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Effect of pre-hospital notification on delays and neurological outcomes in acute ischemic stroke
This study aimed to compare delay to thrombolysis therapy and neurological outcomes between SAMA-transported and self-transported patients in ischemic stroke.
Source: Australasian Emergency Nursing Journal - November 19, 2021 Category: Nursing Authors: Azra Sangari, Kobra Akhoundzadeh, Mostafa Vahedian, Ehsan Sharifipour Tags: Research paper Source Type: research

Practice of integrated treatment process for acute ischaemic stroke in hospital coordinated by emergency stroke nurses
AbstractAimsTo explore the practice effect of establishing an integrated treatment process by stroke emergency nurses in general hospitals for acute ischaemic stroke (AIS).DesignCompared the time spent in each link before and after the establishment of AIS integrated treatment.MethodsSince March 2016, we set up a team of emergency stroke nurses (ESN), trained and assessed the knowledge of emergency stroke, and set up a post of ESN.ResultsThe median time of admission-judgement, admission-establishment of venous access, admission-cranial CT examination and admission-intravenous thrombolytic therapy was statistically signific...
Source: Nursing Open - November 6, 2021 Category: Nursing Authors: Dongmei Li, Hongjian Zhang, Xiaoying Lu, Lingjuan Zhang, Jianmin Liu Tags: RESEARCH ARTICLE Source Type: research

Women and In-hospital Stroke Code Activation: Age, Ethnicity, and Unique Symptoms Matter
Background Women have worse stroke outcomes than men, and almost 17% of all stroke cases have symptom onset when admitted to the hospital for a separate condition. Objective The aim of this study was to investigate the distinctive factors that impact the activation of an in-hospital stroke code and outcomes in women who have a stroke while admitted to the hospital for a separate condition. Methods A retrospective observational propensity score study guided by the model for nursing effectiveness was used. Results In-hospital stroke code was activated in 46 of 149 or 30.9% of women and 15 of 149 or 1...
Source: Journal of Cardiovascular Nursing - April 19, 2021 Category: Nursing Tags: ARTICLES: Women and Cardiovascular Disease Source Type: research

Scientific Approach to Assess if Change Led to Improvement —Methods for Statistical Process Control Analysis in Quality Improvement
Quality improvement is an expectation in most hospitals and emergency departments throughout the United States. With hospitals requiring reporting on key metrics such as readmission rates, time to thrombolytic administration in stroke, or time to cardiac catheterization laboratory activation for ST-elevation myocardial infarctions, many emergency departments deploy quality improvement teams to monitor and improve these metrics and others to promote quality and safety. Emergency nurses and managers are key members and leaders of these quality improvement teams.
Source: Journal of Emergency Nursing: JEN - October 23, 2020 Category: Nursing Authors: Maegan S. Reynolds, Sandra P. Spencer, Ashley Dunaway, Don Buckingham, Thomas Bartman Tags: Understanding Research Source Type: research

Earlier thrombolytic treatment is associated with better outcomes following acute ischaemic stroke
Commentary on Saver JL, Fonarow GC, Smith EE, et al.. Time to treatment with intravenous tissue plasminogen activator and outcome from acute ischaemic stroke, JAMA 2013;309:2480–8. Implications for practice and research Optimisation is necessary in public education and hospital triage of the identification of factors such as arrival by ambulance and the importance of requesting emergency medical services (EMS) at scene of the stroke occurrence.1 The results of previous studies suggest that a disparity, observed between hospital-based outcomes for admissions that presented during regular hours and off hours, is not se...
Source: Evidence-Based Nursing - September 15, 2014 Category: Nursing Authors: Ullah, N., Thompson, M. J., Qureshi, A. I. Tags: Adult nursing, Drugs: cardiovascular system, Stroke Source Type: research

Hospitals to receive ‘anti-DVT sleeves’ for stroke patients
Hospitals across England are preparing to receive potentially lifesaving equipment to prevent deep vein thrombosis in patients immobilised by a recent stroke.
Source: Nursing Times Breaking News - May 6, 2014 Category: Nursing Source Type: news