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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. Nurse to patient ratios were changed to 1:1 until goal BP achieved.
the 2023 calendar year, our comprehensive stroke metric for hemorrhagic stroke scoring was at 64%, below the 'Get with the Guidelines' benchmark of 87%.To the 2023 calendar year, our comprehensive stroke metric for hemorrhagic stroke scoring was at 64%, below the 'Get with the Guidelines' benchmark of 87%.To
Background:The 2023 American Heart Association/American Stroke AssociationsGuideline for Management of Patients with Aneurysmal Subarachnoid Hemorrhage(SAH) support use of the Ottawa Rule to screen individuals at risk. Stroke, Volume 56, Issue Suppl_1 , Page ANS1-ANS1, 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 56, Issue Suppl_1 , Page AWP102-AWP102, February 1, 2025.
Background and Purpose:Intracerebral and subarachnoid hemorrhages comprise roughly 15% of all strokes but have a higher risk of mortality and morbidity than ischemic strokes. Controlling hypertension after a hemorrhage is the primary intervention to limit the risk of hematoma expansion (HE) and the sequelae of secondary injury.
Methods:Data from adult patients who discharged from two medical centers in Portland, OR in 2019 or between January 2022 and May 2023 were abstracted from electronic medical records. Inclusion criteria was a diagnosis of ischemic stroke or intracerebral hemorrhage (ICH). Two-tailed p value of less than 0.05
Neuro-telemetry nurses designed Stroke 90 as a follow-up outreach program to reduce the stroke readmission average by 2% over six months and address knowledge gaps. From January 2023 to June 2023, 4 stroke patients were readmitted per month, yielding a readmission average of 12%. hospital days).Conclusion:Overall,
The program involves telephone visits with a stroke-specialized nurse within 1 week after discharge and 3 months post-discharge. Patients were also provided with the stroke nurses direct contact information to help navigate the healthcare system. The control group included patients not enrolled in the program. vs 69.3%, p=0.04).
There were no differences in symptomatic intracerebral hemorrhages between the two groups.Conclusion:The implementation of a hospital wide process that focuses on a neurology resident physician and nursing collaboration greatly improves IHS SRT to thrombolytic administration time with a trend towards improvement in SRT to skin puncture time.
Based on assessment and individual patient factors, possible algorithm pathways included dysphagia treatment and/or calorie count by nursing and dieticians to guide decision-making for PEG placement.A Data included 68 acute ischemic and hemorrhagic stroke patients admitted to the Neurology and Neurosurgery services from 1/1/2023-2/29/24.
A switch to TNK was implemented at our Comprehensive Stroke center (CSC) after a rigorous training of nurses and providers on May 1, 2021. No significant differences in rates of symptomatic Intracerebral Hemorrhage (SICH) were observed between two groups (2.6% ALT vs 2.9%
Genetech, 2023). Bach, 2023; Campbell et al., The significance of underdosing or overdosing of TNK may not achieve the desired patient outcome and may increase the risk of complications such as hemorrhage, anaphylaxis, thromboembolism, arrhythmia, intracranial hemorrhage, extended hospitalizations, and death.
Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. An analysis of the rates of post‐intervention intracerebral hemorrhage showed that there was no significant difference observed between groups. Additionally, CM‐HF patients were more likely to receive both EVT (8.8% 0.6%, p < 0.001).
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