokes occur in individuals under age 50, with an increase of ~15% from 2011-2022. Severe strokes in young adults affect the family unit quality of life.
Stroke, Volume 55, Issue Suppl_1 , Page AWP45-AWP45, February 1, 2024. Much effort and education has been placed on pre-hospital and emergency departments to recognize signs and symptoms of acute stroke and time metrics such as door-to-CT, door-to-needle, and door-to-device. of patients.
Stroke, Volume 56, Issue Suppl_1 , Page A125-A125, February 1, 2025. Introduction:Managing post-acute hemorrhagic stroke care is complex and necessitates close follow-up and coordination. Patients were excluded if: discharged to a long-term care facility or hospice, expired prior to discharge or had incomplete data.
Stroke, Volume 55, Issue Suppl_1 , Page ATP48-ATP48, February 1, 2024. Background:Comprehensive Stroke Program identified decreased monthly Stroke Support Group [SSG] participants [P] months after pandemic, when safe to meet. The annual Stroke Reunion, October 2023, highlighted SSG.
Stroke, Volume 55, Issue Suppl_1 , Page ATP67-ATP67, February 1, 2024. Background and Issues:Patients who experience an in-hospital stroke often have delayed treatment compared with patients presenting to the ED. Barriers to timely treatment were identified through the use of case timelines and strokenurse champion focus groups.
Stroke, Volume 55, Issue Suppl_1 , Page ATP271-ATP271, February 1, 2024. Introduction:Despite significant efforts to increase public awareness of cerebrovascular disease, the incidence of stroke and transient ischemic attack (TIA) in young adults has remained elevated, representing a major public health concern.
Stroke, Volume 56, Issue Suppl_1 , Page ADP41-ADP41, February 1, 2025. We sought to evaluate the clinical and financial impact of a home-based stroke care delivery model colloquially called Stroke Mobile (SM).Methods:Patients
Stroke, Volume 56, Issue Suppl_1 , Page AWP211-AWP211, February 1, 2025. Introduction:Physical and occupational therapy are a standard of care for in-hospital stroke patients. Inclusion criteria was a diagnosis of ischemic stroke or intracerebral hemorrhage (ICH). Two-tailed p value of less than 0.05
Stroke, Volume 56, Issue Suppl_1 , Page ATP52-ATP52, February 1, 2025. Background:Door-to-thrombolytic therapy time is critical in acute stroke management, affecting treatment effectiveness and patient outcomes. Since 2022, our door-to-IV thrombolytic time has remained stagnant. technologist. technologist. reduction in time.
Stroke, Volume 56, Issue Suppl_1 , Page AWP102-AWP102, February 1, 2025. Background and Purpose:2022 Intracerebral Hemorrhage (ICH) guidelines encourage treatment of blood pressure (BP) as soon as possible following identification of ICH.
Stroke, Volume 55, Issue Suppl_1 , Page AWP60-AWP60, February 1, 2024. Introduction:Timeliness of treatment for patients with acute ischemic stroke (AIS) directly correlates with outcomes. Earlier treatment is associated with better outcomes at 90 days.
Stroke, Volume 55, Issue Suppl_1 , Page AWP99-AWP99, February 1, 2024. Initial documentation by nursing began August 2021, and initial documentation compliance of pre-stroke and discharge mRS had not risen above 82%.Methods:A The change was implemented on September 15, 2022.Results:Supplementing
Stroke, Volume 55, Issue Suppl_1 , Page ATP50-ATP50, February 1, 2024. Findings of the QI project confirmed that the new policy did not incur a higher rate of instability on the nursing unit. This data lends confidence to Vascular Surgery and Stroke programs as they seek to streamline patient care and manage hospital resources.
Stroke, Volume 56, Issue Suppl_1 , Page A149-A149, February 1, 2025. Introduction:Acute telestroke connects stroke experts with rural or under-resourced hospitals to aid in emergent stroke decision-making. Few studies have evaluated subacute inpatient telestroke programs that focus on subsequent stroke management.
This refers to all the steps necessary to reduce the odds of a subsequent event, such as a second heart attack or stroke. It’s a multidisciplinary approach involving nurses, doctors, physiotherapists, dieticians, psychologists and many others. So, let’s cover seven things that reduce the risk of a subsequent heart attack.
Stroke, Volume 55, Issue Suppl_1 , Page AWP40-AWP40, February 1, 2024. Background:Patients experiencing acute ischemic stroke benefit from early reperfusion. This is particularly important for emergency department and interventional radiology nurses who are the ones driving transition of care between departments.
Stroke, Volume 55, Issue Suppl_1 , Page AWP79-AWP79, February 1, 2024. Introduction:The code LVO alert was created to help decrease the time from arrival to MER for patients presenting with LVO stroke. The code LVO alerts the endovascular surgeon and team earlier in the stroke alert process with the goal of improving patient outcomes.
Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionEndovascular intervention has become the mainstay of treatment for acute ischemic stroke. He also had tracheostomy and gastrostomy tube placement prior to discharge to skilled nursing facility.
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