Detecting in-hospital stroke: Assessment of results from a training programme for medical personnel
| Autor: | E. Muñoz, Andrea Dominguez, A. Rodríguez Campello, E. Giralt Steinhauer, Gemma Romeral, E. Rodríguez Fernández, E. Cuadrado Godia, Jaume Roquer |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
business.industry Incidence (epidemiology) medicine.medical_treatment Alternative medicine Thrombolysis medicine.disease Comorbidity lcsh:RC346-429 Epidemiology medicine Physical therapy Etiology business Prospective cohort study Stroke lcsh:Neurology. Diseases of the nervous system |
| Zdroj: | Neurología (English Edition), Vol 30, Iss 9, Pp 529-535 (2015) |
| ISSN: | 2173-5808 |
| Popis: | Introduction: In-hospital stroke (IHS) is a frequent event, but its care priority level is not well established in many hospitals. IHS care at our centre has been redefined by implementing a training programme for medical personnel not usually involved in stroke management, in order to optimise IHS detection and treatment. This study evaluates results from the training programme. Methods: It was a prospective longitudinal intervention study. Neurologists experienced in vascular diseases developed a training programme for medical personnel. We recorded incidence, epidemiological data, reason for hospitalisation, department, aetiology, severity (NIHSS), time from symptom onset to neurological assessment, use of endovascular thrombolysis, exclusion criteria for untreated patients, and 90-day outcome (mortality/disability) in 2 patient groups: patients experiencing IHS in the 6 months before (PRE) and the 6 months after the training programme (POST). Results: Sixty patients were included (19 PRE, 41 POST) with a mean age of 75.3 ± 12.5; 41% were male. There were no differences between groups regarding assessment time, treatment administered, or morbidity/mortality. Overall, 68.3% of the patients were assessed in |
| Databáze: | OpenAIRE |
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