MIKULÍK, Robert, Pauli YLIKOTILA, Risto ROINE, Miroslav BROZMAN and Sandy MIDDLETON. Leaving a legacy of stroke in Europe: A community of dedicated professionals is changing the face of stroke in Europe. Oruen - The CNS Journal. [S.l.]: Oruen Limited, 2017, vol. 3, No 1, p. 8-18. ISSN 2059-2442.
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Basic information
Original name Leaving a legacy of stroke in Europe: A community of dedicated professionals is changing the face of stroke in Europe
Authors MIKULÍK, Robert (203 Czech Republic, guarantor, belonging to the institution), Pauli YLIKOTILA (246 Finland), Risto ROINE (246 Finland), Miroslav BROZMAN (703 Slovakia) and Sandy MIDDLETON (36 Australia).
Edition Oruen - The CNS Journal, [S.l.], Oruen Limited, 2017, 2059-2442.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30200 3.2 Clinical medicine
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
RIV identification code RIV/00216224:14110/17:00099249
Organization unit Faculty of Medicine
Keywords in English acute stroke; door-to-needle; FeSS protocols; QASC
Tags EL OK
Tags Reviewed
Changed by Changed by: Soňa Böhmová, učo 232884. Changed: 19/3/2018 18:30.
Abstract
Time is of the essence in the treatment of acute stroke; however, there are wide variations, across and within countries, in the ability to hospitalize, scan, diagnose, and treat acute stroke patients rapidly within the accepted time window of 4.5 hours. Door-to-needle (DTN) time is an important performance indicator that illustrates the speed and operational efficiency of stoke units. Significant progress is being made; DTNs often exceeded an hour only a few years ago, but can now be achieved in under seven minutes in leading stroke units. This symposium examined the strategies and contributory factors that result in reduced DTN times, and how these strategies can be more widely implemented. The Quality in Acute Stroke Care (QASC) programme in Australia has shown the incorporation of standardized nurse-led treatment protocols for the management of fever, hyperglycaemia, and dysphagia (FeSS protocols) significantly improve outcomes for stroke patients. European evaluation of these protocols, in collaboration with ESO and the ANGELS initiative, and potentially leading to their adoption in European acute stroke treatment practice is discussed.
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