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Total 389 results found since Jan 2013.

Outcomes of a Stroke Response Team on the Emergent Management of Intracerebral Hemorrhage
DISCUSSION: Implementation of a stroke response team increased the knowledge of the care team, improved the timeliness of blood pressure control, and decreased the time for emergency department arrival to a critical care bed, and to anticoagulation reversal agent administration.PMID:36749865 | DOI:10.1097/DCC.0000000000000519
Source: Dimensions in Critical Care Nursing - February 7, 2023 Category: Nursing Authors: Susan Ashcraft Amber T Jones Source Type: research

Factors associated with use of emergency medical services in patients with acute stroke
Abstract: Purposes: The aim of this study was to investigate the factors associated with use of emergency medical services (EMS) in patients with acute stroke.Methods: Prospective data on consecutive patients with acute stroke who presented to the emergency department of a university medical center from January 1, 2010, to July 31, 2011, were analyzed. Patients were excluded if they had an unknown residence, had onset of stroke at a nursing home or hospital, or were transferred from another hospital. Variables for all patients with stroke and ischemic stroke who did and did not use EMS were compared.Results: In total, 1344...
Source: The American Journal of Emergency Medicine - March 4, 2013 Category: Emergency Medicine Authors: Nai-Chuan Chen, Ming-Ju Hsieh, Sung-Chun Tang, Wen-Chu Chiang, Kuang-Yu Huang, Li-Kai Tsai, Patrick Chow-In Ko, Matthew Huei-Ming Ma, Jiann-Shing Jeng Tags: Original Contributions Source Type: research

Review Streamlining of prehospital stroke management: the golden hour
Thrombolysis with alteplase administered within a narrow therapeutic window provides an effective therapy for acute ischaemic stroke. However, mainly because of prehospital delay, patients often arrive too late for treatment, and no more than 1–8% of patients with stroke obtain this treatment. We recommend that all links in the prehospital stroke rescue chain must be optimised so that in the future more than a small minority of patients can profit from time-sensitive acute stroke therapy. Measures for improvement include continuous public awareness campaigns, education of emergency medical service personnel, the use of s...
Source: Lancet Neurology - May 24, 2013 Category: Neurology Authors: Klaus Fassbender, Clotilde Balucani, Silke Walter, Steven R Levine, Anton Haass, James Grotta Tags: Review Source Type: research

A Guideline for Acute Stroke: Evaluation of New Jersey’s Practices
ABSTRACTThe purpose of this study was to determine the effectiveness of processes and guidelines for the patient with acute stroke receiving care in New Jersey acute care hospitals in 2010. Lack of adherence to established protocols for acute ischemic stroke may significantly affect the outcomes of care. The lack of available literature providing evidence of prior practices for stroke care in the state of New Jersey precludes a comparison with current practices. This was a descriptive study utilizing an electronic survey developed by the researcher. A convenience sample was utilized for this study consisting of stroke heal...
Source: Journal of Neuroscience Nursing - November 6, 2014 Category: Neuroscience Tags: Article Source Type: research

A Guideline for Acute Stroke: Evaluation of New Jersey’s Practices
ABSTRACT: The purpose of this study was to determine the effectiveness of processes and guidelines for the patient with acute stroke receiving care in New Jersey acute care hospitals in 2010. Lack of adherence to established protocols for acute ischemic stroke may significantly affect the outcomes of care. The lack of available literature providing evidence of prior practices for stroke care in the state of New Jersey precludes a comparison with current practices. This was a descriptive study utilizing an electronic survey developed by the researcher. A convenience sample was utilized for this study consisting of stroke he...
Source: Journal of Neuroscience Nursing - December 1, 2014 Category: Neuroscience Tags: Article Source Type: research

In-Hospital Stroke
There have been tremendous strides in standardization of the care for acute ischemic stroke since widespread use of thrombolytic therapy began almost 20 years ago. Efficacy is still limited by delayed presentation to the emergency department following stroke symptom onset, although this has also improved in that period with education of emergency medical services and the community at large. The real improvement lies in development of streamlined and standardized protocols for “code stroke,” so that thrombolysis rates of 20% are becoming typical and door-to-needle times are just as typically under 1 hour. These encourag...
Source: JAMA Neurology - May 4, 2015 Category: Neurology Source Type: research

The use of smartphone applications in patients attending tia clinic
Ten major risk factors account for 90% of the population attributable stroke risk. Smartphone applications may be used for education and self-managing risk factors. We aimed to explore use and attitudes towards smartphones in a TIA clinic. Methods From September 2015 consecutive patients attending University College Hospitals, London TIA clinic completed a questionnaire, relating to, stroke risk factors and use of smartphones. A likert scale (strongly disagree=1, strongly agree=10) evaluated attitudes towards Smartphone applications in stroke education and management. Results 118 patients completed the questionnaire. Mean...
Source: Journal of Neurology, Neurosurgery and Psychiatry - November 14, 2016 Category: Neurosurgery Authors: Clayton, L., Dados, A., Simister, R., Gill, S., Chandratheva, A. Tags: Stroke, Hypertension ABN Annual Meeting, 17-19 May 2016, The Brighton Centre, Brighton Source Type: research

Generalization of the right acute stroke promotive strategies in reducing delays of intravenous thrombolysis for acute ischemic stroke: A meta-analysis
This study provided detailed information on the net and quantitative benefits of various programs for reducing time delays to facilitate the generalization of appropriate AIS management.
Source: Medicine - June 1, 2018 Category: Internal Medicine Tags: Research Article: Meta-Analysis of Observational Studies in Epidemiology Source Type: research

An international cluster-randomized quality improvement trial to increase the adherence to evidence-based therapies for acute ischemic stroke and transient ischemic attack patients: Rationale and design of the BRIDGE STROKE Trial
Publication date: January 2019Source: American Heart Journal, Volume 207Author(s): Maria Julia Machline-Carrion, Eliana Vieira Santucci, Lucas Petri Damiani, Cecilia Bahit, Germán Málaga, Octávio Marques Pontes-Neto, Sheila Cristina Ouriques Martins, Viviane Flumignan Zétola, Karina Normilio-Silva, Gabriel Rodrigues de Freitas, Alessandra Gorgulho, Antônio De Salles, Beatriz Gonzales Pacheco da Silva, Juliana Yamashita Santos, Isabella de Andrade Jesuíno, Priscila Regina Torres Bueno, Alexandre Biasi Cavalcanti, Hélio Penna Guimarães, Ying Xian, Janet Prvu BettgerBackgroundTranslating evidence into clinical practic...
Source: American Heart Journal - November 9, 2018 Category: Cardiology Source Type: research

Analysis of Influencing Factors of Compliance with Non-Vitamin K Antagonist Oral Anticoagulant in Patients with Nonvalvular Atrial Fibrillation and Correlation with the Severity of Ischemic Stroke
In this study, a total of 156 patients with NVAF who received NOAC anticoagulation therapy in our hospital from January 2018 to January 2019 were retrospectively analyzed. The results showed that education background, place of residence, number of complications, CHA2DS2-VASc score, and HAS-BLED score were independent influencing factors for NOACS compliance of NVAF patients. Also, the Pearson correlation analysis showed that there was a negative correlation (r = -0.465, P < 0.001) between NOAC compliance and severity of ischemic stroke in patients with NVAF. Therefore, clinical supervision and management of patients wit...
Source: Evidence-based Complementary and Alternative Medicine - October 29, 2021 Category: Complementary Medicine Authors: Li Zhu Xiaodan Zhang Jing Yang Source Type: research