Effect of implementing care protocols on acute ischemic stroke outcomes: a systematic review
Background Implementing stroke care protocols has intended to provide better care quality, favor early functional recovery, and achieving long-term results for the rehabilitation of the patient. Objective To analyze the effect of implementing care protocols on the outcomes of acute ischem...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Academia Brasileira de Neurologia (ABNEURO)
2023-02-01
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| Series: | Arquivos de Neuro-Psiquiatria |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1759578 |
| _version_ | 1797833228137005056 |
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| author | Karina Fonseca de Souza Leite Mariana Gaspar Botelho Funari de Faria Rubia Laine de Paula Andrade Keila Diane Lima de Sousa Samuel Ribeiro dos Santos Kamila Santos Ferreira Carlos Eduardo Menezes de Rezende Octavio Marques Pontes Neto Aline Aparecida Monroe |
| author_facet | Karina Fonseca de Souza Leite Mariana Gaspar Botelho Funari de Faria Rubia Laine de Paula Andrade Keila Diane Lima de Sousa Samuel Ribeiro dos Santos Kamila Santos Ferreira Carlos Eduardo Menezes de Rezende Octavio Marques Pontes Neto Aline Aparecida Monroe |
| author_sort | Karina Fonseca de Souza Leite |
| collection | DOAJ |
| description | Background Implementing stroke care protocols has intended to provide better care quality, favor early functional recovery, and achieving long-term results for the rehabilitation of the patient.
Objective To analyze the effect of implementing care protocols on the outcomes of acute ischemic stroke.
Methods Primary studies published from 2011 to 2020 and which met the following criteria were included: population should be people with acute ischemic stroke; studies should present results on the outcomes of using protocols in the therapeutic approach to acute ischemic stroke. The bibliographic search was carried out in June 2020 in 7 databases. The article selection was conducted by two independent reviewers and the results were narratively synthesized.
Results A total of 11,226 publications were retrieved in the databases, of which 30 were included in the study. After implementing the protocol, 70.8% of the publications found an increase in the rate of performing reperfusion therapy, such as thrombolysis and thrombectomy; 45.5% identified an improvement in the clinical prognosis of the patient; and 25.0% of the studies identified a decrease in the length of hospital stay. Out of 19 studies that addressed the rate of symptomatic intracranial hemorrhage, 2 (10.5%) identified a decrease. A decrease in mortality was mentioned in 3 (25.0%) articles out of 12 that evaluated this outcome.
Conclusions We have identified the importance of implementing protocols in increasing the performance of reperfusion therapies, and a good functional outcome with improved prognosis after discharge. However, there is still a need to invest in reducing post-thrombolysis complications and mortality. |
| first_indexed | 2024-04-09T14:21:00Z |
| format | Article |
| id | doaj.art-c2fe9cb5129c48358f615ea234ecb4bf |
| institution | Directory Open Access Journal |
| issn | 0004-282X 1678-4227 |
| language | English |
| last_indexed | 2024-04-09T14:21:00Z |
| publishDate | 2023-02-01 |
| publisher | Academia Brasileira de Neurologia (ABNEURO) |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj.art-c2fe9cb5129c48358f615ea234ecb4bf2023-05-05T00:41:07ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria0004-282X1678-42272023-02-01810217318510.1055/s-0042-1759578Effect of implementing care protocols on acute ischemic stroke outcomes: a systematic reviewKarina Fonseca de Souza Leite0Mariana Gaspar Botelho Funari de Faria1Rubia Laine de Paula Andrade2Keila Diane Lima de Sousa3Samuel Ribeiro dos Santos4Kamila Santos Ferreira5Carlos Eduardo Menezes de Rezende6Octavio Marques Pontes Neto7Aline Aparecida Monroe8Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Departamento de Enfermagem Materno-Infantil e Saúde Pública, Ribeirão Preto SP, Brazil.Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Departamento de Enfermagem Materno-Infantil e Saúde Pública, Ribeirão Preto SP, Brazil.Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Departamento de Enfermagem Materno-Infantil e Saúde Pública, Ribeirão Preto SP, Brazil.Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Departamento de Enfermagem Materno-Infantil e Saúde Pública, Ribeirão Preto SP, Brazil.Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Departamento de Enfermagem Materno-Infantil e Saúde Pública, Ribeirão Preto SP, Brazil.Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Hospital das Clínicas, Ribeirão Preto SP, Brazil.Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Departamento de Enfermagem Materno-Infantil e Saúde Pública, Ribeirão Preto SP, Brazil.Universidade de São Paulo, Faculdade de Medicina de Ribeirao Preto, Departamento de Neurociências e Ciências do Comportamento, Ribeirão Preto SP, Brazil.Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Departamento de Enfermagem Materno-Infantil e Saúde Pública, Ribeirão Preto SP, Brazil.Background Implementing stroke care protocols has intended to provide better care quality, favor early functional recovery, and achieving long-term results for the rehabilitation of the patient. Objective To analyze the effect of implementing care protocols on the outcomes of acute ischemic stroke. Methods Primary studies published from 2011 to 2020 and which met the following criteria were included: population should be people with acute ischemic stroke; studies should present results on the outcomes of using protocols in the therapeutic approach to acute ischemic stroke. The bibliographic search was carried out in June 2020 in 7 databases. The article selection was conducted by two independent reviewers and the results were narratively synthesized. Results A total of 11,226 publications were retrieved in the databases, of which 30 were included in the study. After implementing the protocol, 70.8% of the publications found an increase in the rate of performing reperfusion therapy, such as thrombolysis and thrombectomy; 45.5% identified an improvement in the clinical prognosis of the patient; and 25.0% of the studies identified a decrease in the length of hospital stay. Out of 19 studies that addressed the rate of symptomatic intracranial hemorrhage, 2 (10.5%) identified a decrease. A decrease in mortality was mentioned in 3 (25.0%) articles out of 12 that evaluated this outcome. Conclusions We have identified the importance of implementing protocols in increasing the performance of reperfusion therapies, and a good functional outcome with improved prognosis after discharge. However, there is still a need to invest in reducing post-thrombolysis complications and mortality.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1759578ischemic strokeacute diseaseemergenciesclinical protocolstreatment outcome |
| spellingShingle | Karina Fonseca de Souza Leite Mariana Gaspar Botelho Funari de Faria Rubia Laine de Paula Andrade Keila Diane Lima de Sousa Samuel Ribeiro dos Santos Kamila Santos Ferreira Carlos Eduardo Menezes de Rezende Octavio Marques Pontes Neto Aline Aparecida Monroe Effect of implementing care protocols on acute ischemic stroke outcomes: a systematic review Arquivos de Neuro-Psiquiatria ischemic stroke acute disease emergencies clinical protocols treatment outcome |
| title | Effect of implementing care protocols on acute ischemic stroke outcomes: a systematic review |
| title_full | Effect of implementing care protocols on acute ischemic stroke outcomes: a systematic review |
| title_fullStr | Effect of implementing care protocols on acute ischemic stroke outcomes: a systematic review |
| title_full_unstemmed | Effect of implementing care protocols on acute ischemic stroke outcomes: a systematic review |
| title_short | Effect of implementing care protocols on acute ischemic stroke outcomes: a systematic review |
| title_sort | effect of implementing care protocols on acute ischemic stroke outcomes a systematic review |
| topic | ischemic stroke acute disease emergencies clinical protocols treatment outcome |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1759578 |
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