Leaving a legacy of stroke in Europe: A community of dedicated
professionals is changing the face of stroke in Europe

J 2017

Leaving a legacy of stroke in Europe: A community of dedicated professionals is changing the face of stroke in Europe

MIKULÍK, Robert, Pauli YLIKOTILA, Risto ROINE, Miroslav BROZMAN, Sandy MIDDLETON et. al.

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

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30200 3.2 Clinical medicine

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

RIV identification code

RIV/00216224:14110/17:00099249

Organization unit

Faculty of Medicine

Keywords in English

acute stroke; door-to-needle; FeSS protocols; QASC

Abstract

V originále

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.

Citovat

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.

@article{1402759,
   author = {Mikulík, Robert and Ylikotila, Pauli and Roine, Risto and Brozman, Miroslav and Middleton, Sandy},
   article_location = {[S.l.]},
   article_number = {1},
   keywords = {acute stroke; door-to-needle; FeSS protocols; QASC},
   language = {eng},
   issn = {2059-2442},
   journal = {Oruen - The CNS Journal},
   title = {Leaving a legacy of stroke in Europe: A community of dedicated professionals is changing the face of stroke in Europe},
   volume = {3},
   year = {2017}
}

TY  - JOUR
ID  - 1402759
AU  - Mikulík, Robert - Ylikotila, Pauli - Roine, Risto - Brozman, Miroslav - Middleton, Sandy
PY  - 2017
TI  - Leaving a legacy of stroke in Europe: A community of dedicated professionals is changing the face of stroke in Europe
JF  - Oruen - The CNS Journal
VL  - 3
IS  - 1
SP  - 8-18
EP  - 8-18
PB  - Oruen Limited
SN  - 20592442
KW  - acute stroke
KW  - door-to-needle
KW  - FeSS protocols
KW  - QASC
N2  - 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.
ER  -

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. \textit{Oruen - The CNS Journal}. [S.l.]: Oruen Limited, 2017, vol.~3, No~1, p.~8-18. ISSN~2059-2442.

Detailed Information on Publication Record