Stroke Discharge Care Navigation: A Compass in Need of a Captain

Stroke Vascular and Interventional Neurology, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 11, 2025

Language: Английский

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Achieving Blood Pressure Goals and Addressing Inequities in Blood Pressure Management After Stroke

Journal of the American Heart Association, Journal Year: 2024, Volume and Issue: 13(7)

Published: March 26, 2024

Language: Английский

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The Advantageous Impact of Telestroke: Global Insights and Implications for Africa: A Scoping Review of Literature

Stroke Research and Treatment, Journal Year: 2025, Volume and Issue: 2025(1)

Published: Jan. 1, 2025

Introduction: Stroke is a leading global contributor to mortality and disability. Low‐ middle‐income countries are disproportionately affected account for 87% of stroke‐related disabilities 70% fatalities. The challenges stroke care accessibility in Africa compounded by financial constraints, geographical barriers, inadequate healthcare infrastructure, necessitating the adoption innovative models such as telestroke. Telestroke critical component modern systems. enables real‐time remote assessments, optimizes patient triage hospital transfers, improves efficiency thrombolysis administration, enhances poststroke management mitigating logistical mobility‐related challenges. This demonstrates telestroke’s potential expand access specialized care, improve functional outcomes, address gaps within underserved regions Africa. paper assesses advantageous impact telestroke on management, with aim drawing insights Methodology: scoping review adhered Preferred Reporting Items Systematic Review Meta‐Analyses (PRISMA) guidelines. A comprehensive search was conducted across ProQuest, PubMed, Google Scholar, Scopus identify peer‐reviewed studies published English from 2017 2023. ensured inclusion most recent advancements research. Results: initial literature retrieved 881 articles, which 143 duplicates (16.2%) 58 non‐English (6.6%) were removed, followed exclusion 451 nonpeer‐reviewed publications (51.2%) 128 articles (14.5%) unrelated study area, leaving 101 (11.5%) full‐text review. After further screening, 70 excluded not aligning study’s title, objectives, or key terms. resulted 31 (3.5%) being included final analysis, 21 originating outside limited availability high‐indexed, African highlighted research gap, impacting generalizability findings. Conclusion: has demonstrated significant benefits including improved reduced onset‐to‐treatment time, enhanced diagnostic accuracy, increased accessibility, particularly medically regions. However, its implementation faces related ethical concerns, technological regulatory inconsistencies, sustainability, clinician buy‐in. necessitates strategic interventions standardized frameworks, network expansion, sustainable financing, capacity‐building, integration cost‐effective imaging technologies enhance delivery continent.

Language: Английский

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Exploring patients’ experience using PROMs within routine post-discharge follow-up assessment after stroke: a mixed methods approach

Journal of Patient-Reported Outcomes, Journal Year: 2024, Volume and Issue: 8(1)

Published: April 26, 2024

Patient Reported Outcomes Measures (PROMs) are being used increasingly to measure health problems in stroke clinical practice. However, the implementation of these PROMs routine care is still its infancy. To understand value ischemic care, we explored patients' experience with and consultation at post-discharge follow-up after stroke.

Language: Английский

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Health Equity and Actionable Disparities in Stroke: Understanding and Problem‐Solving 2023 Update

Journal of the American Heart Association, Journal Year: 2024, Volume and Issue: 13(7)

Published: March 26, 2024

Language: Английский

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Feasibility of a Telemedicine-Based Principal Illness Navigation (PIN) Service for Complex Populations Following Hospital Discharge After Acute Stroke

Deleted Journal, Journal Year: 2024, Volume and Issue: 1(2)

Published: May 9, 2024

Background Principal Illness Navigation (PIN) services may play an important role in helping patients through transitions care following acute hospitalization. We evaluated a novel PIN telemedicine approach to understand the feasibility of providing these diverse patient cohorts. Methods A single-arm, retrospective observational study Kandu Health’s post-acute service was conducted experiencing ischemic or hemorrhagic stroke California and New Jersey. The technology-enabled program offered remote healthcare support led by occupational therapists licensed clinical social workers that tailored individual needs facilitate transition community settings post-discharge. Barriers recovery were addressed education, one-on-one guidance, specialized referrals. Patient outcomes assessed in-app assessments clinician-assessed modified Rankin Scores via video consultation. Readmissions monitored both reporting admission/discharge/transfer feeds from health information exchanges. Results total 111 enrolled between June 22, 2022 January 11, 2024. Patients onboarded average 29 ± 40 days (median 18, IQR 8-32) after hospital discharge spent 81 21 90, 75-90) program. During time, enrollee 333 156 minutes 350, 205-435) 1:1 time interacting with their dedicated navigator, navigators additional 113 87 95, 61-140) per on coordination curriculum curation. 5 more determinants (SDOH) required over 50% navigator than those without any SDOH needs. Within 6 weeks discharge, 8.5% experienced inpatient all-cause readmission not associated race, ethnicity, SDOH. Conclusions High rates enrollment extensive engagement navigator-facilitated self-directed elements can be achieved using Our findings indicate facilitated, app-supported is feasible deliver across ages, races, ethnicities, functional status (mRS),

Language: Английский

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Telepractice for bilingual and multilingual people with aphasia: a scoping review

Aphasiology, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 23

Published: July 11, 2024

Language: Английский

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Epidemiology, pathogenesis, and management of Coronavirus disease 2019-associated stroke

Frontiers of Medicine, Journal Year: 2023, Volume and Issue: 17(6), P. 1047 - 1067

Published: Dec. 1, 2023

The Coronavirus disease 2019 (COVID-19) epidemic has triggered a huge impact on healthcare, socioeconomics, and other aspects of the world over past three years. An increasing number studies have identified complex relationship between COVID-19 stroke, although active measures are being implemented to prevent transmission. Severe may be associated with an increased risk stroke increase rates disability mortality, posing serious challenge acute diagnosis, treatment, care. This review aims provide update influence itself or vaccines including arterial (ischemic hemorrhagic stroke) venous (cerebral thrombosis). Additionally, neurovascular mechanisms involved in SARS-CoV-2 infection clinical characteristics setting presented. Evidence vaccinations, potential therapeutic approaches, effective strategies for management been highlighted.

Language: Английский

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Stroke and Cerebrovascular Disease

Springer eBooks, Journal Year: 2024, Volume and Issue: unknown, P. 329 - 346

Published: Jan. 1, 2024

Language: Английский

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Peningkatan Pengetahuan Kesehatan Masyarakat melalui Webinar Edukasi pada Masyarakat Umum: “Mengenali Warning Signs pada Stroke”

JURNAL KREATIVITAS PENGABDIAN KEPADA MASYARAKAT (PKM), Journal Year: 2023, Volume and Issue: 6(8), P. 3200 - 3211

Published: Aug. 1, 2023

ABSTRAK Pengetahuan yang lebih baik tentang faktor-faktor resiko penyebab stroke disertai dengan warning sign dari penyakit ini dapat menurunkan angka morbiditas dan mortilitas pada pasien stroke. Salah satu intervensi sederhana untuk meningkatkan pengetahuan adalah memberikan edukasi penyampaian secara langsung melalui webinar. Kebutuhan public awareness atau kesadaran masyarakat akan pentingnya pengenal terhadap signs dinilai sangat kritikal penting mengatasi kesenjangan informasi dimasyarakat terutama di masa pandemi COVID-19. Tujuan utama PKM umum pencegahan Stroke mengenali tanda gejala awal penerapan gaya hidup sehat dalam Pandemi. Kegiatan dilakukan daring ZOOM Meeting menjabarkan materi terkait Mengenali Warning Signs Stroke. Target kegiatan Pengabdian Masyarakat sebanyak 86 terjangkau oleh kelompok flyer disebarkan media sosial. Berdasarkan hasil Pre-Post Test terdapat peningkatan nilai rerata 20.6 poin penilaian Pre-Test 68.3 Post-Test 88.9 poin. Edukasi kesehatan merupakan salah upaya lakukan pemahaman masalah Kata Kunci: Stroke, Pendidikan Kesehatan, Signs, Gaya Hidup Sehat ABSTRACT Improved about risk factors of combined with early the condition, can minimize morbidity and death in patients. Education form online webinar is one simple intervention to increase level understanding. The needs regarding importance identifying strokes indicators regarded as crucial important for bridging information gap community, particularly during COVID-19 pandemic. main objective this general public's knowledge prevention by recognizing symptoms implementing a healthy lifestyle This PkM implemented through describes content connected Recognizing scope material primarily educating on prevention. target activity was people, reached flyers that distributed via social media. Based results Test, there an total average value points from Pre-test points. Health education strategy improve health issues, Keywords: Education, Healthy Lifestyle

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