Modern Interdisciplinary and Interhospital Acute Stroke Therapy-What Patients Think About It and What They Really Understand.
Background: Access to reperfusion therapies in patients with large vessel occluding acute ischemic stroke demands process reorganization and optimization. Neurovascular networks are being built up to provide 24/7 endovascular stroke therapy service. In times of an increasingly complex stroke rescue...
| Publicado en: | Journal of Stroke & Cerebrovascular Diseases Vol. 27; no. 10; pp. 2669 - 2677 |
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| Autores principales: | , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
W B Saunders
Oct2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=131768734&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 131768734 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10523057 DOU jtl: Journal of Stroke & Cerebrovascular Diseases issn: 10523057 maglogo: N pubinfo: dt: Oct2018 vid: 27 iid: 10 pid: 1351 pub: W B Saunders place: Philadelphia, Pennsylvania artinfo: ui: 131768734 131768734 NLM29970323 131768734 10.1016/j.jstrokecerebrovasdis.2018.05.029 NLM29970323 131768734 ppf: 2669 ppct: 8 formats: tig: atl: Modern Interdisciplinary and Interhospital Acute Stroke Therapy-What Patients Think About It and What They Really Understand. aug: au: Pressler, Hannah Reich, Arno Schulz, Jörg Bernhard Nikoubashman, Omid Willmes, Klaus Habib, Pardes Bach, Jan-Philipp Schulz, Jörg Bernhard affil: Department of Neurology, Medical Clinic, RWTH Aachen University, Aachen, Germany sug: subj: Readability Attitude to Health Thrombolytic Therapy Adverse Effects Stroke Therapy Patients Psychosocial Factors Combined Modality Therapy Prognosis Germany Patient Care Caregivers Psychosocial Factors Stroke Diagnosis Interprofessional Relations Stroke Physiopathology Risk Factors Academic Medical Centers Patient Satisfaction Stroke Psychosocial Factors Multidisciplinary Care Team Consumer Participation Human ab: Background: Access to reperfusion therapies in patients with large vessel occluding acute ischemic stroke demands process reorganization and optimization. Neurovascular networks are being built up to provide 24/7 endovascular stroke therapy service. In times of an increasingly complex stroke rescue chain little is known about patients' and their relatives' treatment awareness.Methods: All patients, who received any kind of acute reperfusion treatment between January and August 2017 in the university hospital Aachen, and their proxies, were included in the survey. Patients were either primarily or secondarily transferred.Results: For all questions regarding stroke treatment patients and their caregivers provided concurring answers. 40% of both patients and caregivers did not understand the treatment that was performed. Finally, patients who perceived on their own that stroke detection was delayed had significantly longer onset to door times than patients who did not have this impression.Conclusions: This study showed that patients' and proxies' answers correlated significantly. In case of patients' unavailability extrapolation of treatment satisfaction from answers by proxies might be permitted. High percentages of patients and caregivers do not understand relevant information, possibly due to limits of communication in an emergency setting or deficits in communication during the hospital stay. More emphasis should be laid on providing further information during the hospital stay. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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