Use of Telestroke to Improve Access to Care for Rural Patients With Stroke Symptoms.
Background: Cerebrovascular accident, or stroke, is a common cause of death or disability. Timely diagnosis and intervention are critical for improving survival rates and reducing the long-term effects of stroke. For patients with ischemic stroke, thrombolytic drugs and endovascular intervention are...
| Publicado en: | Critical Care Nurse Vol. 43; no. 5; pp. 49 - 57 |
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| Autores principales: | , , |
| Formato: | research Journal Article |
| Publicado: |
American Association of Critical-Care Nurses
Oct2023
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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=172447835&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 172447835 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02795442 1GD jtl: Critical Care Nurse issn: 02795442 maglogo: N pubinfo: dt: Oct2023 vid: 43 iid: 5 pid: 2559 pub: American Association of Critical-Care Nurses place: Alisa Veijo, California artinfo: ui: 172447835 172447835 172447835 10.4037/ccn2023505 172447835 ppf: 49 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Use of Telestroke to Improve Access to Care for Rural Patients With Stroke Symptoms. aug: au: Hendrickx, Lori Kuznia, Chelsey Maneval, Lindsey affil: Lori Hendrickx is a professor at South Dakota State University College of Nursing, Brookings, South Dakota, and a staff nurse at St. Mary's Essentia Health, Detroit Lakes, Minnesota sug: subj: Stroke Diagnosis Stroke Therapy Telemedicine Utilization Quality Improvement Rural Population Health Services Accessibility Human Program Implementation Stroke Risk Factors Smoking Physical Activity Obesity Diet Diabetes Mellitus Hypertension Geographic Factors COVID-19 Pandemic Thrombolytic Therapy Algorithms Leadership ab: Background: Cerebrovascular accident, or stroke, is a common cause of death or disability. Timely diagnosis and intervention are critical for improving survival rates and reducing the long-term effects of stroke. For patients with ischemic stroke, thrombolytic drugs and endovascular intervention are time-sensitive treatment options. Local Problem: Patients living in rural areas often do not have access to rapid consultation with specialized neurologic teams for diagnosis and treatment of stroke. The use of telemedicine in the form of a telestroke consultation can improve timely diagnosis and treatment for rural patients exhibiting stroke symptoms. Methods: A telestroke program was implemented in the upper Midwest. A team of 4 interventional neurologists provided telestroke consultation to a comprehensive stroke center and 5 other acute stroke–ready rural hospitals. Results: A tiered stroke alert algorithm and telestroke workflow chart were developed to help health care professionals at rural sites determine eligibility for telestroke consultation. A teleneurologist connected with the originating site, and the National Institutes of Health Stroke Scale could be completed remotely with assistance from the originating site. Telestroke has increased the percentage of patients receiving thrombolytics in less than 60 minutes, and door-to-needle time has decreased. Conclusion: Rural patients with stroke symptoms may experience a delay in care or stroke diagnosis due to distance to specialized neurologic services. Telestroke consultation is a successful method for timely diagnosis of stroke and recommendation for treatment. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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