Five elements to optimize treatment of in-hospital stroke

Date:
February 9, 2022
Source:
American Heart Association
Summary:
An in-hospital stroke is a stroke that occurs during a
hospitalization for another diagnosis. In-hospital stroke affects
roughly 35,000-75,000 hospitalized people annually in the United
States and occurs most often among patients who have undergone a
recent procedure or an invasive diagnostic test. The statement
details five key suggestions focused on reducing delays and
optimizing treatment to improve outcomes for these patients.



FULL STORY ========================================================================== Although hospitalized patients are in a monitored environment, stroke evaluation and treatment are often delayed compared to patients arriving
with a stroke at the emergency department, contributing to higher rates of morbidity and mortality for in-hospital stroke, according to an American
Heart Association scientific statement published online today in the Association's journal Stroke.


==========================================================================
The statement outlines five elements for the development of hospital
systems of care and targeted quality improvement to reduce delays and
optimize treatment to improve outcomes for patients who experience an in-hospital stroke. In- hospital stroke is a stroke that occurs during
a hospitalization for another diagnosis and affects between 35,000 and
75,000 hospitalized patients annually in the United States.

The five core elements of the statement are:
* training all hospital staff on stroke signs, symptoms and activation
protocols for in-hospital stroke alerts;
* creating rapid response teams with dedicated stroke training and
immediate access to neurologic expertise;
* standardizing the evaluation of potential in-hospital stroke
patients
with physical assessment and imaging;
* eliminating and addressing potential treatment barriers including
interfacility transfer to advanced stroke treatment; and
* establishing an in-hospital stroke quality oversight program
delivering
data-driven performance feedback and driving targeted quality
improvement efforts.

The statement encourages institutions to develop a plan for in-patient
stroke response teams that includes education, quality review and
specified oversight.

The statement was developed by the writing committee on behalf of
the American Heart Association's Stroke Council; the Council on Arteriosclerosis, Thrombosis and Vascular Biology; the Council on Cardiovascular and Stroke Nursing; the Council on Clinical Cardiology;
and the Council on Lifestyle and Cardiometabolic Health. The diverse
committee included experts in nursing, neurology, internal medicine, neurocritical care, neurosurgery and neurointerventional radiology. The American Academy of Neurology affirms the value of this statement as
an educational tool for neurologists, and the American Association of Neurological Surgeons/Congress of Neurological Surgeons Cerebrovascular
Section affirms the educational benefit of this statement.

American Heart Association scientific statements promote greater
awareness about cardiovascular diseases and stroke issues and help
facilitate informed health care decisions. Scientific statements
outline what is currently known about a topic, and what areas need
additional research. While scientific statements inform the development
of guidelines, they do not make treatment recommendations. American
Heart Association guidelines provide the Association's official clinical practice recommendations.

The writing committee includes Chair Ethan U. Cumbler, M.D.; Vice-Chair
Amre Nouh, M.D., FAHA; Sepideh Amin-Hanjani, M.D., FAHA; Karen L. Furie,
M.D., M.P.H., FAHA; Walter N. Kernan, M.D.; DaiWai M. Olson, Ph.D.,
R.N.; Fernando D.

Testai, M.D., Ph.D., FAHA; Mark J. Alberts, M.D., FAHA; and Mohammed A.

Hussain, M.D.

This scientific statement will also be discussed during a symposium
today at 5 p.m. CT/ 6 p.m. ET at the Association's International Stroke Conference in New Orleans. An American Heart Association scientific
statement is an expert analysis of current research and may inform future clinical practice guidelines.

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dreams in this free online course from New Scientist -- Sign_up_now_>>> ========================================================================== Story Source: Materials provided by American_Heart_Association. Note:
Content may be edited for style and length.


========================================================================== Journal Reference:
1. Amre Nouh, Sepideh Amin-Hanjani, Karen L. Furie, Walter N. Kernan,
DaiWai
M. Olson, Fernando D. Testai, Mark J. Alberts, Mohammed A. Hussain,
Ethan U. Cumbler. Identifying Best Practices to Improve Evaluation
and Management of In-Hospital Stroke: A Scientific Statement
From the American Heart Association. Stroke, 2022; DOI: 10.1161/
STR.0000000000000402 ==========================================================================

Link to news story: https://www.sciencedaily.com/releases/2022/02/220209093402.htm

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