Impact of intravenous thrombolysis on length of hospital stay in cases of acute ischemic stroke

Kasemsap, Narongrit; Vorasoot, Nisa; Kongbunkiat, Kannikar; Peansukwech, Udomlack; Tiamkao, Somsak; Sawanyawisuth, Kittisak

doi:10.2147/ndt.s151836

Cited by 16 publications

(15 citation statements)

References 33 publications

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“…Previous studies demonstrated that pneumonia and urinary tract infection were the most common clinical complications after an ischemic stroke, increasing morbidity and mortality 21-23 . The frequency of these complications in the study population was very similar to previous published studies; pneumonia between 10.6% and 21.2% 6,24-25 , and urinary tract infection between 3.2% and 5.0% 6,24 . There is a reciprocal interaction between complications and hospital stay; the infection retards the discharge, and the length of stay increases the risk of infection 26 .…”

Section: Discussionsupporting

confidence: 89%

“…The reperfusion therapy, the investigation of the etiological mechanism, the secondary prevention therapy and early rehabilitation could significantly improve the outcome 4-5 . Otherwise, the occurrence of clinical and neurological complications during hospital stay could influence negatively the patient outcome, delaying discharge 6 and increasing hospital costs 7 and intra-hospital mortality rates 8 .…”

Section: Introductionmentioning

confidence: 99%

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Preditores de internação prolongada em Unidade de Acidente Vascular Cerebral (AVC)

Gaspari

Cruz

Batista³

et al. 2019

Rev. Latino-Am. Enfermagem

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Objective to analyze the in-hospital complications of prolonged hospital stay in patients with ischemic stroke or transient ischemic attack, admitted to the stroke unit of a tertiary hospital.Method this is an evaluative correlational study. All first-ever ischemic stroke or transient ischemic attack patients admitted were retrospectively analyzed. During hospital stay, the predictors of long-term hospitalization considered were: 1) clinical complications (pneumonia, urinary tract infection, pressure damage and deep vein thrombosis), and 2) neurological complications (malignant ischemic stroke and symptomatic hemorrhagic transformation).Results 353 patients were discharged in the study period. Mean age was 64.1±13.7 years old and 186 (52.6%) were men. The mean time of hospital stay was 13.7±14.3 days. Pneumonia (25.3±28.8 days, p<0.001), urinary tract infection (32.9±45.2 days, p<0.001) and malignant stroke (29.1±21.4 days, p<0.001) increased significantly the length of hospital stay compared to patients without any complications (11.2±7.1 days).Conclusion this study showed that three complications delayed hospital discharge in patients admitted in a stroke unit, two preventable ones: pneumonia and urinary tract infection. More intense measures to avoid them should be included in the performance indicators to reduce the length of hospital stay in stroke units.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Preditores de internação prolongada em Unidade de Acidente Vascular Cerebral (AVC)

Gaspari

Cruz

Batista³

et al. 2019

Rev. Latino-Am. Enfermagem

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“…Approximately two-thirds of the patients were discharged NIHSS National Institutes of Health Stroke Scale, mRS modified ranking score P = P value for comparing between the different periods P 1 = P value for comparing between the initial and each periods P 2 = P value for comparing between upon discharge and after 6 months *Statistically significant at P ≤ 0.05 within the first week after admission. Kasemsap and colleagues demonstrated that long hospital stay in AIS patients was found to be associated with intravenous thrombolysis, AF, pneumonia and urinary tract infection regardless of age, stroke severity, or comorbidities [32]. Fjaertoft and colleagues in a 5-year-prospective study suggested that stroke unit care together with early supported discharge (ESD) of AIS patients reduced mortality and increased functional outcome [33].…”

Section: Discussionmentioning

confidence: 99%

Predictors of the functional outcome after thrombolysis in an Egyptian patients’ sample

Eldeeb

Elsalamawy

El-Abd

et al. 2021

Egypt J Neurol Psychiatry Neurosurg

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Background About 6.2 million individuals worldwide and approximately 200 Egyptians/100,000 citizens have cerebrovascular stroke annually, and only less than 1% of stroke patients received intravenous (IV) thrombolysis in 2014. Outcome of the ischemic stroke after IV thrombolysis varies, and there is lack of data about the predicting factors that contributes to the outcome of ischemic strokes after IV thrombolysis in Egypt. Objective The aim of this work is to study the predictors of the functional outcome of ischemic cerebrovascular stroke after IV thrombolysis in Egyptian patients. Patients and methods This is a prospective study that includes acute ischemic stroke patients who received IV thrombolysis at the Alexandria University Hospital during the year from February 2017 to February 2018, and they were evaluated initially by Rapid Arterial Occlusion Evaluation (RACE) scale and followed-up serially for 6 months after thrombolysis using the National Institutes of Health Stroke Scale (NIHSS) and modified ranking score (mRS). Results Forty-five patients are included; 56% had favorable functional outcome (mRS 0–2) after 6 months, 68% had ≥ 4 points improvement in NIHSS after 6 months, and 13% had hemorrhagic conversion with 18% mortality rate. High initial RACE scale and long hospital stay are associated with poor functional outcome 6 months after thrombolysis. Conclusion Stroke severity demonstrated by high initial RACE and the duration of hospital stay are the two most significant predictors with an impact on the functional outcome of ischemic cerebrovascular stroke after thrombolysis.

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“…In a recent retrospective study among 898 ischemic stroke patients from 30 hospitals in the Northeastern part of Thailand, it was found that the use of IV thrombolysis is associated with the length of stay. 9…”

Section: Thrombolysis In Thai Patientsmentioning

confidence: 99%

Thrombolytic Treatment in Thailand

Suwanwela

Chutinet

Kijpaisalratana

2018

Journal of Stroke Medicine

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Thrombolytic treatment has been available for stroke treatment in Thailand since 1996. The use of intravenous thrombolysis in Thailand has dramatically increased during the past 10 years. This is mainly due to the stroke fast track program that has been implemented throughout the country. The “stroke fast track” program is designed for medical triage personnel at the hospital to identify stroke patients who presented early in order to immediately notify the stroke team for further investigation and management. The establishment of a telestroke network will be the next step to increase the accessibility of stroke patients to a better medical care as well as to decrease the rate of thrombolysis.

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Impact of intravenous thrombolysis on length of hospital stay in cases of acute ischemic stroke

Cited by 16 publications

References 33 publications

Preditores de internação prolongada em Unidade de Acidente Vascular Cerebral (AVC)

Preditores de internação prolongada em Unidade de Acidente Vascular Cerebral (AVC)

Predictors of the functional outcome after thrombolysis in an Egyptian patients’ sample

Thrombolytic Treatment in Thailand

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