Establishing a Stroke Response Team in a Rural Setting

Stroke, a substantial public health problem because of high incidence, prevalence, mortality and economic burden, is the leading cause of long-term disability and the third leading cause of death in the United States (National Institute of Health, 2005). Improvements have been made in the management...

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Main Authors: Julie Sain Justice, Linda A. Howe, Cathy Dyches, Barbara A. Heifferon
Format: Article
Language:English
Published: Rural Nurse Organization; Binghamton University 2008-06-01
Series:Online Journal of Rural Nursing and Health Care
Online Access:https://rnojournal.binghamton.edu/index.php/RNO/article/view/129
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author Julie Sain Justice
Linda A. Howe
Cathy Dyches
Barbara A. Heifferon
author_facet Julie Sain Justice
Linda A. Howe
Cathy Dyches
Barbara A. Heifferon
author_sort Julie Sain Justice
collection DOAJ
description Stroke, a substantial public health problem because of high incidence, prevalence, mortality and economic burden, is the leading cause of long-term disability and the third leading cause of death in the United States (National Institute of Health, 2005). Improvements have been made in the management of ischemic stroke, including the use of a fibrinolytic agent known as tissue plasminogen activator (tPA), and the utilization of stroke response teams. While larger hospitals have the capabilities of instituting improvements, rural hospitals still lack the resources and ability to offer this vital service. The organization of a stroke response team can vary depending on location. However, all such teams can facilitate rapid evaluation and treatment of patients with stroke, thus allowing hospital systems to respond in organized, efficient, and emergent ways. Such rapid responses prevent extensive disability: “time is brain.” This manuscript discusses the effectiveness of a stroke response team on tPA utilization and offers an algorithm for rural hospitals to follow.
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spelling doaj.art-35d95e7f2d9246e083577c552c1998422023-11-08T20:06:59ZengRural Nurse Organization; Binghamton UniversityOnline Journal of Rural Nursing and Health Care1539-33992008-06-0181546210.14574/ojrnhc.v8i1.129121Establishing a Stroke Response Team in a Rural SettingJulie Sain Justice0Linda A. Howe1Cathy Dyches2Barbara A. Heifferon3Clemson UniversityClemson UniversityClemson UniversityClemson UniversityStroke, a substantial public health problem because of high incidence, prevalence, mortality and economic burden, is the leading cause of long-term disability and the third leading cause of death in the United States (National Institute of Health, 2005). Improvements have been made in the management of ischemic stroke, including the use of a fibrinolytic agent known as tissue plasminogen activator (tPA), and the utilization of stroke response teams. While larger hospitals have the capabilities of instituting improvements, rural hospitals still lack the resources and ability to offer this vital service. The organization of a stroke response team can vary depending on location. However, all such teams can facilitate rapid evaluation and treatment of patients with stroke, thus allowing hospital systems to respond in organized, efficient, and emergent ways. Such rapid responses prevent extensive disability: “time is brain.” This manuscript discusses the effectiveness of a stroke response team on tPA utilization and offers an algorithm for rural hospitals to follow.https://rnojournal.binghamton.edu/index.php/RNO/article/view/129
spellingShingle Julie Sain Justice
Linda A. Howe
Cathy Dyches
Barbara A. Heifferon
Establishing a Stroke Response Team in a Rural Setting
Online Journal of Rural Nursing and Health Care
title Establishing a Stroke Response Team in a Rural Setting
title_full Establishing a Stroke Response Team in a Rural Setting
title_fullStr Establishing a Stroke Response Team in a Rural Setting
title_full_unstemmed Establishing a Stroke Response Team in a Rural Setting
title_short Establishing a Stroke Response Team in a Rural Setting
title_sort establishing a stroke response team in a rural setting
url https://rnojournal.binghamton.edu/index.php/RNO/article/view/129
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