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Introduction:Aneurysmal subarachnoid hemorrhage (aSAH) carries high morbidity and mortality. Survivors often require extended care at skilled nursing facilities (SNF) or long-term acute care centers (LTAC). Intraventricular hemorrhage (OR 0, 95% CI 0-1.12, p=0.043), tracheostomy (OR=0.14, 95% CI 0.14-1.01, years vs. 70.29.3,
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.
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 also developed a flow diagram to manage code strokes that bypass the ED, or do not present as a code stroke.Results:This performance improvement project began in March 2024.Current
Image courtesy of El Camino Health milla1cf Thu, 06/13/2024 - 20:33 June 13, 2024 — Frederick St. standard-of-care for managing postpartum hemorrhage, the JADA System. In addition to being locally trusted for improving patient outcomes through his medical practice at El Camino Health , Dr. St.
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.
Introduction:Managing post-acute hemorrhagic stroke care is complex and necessitates close follow-up and coordination. Outcome data was similar for patients with intracerebral hemorrhage and subarachnoid hemorrhage all p<0.05.Conclusion:Prehospital
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.
Introduction:Intracerebral hemorrhage (ICH) leads to the highest mortality among stroke patients. Stroke, Volume 56, Issue Suppl_1 , Page AWP136-AWP136, February 1, 2025. ICH expansion causes worse outcomes, especially with anticoagulant-associated ICH. The checklist tracks blood pressure (BP) management and calling a neurosurgery consult.
Stroke, Volume 55, Issue Suppl_1 , Page AWP109-AWP109, February 1, 2024. Background:Utilizing medical claims derived information, we evaluated temporal trends in post-acute care utilization pathways among patients with acute ischemic stroke (AIS) or intracerebral hemorrhage (ICH).Methods:Data and 82.3% (Panel D).Conclusion:Post
Stroke, Volume 55, Issue Suppl_1 , Page ATMP82-ATMP82, February 1, 2024. 12, I60-69), clinical data was extracted by a research nurse and adjudicated by physicians. Patients with ICH may benefit from direct transport to high-level centers for neurologic intensive care and hematoma evacuation.
Stroke, Volume 55, Issue Suppl_1 , Page AWMP27-AWMP27, February 1, 2024. 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, Volume 55, Issue Suppl_1 , Page ATP112-ATP112, February 1, 2024. We subsequently educated constituents including nursing, pharmacy, technical and clinical staff. Symptomatic hemorrhage occurred in 0.0%(P), Symptomatic hemorrhage occurred in 0.0%(P), Symptomatic hemorrhage occurred in 1.5%(P) P) and 3.0%(C).Conclusions:Hub-spoke
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 AWP290-AWP290, February 1, 2024. 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. Purpose Patients with a history of stroke have a significantly higher risk of readmission.
Nurses were provided with dosing table and care instruction badge backers. All impacted disciplines received education, including nursing skills demonstration. A retrospective review of system Alteplase administrations during 6/2020- 5/2022 was compared to Tenecteplase administrations throughout 6/2022- 5/2024.Results:Thrombolytic
The purpose of this study was to determine if there is an optimal time frame to call patients and whether call fatigue affects call completion rate.Methods:Ischemic and hemorrhagic stroke patients discharged to home with and without home health from 2/2024 to 6/2024 were included. Two call attempts were made.
Stroke, Volume 55, Issue Suppl_1 , Page AWP29-AWP29, February 1, 2024. 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%
Separate multivariable logistic regression models were fit to determine factors associated with discharge to IR vs. home (model 1) and IR vs. unfavorable discharge (UD; long-term acute care, skilled nursing facility, hospice, expired, other; model 2). Adjusted odds ratios (aOR) and 95% confidence intervals (CI) are reported. female and15.7%
Stroke, Volume 55, Issue Suppl_1 , Page A113-A113, February 1, 2024. New intracerebral hemorrhage occurred in 7% of patients (3/43) and unplanned return to OR occurred in 14.8% 16.3% (7/43) of patients were discharged to inpatient rehabilitation or a skilled nursing facility. The post-operative complication rate was 9.3% (4/43).
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