Does prolonged emergency department length of stay(EDLOS) affect the outcomes of acute ischemic stroke patients?

Wu, Yan; Wu, Xinmin; Pan, Hong; Zhu, Yafang; Qin, Yan; Sun, Yongrong; Liu, Chunfeng; Cao, Yongjun; Shi, Rui; Xia, Zhengyuan

doi:10.1016/j.ajem.2020.08.061

Cited by 1 publication

(1 citation statement)

References 22 publications

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“…In addition to ensuring smooth communication between teams, it is important to facilitate an accelerated transfer of patients with LVO to the neurologic ICU from both the emergency department and the angiography suite. Although emergency department length of stay is not clearly an indicator of stroke care in the emergency department because of the variability of patient treatment routes, 21 it is noteworthy that among critically ill patients who have had a stroke, an emergency department length of stay of 5 hours or longer before neurologic ICU transfer has been independently associated with poor outcomes at hospital discharge 22 …”

Section: Interdisciplinary Communication In Acute Stroke Carementioning

confidence: 99%

Neurocritical Care for Patients With Ischemic Stroke

Leslie-Mazwi

2024

CONTINUUM: Lifelong Learning in Neurology

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OBJECTIVE Management of stroke due to large vessel occlusion (LVO) has undergone unprecedented change in the past decade. Effective treatment with thrombectomy has galvanized the field and led to advancements in all aspects of care. This article provides a comprehensive examination of neurologic intensive care unit (ICU) management of patients with stroke due to LVO. The role of the neurocritical care team in stroke systems of care and the importance of prompt diagnosis, initiation of treatment, and continued monitoring of patients with stroke due to LVO is highlighted. LATEST DEVELOPMENTS The management of complications commonly associated with stroke due to LVO, including malignant cerebral edema and respiratory failure, are addressed, stressing the importance of early identification and aggressive treatment in mitigating negative effects on patients’ prognoses. In the realm of medical management, this article discusses various medical therapies, including antithrombotic therapy, blood pressure management, and glucose control, outlining evidence-based strategies for optimizing patient outcomes. It further emphasizes the importance of a multidisciplinary approach to provide a comprehensive care model. Lastly, the critical aspect of family communication and prognostication in the neurologic ICU is addressed. ESSENTIAL POINTS This article emphasizes the multidimensional aspects of neurocritical care in treating patients with stroke due to LVO.

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Section: Interdisciplinary Communication In Acute Stroke Carementioning

confidence: 99%

Neurocritical Care for Patients With Ischemic Stroke

Leslie-Mazwi

2024

CONTINUUM: Lifelong Learning in Neurology

View full text Add to dashboard Cite

show abstract

Does prolonged emergency department length of stay(EDLOS) affect the outcomes of acute ischemic stroke patients?

Cited by 1 publication

References 22 publications

Neurocritical Care for Patients With Ischemic Stroke

Neurocritical Care for Patients With Ischemic Stroke

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