Acute stroke care algorithm in a private tertiary hospital in the Philippines during the COVID-19 pandemic: A third world country experience

Co, Christian Oliver C.; Yu, Jeryl Ritzi T.; Macrohon-Valdez, Ma Cristina; Laxamana, Lina C.; Guzman, Vincent Paul E. De; Berroya-Moreno, Remy Margarette M.; Mariano, Manuel; Rivera, Peter Paul Dela Paz; Racpan-Cauntay, Joana Lyn M.; Ilano, Karen Czarina S.; Trias, Evita C.; Domingo, Alyssa Mae C.; Marcelo, Alvin Valeriano De Borja; Pineda-Franks, Maria Carissa

doi:10.1016/j.jstrokecerebrovasdis.2020.105059

Cited by 7 publications

(9 citation statements)

References 7 publications

(12 reference statements)

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“…An article on pediatric emergency medicine described the development of a guideline on the resuscitation of neonates who are approximately 24 to 28 weeks gestation in the Philippines, which reflects the context of resuscitating extremely preterm infants in LMICs 32 . Another guideline on neurocritical care identifies the problem in delivering timely management of patients with acute stroke in the context of the COVID‐19 pandemic 33 …”

Section: Discussionmentioning

confidence: 99%

Emergency medicine research in the Philippines: A scoping review

Vista,

Alibin,

Arevalo

et al. 2023

JACEP Open

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ObjectivesIn this review, we aim to synthesize the current emergency medicine literature in the Philippines in order to determine the depth of research available in the country while delineating the gaps, helping to provide focus to future research in the field.MethodsA literature review was done using 4 databases to identify emergency medicine studies in the Philippines. To explore the research trends among eligible studies, data on study type, countries, and institutions involved as well as study themes were collected and described.ResultsA total of 845 studies were screened, and 43 were included in this review. Results show that only 25% of emergency medicine studies were published before 2015. Most studies were observational (37.2%) or descriptive (37.2%) in nature with the University of the Philippines/Philippine General Hospital being the most common contributing institution (17.4%). Metro Manila was the most common study site with more than half of studies conducted in the area. Lastly, among the variety of study disciplines, disaster medicine was the most frequent topic comprising 30.2% of studies reviewed.ConclusionsCompared to the global scene, Philippine emergency medicine research still has a long way to go. This study was able to provide a landscape of the current literature and highlight the study trends. Further, the findings here emphasize the need to expand the scope of emergency medicine studies in the country as it is still a young and growing field with studies tending to cluster around just a small number of institutions and regions.

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Section: Discussionmentioning

confidence: 99%

Emergency medicine research in the Philippines: A scoping review

Vista,

Alibin,

Arevalo

et al. 2023

JACEP Open

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“…4 Bagi pasien yang membutuhkan intervensi bedah dirujuk ke layanan bedah saraf. 6 Penentuan risiko COVID-19 dapat dilakukan dengan memperhatikan status klinis pasien, radiografi dada, dan parameter laboratorium sambil menunggu konfirmasi hasil usap nasofaring. 6 Dengan demikian semua pasien harus diperlakukan sebagai pasien yang terkonfirmasi positif COVID-19 sampai hasil tes keluar.…”

Section: Bahasanunclassified

“…6 Penentuan risiko COVID-19 dapat dilakukan dengan memperhatikan status klinis pasien, radiografi dada, dan parameter laboratorium sambil menunggu konfirmasi hasil usap nasofaring. 6 Dengan demikian semua pasien harus diperlakukan sebagai pasien yang terkonfirmasi positif COVID-19 sampai hasil tes keluar. 12 Pada pengaturan di CT room usahakan agar ruang CT scan pasien COVID-19 dan bukan COVID-19 dibuat terpisah.…”

Section: Bahasanunclassified

Penanganan Stroke Iskemik Akut di Masa Pandemi COVID-19

Lengkong¹,

Warouw²,

Kembuan³

2021

eCL

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When the pandemic corona virus disease (COVID-19) occurs, emergency services and hospitals are finally disrupted. One of the medical emergencies which can cause death and disability as well as other problems if being ignored, especially in productive age patients is stroke. This study was aimed to obtain the management of ischemic stroke during COVID-19 pandemic. This was a literature review study using three databases, namely Clinical Key, PubMed and Google Scholar. The keywords used in data search were acute AND stroke AND pandemic. The results showed that the treatment of acute ischemic stroke during COVID-19 pandemic consisted of three stages, namely pre-hospitalization (public education, contacting medical assistance, use of personal protective equipment, pre-notification), hospitalization (emergency room, imaging room, neuroradiology unit, ICU and IMCU), and post hospitalali-zation (integrated team approach). In conclusion, the management of acute ischemic stroke during COVID-19 pandemic begins before the medical personnel take action until the action is carried out. The main things in the management of acute ischemic stroke during COVID-19 pandemic are handling fast and precisely, using adequate personal protective equipment (PPE), and using communication tools or long-distance medical care (telemedicine).Keywords: acute ischemic stroke, COVID-19, pandemic Abstrak: Saat terjadi pandemi corona virus disease (COVID-19), layanan kegawatdaruratan dan rumah sakit megalami perubahan. Salah satu kasus kegawatdaruratan medik yang menjadi penyebab kematian dan kecacatan serta dapat menimbulkan masalah lainnya jika diabaikan terutama pada pasien usia produktif ialah stroke. Penelitian ini bertujuan untuk mengetahui penanganan stroke pada masa pandemic COVID-19. Jenis penelitian ialah literature review yang menggunakan tiga database yaitu Clinikal key, PubMed dan Google Scholar. Kata kunci yang digunakan dalam pencarian data ialah acute AND stroke AND pandemic. Hasil penelitian mendapatkan penanganan stroke iskemik akut di masa pandemi COVID-19 terdiri dari 3 tahapan yakni prahospitalisasi (edukasi masyarakat, menghubungi bantuan medis, penggunaan alat pelindung diri, pranotifikasi rumah sakit), hospitalisasi (ruang gawat darurat, ruang pencitraan, unit neuroradiologi, ICU dan IMCU), dan pasca hospitalisasi (pendekatan tim terpadu). Simpulan penelitian ini ialah penanganan stroke iskemik akut di masa pandemi COVID-19 dimulai dari sebelum tenaga medis melakukan tindakan sampai setelah tindakan dilaksanakan. Hal utama dalam penanganan stroke iskemik akut di masa pandemi COVID-19 ialah penanganan yang cepat dan tepat, penggunaan alat pelindung diri (APD) yang memadai, dan pemanfaatan alat komunikasi atau perawatan medis jarak jauh.Kata kunci: stroke iskemik akut, pandemi, COVID-19

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“…The difficulty is that there is scarce local information on the quality of care received, clinical outcome of hospitalisation and reasons for such quality and outcome in our stroke patients, especially among the resource-limited sectors. Local experiences in stroke and recommendations have been published 4–8. Few, however, are related to overall quality of care.…”

Section: Introduction and Rationalementioning

confidence: 99%

Multicentre collection of uniform data on patients hospitalised for transient ischaemic attack or stroke in the Philippines: the Philippine Neurological Association One Database-Stroke (PNA1DB-Stroke) protocol

2022

BMJ Open

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Introduction For scientific advances to translate into improved patient outcomes, systems of care must be in place to facilitate delivery of care. There is scarce information on quality of care and clinical outcome in our stroke patients. We aim to collect uniform data from patients with first or recurrent transient ischaemic attack (TIA) or ischaemic or haemorrhagic stroke to determine in-patient caseload, patient profile, types of diagnostic and therapeutic procedures, outcomes and overall quality of care among patients hospitalised for acute stroke in the Philippines. Methods and analysis This multicentre observational study and standing database will include patients diagnosed with first or recurrent TIA, ischaemic or haemorrhagic stroke or cerebral venous thrombosis, ≥18 years old, and admitted in any of the country’s 11 accredited adult neurology residency training institutions. Anonymised data on sociodemographics, medical history, stroke subtype, in-hospital management and discharge outcomes will be collected and entered in a database using a secure online data platform. Outcomes include in-hospital complications, functional, neurological and vital (alive or dead) status at discharge. We intend to capture data from all TIA and stroke cases in participating sites. Based on 2017–2019 census, approximately 10 000 cases each year may be included. Collective data spanning 3 years will be extracted, summarised and analysed every year. Ethics and dissemination Approval from ethics committees or institutional review boards (EC/IRB) was obtained from the Single Joint Research Ethics Board and all participating institutions. As this study involves no more than minimal risk to patients, waiver of informed consent was requested. Written information about the study will be provided to patients or legal representative. If site EC/IRB requires written consent, only approved consent forms will be used. To identify areas of improvement and guide public health policies, data on ‘real-world’ situation are needed. The Philippine Neurological Association One Database-Stroke initiative may become a model that can be implemented in other designated stroke-ready hospitals. Trial registration NCT04972058; ClinicalTrials.gov.

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Acute stroke care algorithm in a private tertiary hospital in the Philippines during the COVID-19 pandemic: A third world country experience

Cited by 7 publications

References 7 publications

Emergency medicine research in the Philippines: A scoping review

Emergency medicine research in the Philippines: A scoping review

Penanganan Stroke Iskemik Akut di Masa Pandemi COVID-19

Multicentre collection of uniform data on patients hospitalised for transient ischaemic attack or stroke in the Philippines: the Philippine Neurological Association One Database-Stroke (PNA1DB-Stroke) protocol

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