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Stroke, Ahead of Print. INTRODUCTION:Stroke can have profound psychosocial health implications. Care should be comprehensive and interdisciplinary. Enhanced screening, assessment, supportive services, and education are vital to ensure that patients receive the necessary treatment and care.
Image courtesy of the UT Health Science Center milla1cf Thu, 02/15/2024 - 13:16 February 15, 2024 — Research findings in a clinical trial led by a professor at the University of Tennessee Health Science Center ’s College of Nursing are likely to dramatically change care and improve outcomes for patients suffering from acute stroke.
Stroke, Volume 56, Issue Suppl_1 , Page ADP9-ADP9, February 1, 2025. Stroke is a leading cause of long-term disabilities and is largely preventable (80%). Evidence indicates that patients receiving care from stroke specialized nurses, including nurse-led stroke prevention, show better outcomes.
Stroke, Volume 56, Issue Suppl_1 , Page AWP73-AWP73, February 1, 2025. Background:Research indicates that quicker response times from onset of stroke symptoms to the initiation of treatment result in better recovery outcomes. The period included in this review was January 2023 through December 2024.
Stroke, Volume 56, Issue Suppl_1 , Page A122-A122, February 1, 2025. Introduction:Standardized stroke response protocols have been shown to reduce Door to Puncture (DTP) times for Acute Ischemic Strokes (AIS), potentially improving functional outcomes and reducing mortality. This reduction time is equivalent to 22.8
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 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 ATP69-ATP69, February 1, 2024. Background:Stroke nursing education is a requirement for Stroke Center designation. The eight-hour curriculum was designed by stroke program directors and stroke coordinators. We used a zoom platform to provide stroke education.
trial presented during the International Stroke Conference found that while hospital beds for stroke patients are typically elevated at the head, a flat head position before surgical removal of a blood clot in the brain (thrombectomy) may lead to better outcomes. Late-breaking science from a multi-center U.S. 9 in Phoenix, AZ.
Stroke, Volume 55, Issue Suppl_1 , Page AWP59-AWP59, February 1, 2024. Background and Issue:Delivering efficient comprehensive stroke care can be challenging as there are various interdisciplinary team members and factors impacting the outcome of each stroke patient. days and CMI was 2.0. days and CMI was 2.0.
Stroke, Volume 55, Issue Suppl_1 , Page A35-A35, February 1, 2024. The University of Minnesota partnered with the M Health Fairview (MHFV) System to incorporate stroke clinical trials into the annual comprehensive stroke education courses.
Stroke, Volume 55, Issue Suppl_1 , Page AWP46-AWP46, February 1, 2024. Care of a stroke patient is time dependent as well as the benefits of thrombolytic administration. An interdisciplinary subgroup was created to evaluate the Emergency Department process for code strokes and administration of thrombolytics.
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 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]. SP satisfaction [SP-S] assessed via paper tool changed to Press Ganey in 2021.Purpose:Evaluate
Stroke, Volume 55, Issue Suppl_1 , Page ANS3-ANS3, February 1, 2024. Guideline based education regarding the importance of timely medication administration was provided in nursing huddles. Nurse to patient ratios were changed to 1:1 until goal BP achieved. mins p=0.02 (Table 2).Conclusion:Guideline
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. The number of patients receiving intervention quadrupled by the end of quarter four.
Stroke, Volume 56, Issue Suppl_1 , Page ADP42-ADP42, February 1, 2025. Introduction:The transitional period from hospital discharge to the community for stroke survivors is a vulnerable time as patients navigate healthcare systems with their new impairments. The control group included patients not enrolled in the program.
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 ANS1-ANS1, February 1, 2025. 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 ADP8-ADP8, February 1, 2025. 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 We continue to assess compliance and project feasibility.We
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 55, Issue Suppl_1 , Page AWMP27-AWMP27, February 1, 2024. Tenecteplase (TNK) is currently being used for IV thrombolysis in acute ischemic stroke. Genetech, 2023). mg/kg while the dosing for stroke is 0.25 Bach, 2023; Campbell et al., The dosing for myocardial infarction is 0.5 2018; Wang et al.,
Stroke, Volume 56, Issue Suppl_1 , Page AWP78-AWP78, February 1, 2025. Introduction:Dysphagia affects approximately 30-80% of ischemic stroke patients. While most patients recover swallowing functions within a week, 10-50% may experience persistent issues for up to six months post-stroke.
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. Following the visual cue implementation, our compliance improved to 100% in June 2023 and 92% in July 2023.Conclusion:Preliminary
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 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 56, Issue Suppl_1 , Page ATP149-ATP149, February 1, 2025. Background:Dysphagia is a common complication of stroke and often leads to the need for modified diets and alternate feeding routes. retrospective study was conducted in the inpatient setting of a comprehensive stroke center.
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. The data for 2023 reflects a continuation of this positive trend.
Stroke, Volume 56, Issue Suppl_1 , Page AHUP4-AHUP4, February 1, 2025. Background and Aims:The burden of stroke and stroke-related disability in Peru a low- to middle-income country is nearly 50% higher than the global average. for virtual arm (p=0.001).
Stroke, Volume 56, Issue Suppl_1 , Page AWP84-AWP84, February 1, 2025. When treating acute stroke patients, time is brain. In 2023 our EDs transferred 35 patients with an LVO and 21 year to date in 2024.A Purpose:Decreasing door to needle and door to transfer times drives patient outcomes.
Stroke, Volume 56, Issue Suppl_1 , Page AWP102-AWP102, February 1, 2025. Our academic comprehensive stroke center (CSC) evaluated the initiation of antihypertensive medications and target systolic BP goals for ICH patients.In
Stroke, Volume 55, Issue Suppl_1 , Page AWP29-AWP29, February 1, 2024. Background:The most recent American Heart Association/American Stroke Association acute ischemic stroke guidelines recognize tenecteplase (TNK) as an alternative to alteplase (ALT) for acute ischemic stroke (AIS) treatment. The mean DTN was 53.0
Stroke, Volume 56, Issue Suppl_1 , Page AWP69-AWP69, February 1, 2025. Inclusion criteria included 1) Stroke patients with feeding tube. Inclusion criteria included 1) Stroke patients with feeding tube. An intervention for caregivers, which engaged them on feeding practices was introduced from Jan 2023 to Jul 2024.
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 Table 1) The goal for documentation compliance was set at 90% by the end of the first quarter of 2023.
Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionAdvances in stroke care have led to more patients eligible for thrombectomy. We used their experience to determine which points in the stroke alert workflow led to delays in door‐to‐puncture time.
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 56, Issue Suppl_1 , Page AWP109-AWP109, February 1, 2025. Introduction:Comorbid active cancer among in-hospital onset acute ischemic stroke (IHS) is increasing. Patients characteristics, time course, of initial management and clinical outcome were compared in both groups.
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 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 ANS7-ANS7, 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.
Stroke, Volume 55, Issue Suppl_1 , Page AWP148-AWP148, February 1, 2024. Background:The recognition of in-hospital strokes (IHS) and their subsequent interventions remain challenging. IHS do not have guideline-based efficiency metrics established. Only 1 in 5 IHS receive treatment within 60 minutes of symptom recognition time (SRT).
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 56, Issue Suppl_1 , Page ATP63-ATP63, February 1, 2025. Literature suggested nurses caring for stroke patients experienced significant moral distress and secondary traumatic stress injuries. All employees were educated, but the measures focused on nursing. In fiscal year (FY)2021, the ICU scored 2.43.
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