Characteristics of stroke service implementation in Armenia
BackgroundAcute stroke care service in Armenia was established in 2019 after the implementation of the National Stroke Program (NSP). This study aimed to provide an up-to-date account of the current image and clinical characteristics of acute stroke service implementation at a tertiary hospital in A...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-01-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2022.1021628/full |
| _version_ | 1797955210287513600 |
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| author | Greta Sahakyan Mira Orduyan Sevak Badalyan Ani Adamyan Mariam Hovhannisyan Hasmik Manucharyan Sagatel Egoyan Yuri Makaryan Hovhannes Manvelyan |
| author_facet | Greta Sahakyan Mira Orduyan Sevak Badalyan Ani Adamyan Mariam Hovhannisyan Hasmik Manucharyan Sagatel Egoyan Yuri Makaryan Hovhannes Manvelyan |
| author_sort | Greta Sahakyan |
| collection | DOAJ |
| description | BackgroundAcute stroke care service in Armenia was established in 2019 after the implementation of the National Stroke Program (NSP). This study aimed to provide an up-to-date account of the current image and clinical characteristics of acute stroke service implementation at a tertiary hospital in Armenia by analyzing the quality of care and identifying the areas that need improvement.MethodsWe analyzed patient data from a single hospital in 1 year after the establishment of acute stroke care service (February 2021–January 2022). We selected patients who were within 0–24 h from symptom onset at admission and included patients who benefited from reperfusion therapies (intravenous thrombolysis (IVT) and/or endovascular thrombectomy (EVT)). A favorable outcome was defined as a drop in the National Institutes of Health Stroke Scale (NIHSS) by more than four points at discharge and a modified Rankin score (mRS) of 0–2 at 90 days.ResultsOf the total 385 patients, 155 underwent reperfusion therapies, 91% of patients (141/155) arrived by ambulance, 79.2% (122/155) had neurological improvement at discharge, and 60.6% (94/155) had an mRS of 0–2 at 3 months. Less than 5% of patients had early direct access to the rehabilitation center.ConclusionOur study demonstrated that the implementation of NSP with organized protocol-driven inpatient care led to significant advancement in acute stroke service performance. We believe that our report will serve as a model for achieving advanced and structured stroke care in a resource-limited context and contribute to the future development of the healthcare system in our country. |
| first_indexed | 2024-04-10T23:29:51Z |
| format | Article |
| id | doaj.art-7a5b2f8e6d944758844f89fb58c8279a |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-04-10T23:29:51Z |
| publishDate | 2023-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-7a5b2f8e6d944758844f89fb58c8279a2023-01-12T07:01:26ZengFrontiers Media S.A.Frontiers in Neurology1664-22952023-01-011310.3389/fneur.2022.10216281021628Characteristics of stroke service implementation in ArmeniaGreta SahakyanMira OrduyanSevak BadalyanAni AdamyanMariam HovhannisyanHasmik ManucharyanSagatel EgoyanYuri MakaryanHovhannes ManvelyanBackgroundAcute stroke care service in Armenia was established in 2019 after the implementation of the National Stroke Program (NSP). This study aimed to provide an up-to-date account of the current image and clinical characteristics of acute stroke service implementation at a tertiary hospital in Armenia by analyzing the quality of care and identifying the areas that need improvement.MethodsWe analyzed patient data from a single hospital in 1 year after the establishment of acute stroke care service (February 2021–January 2022). We selected patients who were within 0–24 h from symptom onset at admission and included patients who benefited from reperfusion therapies (intravenous thrombolysis (IVT) and/or endovascular thrombectomy (EVT)). A favorable outcome was defined as a drop in the National Institutes of Health Stroke Scale (NIHSS) by more than four points at discharge and a modified Rankin score (mRS) of 0–2 at 90 days.ResultsOf the total 385 patients, 155 underwent reperfusion therapies, 91% of patients (141/155) arrived by ambulance, 79.2% (122/155) had neurological improvement at discharge, and 60.6% (94/155) had an mRS of 0–2 at 3 months. Less than 5% of patients had early direct access to the rehabilitation center.ConclusionOur study demonstrated that the implementation of NSP with organized protocol-driven inpatient care led to significant advancement in acute stroke service performance. We believe that our report will serve as a model for achieving advanced and structured stroke care in a resource-limited context and contribute to the future development of the healthcare system in our country.https://www.frontiersin.org/articles/10.3389/fneur.2022.1021628/fullstroke serviceArmeniaquality indicatorthrombolysis (tPA)performance measure |
| spellingShingle | Greta Sahakyan Mira Orduyan Sevak Badalyan Ani Adamyan Mariam Hovhannisyan Hasmik Manucharyan Sagatel Egoyan Yuri Makaryan Hovhannes Manvelyan Characteristics of stroke service implementation in Armenia Frontiers in Neurology stroke service Armenia quality indicator thrombolysis (tPA) performance measure |
| title | Characteristics of stroke service implementation in Armenia |
| title_full | Characteristics of stroke service implementation in Armenia |
| title_fullStr | Characteristics of stroke service implementation in Armenia |
| title_full_unstemmed | Characteristics of stroke service implementation in Armenia |
| title_short | Characteristics of stroke service implementation in Armenia |
| title_sort | characteristics of stroke service implementation in armenia |
| topic | stroke service Armenia quality indicator thrombolysis (tPA) performance measure |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2022.1021628/full |
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