Prehospital and in-hospital factors that influence acute stroke management in the emergency department: A literature review
DOI:
https://doi.org/10.33024/minh.v7i6.509Keywords:
Acute Stroke, Emergency Department, In-Hospital, PrehospitalAbstract
Background: Effective emergency response plays a crucial role in ensuring patient safety, particularly in the management of acute stroke cases in Emergency Department (ED). Timely correct care is essential to mitigate adverse outcomes in stroke patient.
Purpose: To investigates pre and in-hospital factors that influence acute stroke management in the ED.
Method: A literature review method was employed to gather and analyze information from Scopus, Science Direct, and Google Scholar using the keyword stroke AND "Emergency Department" in the 2019-2024 period. As much as 333 articles are identified. A total of 10 articles that met the criteria were included in the study. The selected articles are then systematically reviewed and analyzed.
Results: Factors that can affect prehospital delay consist of the use of Emergency Medical Services (EMS), patient characteristics, and geographical barriers. The factors that affect inhospital delay are communication with ED staff and ED officer knowledge.
Conclusion: To improve the management of stroke patients, the participation of various parties is needed, not only within the hospital, but also the role of policy holders in the prehospital.
References
Adegoke, O., & Ajuluchukwu, J. N. (2019). Demographic Characteristics and Causes of Death for Persons Brought in Dead to Emergency Department of a Tertiary Health Facility in South-West Nigeria. Nigerian Postgraduate Medical Journal, 26(1), 45–52. https://doi.org/10.4103/npmj.npmj_170_18
Alabdali, A., Yousif, S., Alsaleem, A., Aldhubayb, M., & Aljerian, N. (2020). Can Emergency Medical Services (EMS) Shorten the Time to Stroke Team Activation, Computed Tomography (CT), and the Time to Receiving Antithrombotic Therapy? A Prospective Cohort Study. Prehospital and Disaster Medicine, 35(2), 148–151. https://doi.org/10.1017/S1049023X20000126
Bhaskar, S., Thomas, P., Cheng, Q., Clement, N., McDougall, A., Hodgkinson, S., & Cordato, D. (2019). Trends in acute stroke presentations to an emergency department: Implications for specific communities in accessing acute stroke care services. Postgraduate Medical Journal, 95(1123), 258–264. https://doi.org/10.1136/postgradmedj-2019-136413
Bladin, C. F., & Cadilhac, D. A. (2014). Effect of telestroke on emergent stroke care and stroke outcomes. Stroke, 45(6), 1876–1880.
Furie, K. L., & Jayaraman, M. V. (2018). 2018 guidelines for the early management of patients with acute ischemic stroke. In Stroke (Vol. 49, Issue 3, pp. 509–510). Am Heart Assoc.
Georgakakos, P. K., Swanson, M. B., Ahmed, A., & Mohr, N. M. (2022). Rural Stroke Patients Have Higher Mortality: An Improvement Opportunity for Rural Emergency Medical Services Systems. Journal of Rural Health, 38(1), 217–227. https://doi.org/10.1111/jrh.12502
Herpich, F., & Rincon, F. (2020). Management of acute ischemic stroke. Critical Care Medicine, 48(11), 1654–1663.
Isaacson, J. E., Joiner, A. P., & Kozhumam, A. S. (2021). Emergency Care Sensitive Conditions in Brazil: A Geographic Information System Approach to Timely Hospital Access. The Lancet Regional Health - Americas, 4, 100063. https://doi.org/10.1016/j.lana.2021.10
Jauch, E. C., Schwamm, L. H., Panagos, P. D., Barbazzeni, J., Dickson, R., Dunne, R., Foley, J., Fraser, J. F., Lassers, G., & Martin-Gill, C. (2021). Recommendations for regional stroke destination plans in rural, suburban, and urban communities from the prehospital stroke system of care consensus conference: a consensus statement from the American Academy of Neurology, American Heart Association/American Stroke Association, American Society of Neuroradiology, National Association of EMS Physicians, National Association of State EMS Officials, Society of NeuroInterventional Surgery, and Society of Vascular and Interventional Neurology: endorsed by the Neurocritical Care Society. Stroke, 52(5), e133–e152.
Kamal, N., Holodinsky, J. K., Stephenson, C., Kashayp, D., Demchuk, A. M., Hill, M. D., Vilneff, R. L., Bugbee, E., Zerna, C., & Newcommon, N. (2017). Improving door-to-needle times for acute ischemic stroke: effect of rapid patient registration, moving directly to computed tomography, and giving alteplase at the computed tomography scanner. Circulation: Cardiovascular Quality and Outcomes, 10(1), e003242.
Kobayashi, A., Czlonkowska, A., Ford, G. A., Fonseca, A. C., Luijckx, G. J., Korv, J., de la Ossa, N. P., Price, C., Russell, D., & Tsiskaridze, A. (2018). European Academy of Neurology and European Stroke Organization consensus statement and practical guidance for pre‐hospital management of stroke. European Journal of Neurology, 25(3), 425–433.
Langhorne, P., Audebert, H. J., Cadilhac, D. A., Kim, J., & Lindsay, P. (2020). Stroke systems of care in high-income countries: what is optimal? In The Lancet (Vol. 396, Issue 10260, pp. 1433–1442). Lancet Publishing Group. https://doi.org/10.1016/S0140-6736(20)31363-5
Le, S. M., Copeland, L. A., Zeber, J. E., Benge, J. F., Allen, L., Cho, J., Liao, I. C., & Rasmussen, J. (2020). Factors affecting time between symptom onset and emergency department arrival in stroke patients. ENeurologicalSci, 21. https://doi.org/10.1016/j.ensci.2020.100285
Li, T., Munder, S. P., Chaudhry, A., Madan, R., Gribko, M., & Arora, R. (2019). Emergency medical services providers’ knowledge, practices, and barriers to stroke management. Open Access Emergency Medicine, 11, 297–303. https://doi.org/10.2147/OAEM.S228240
Maida, C. D., Daidone, M., Pacinella, G., Norrito, R. L., Pinto, A., & Tuttolomondo, A. (2022). Diabetes and Ischemic Stroke: An Old and New Relationship an Overview of the Close Interaction between These Diseases. In International Journal of Molecular Sciences (Vol. 23, Issue 4). MDPI. https://doi.org/10.3390/ijms23042397
Olusegun, J. A. D., Akande, O., Otrofanowei, E., Nwoye, E. O., Olopade, O. B., & Ajuluchukwu, J. N. (2021). Medical mortality in an emergency department in Nigeria: The transition is obvious! African Health Sciences, 21(1), 172–179. https://doi.org/10.4314/ahs.v21i1.23
Phipps, M. S., & Cronin, C. A. (2020). Management of acute ischemic stroke. Bmj, 368.
Psychogios, M.-N., Behme, D., Schregel, K., Tsogkas, I., Maier, I. L., Leyhe, J. R., Zapf, A., Tran, J., Bähr, M., & Liman, J. (2017). One-stop management of acute stroke patients: minimizing door-to-reperfusion times. Stroke, 48(11), 3152–3155.
Puri, I., Bhatia, R., Vibha, D., Singh, M. B., Padma, M. V., Aggarwal, P., & Prasad, K. (2019). Stroke-related education to emergency department staff: An acute stroke care quality improvement initiative. Neurology India, 67(1), 129–133. https://doi.org/10.4103/0028-3886.253636
Rudilosso, S., Laredo, C., Vera, V., Vargas, M., Renú, A., Llull, L., Obach, V., Amaro, S., Urra, X., & Torres, F. (2020). Acute stroke care is at risk in the era of COVID-19: experience at a comprehensive stroke center in Barcelona. Stroke, 51(7), 1991–1995.
Tanaka, K., Matsumoto, S., Yamada, T., Nagano, S., Takase, K. ichiro, Hatano, T., Yamasaki, R., & Kira, J. ichi. (2019). Temporal Trends in Clinical Characteristics and Door-to-Needle Time in Patients Receiving Intravenous Tissue Plasminogen Activator: A Retrospective Study of 4 Hospitals in Japan. Journal of Stroke and Cerebrovascular Diseases, 28(11). https://doi.org/10.1016/j.jstrokecerebrovasdis.2019.104305
Tennyson, J. C., Michael, S. S., Youngren, M. N., & Reznek, M. A. (2019). Delayed recognition of acute stroke by emergency department staff following failure to activate stroke by emergency medical services. In Western Journal of Emergency Medicine (Vol. 20, Issue 2, pp. 342–350). eScholarship. https://doi.org/10.5811/westjem.2018.12.40577
Terecoasă, E. O., Radu, R. A., Negrilă, A., Enache, I., Cășaru, B., & Tiu, C. (2022). Pre-Hospital Delay in Acute Ischemic Stroke Care: Current Findings and Future Perspectives in a Tertiary Stroke Center from Romania—A Cross-Sectional Study. Medicina (Lithuania), 58(8). https://doi.org/10.3390/medicina58081003
Torbey, M. T., Bösel, J., Rhoney, D. H., Rincon, F., Staykov, D., Amar, A. P., Varelas, P. N., Jüttler, E., Olson, D., & Huttner, H. B. (2015). Evidence-based guidelines for the management of large hemispheric infarction: a statement for health care professionals from the Neurocritical Care Society and the German Society for Neuro-intensive Care and Emergency Medicine. Neurocritical Care, 22, 146–164.
Waqas, M., Vakharia, K., Munich, S. A., Morrison, J. F., Mokin, M., Levy, E. I., & Siddiqui, A. H. (2019). Initial Emergency Room Triage of Acute Ischemic Stroke. Clinical Neurosurgery, 85, S38–S46. https://doi.org/10.1093/neuros/nyz067
Xian, Y., Smith, E. E., Zhao, X., Peterson, E. D., Olson, D. M., Hernandez, A. F., Bhatt, D. L., Saver, J. L., Schwamm, L. H., & Fonarow, G. C. (2014). Strategies used by hospitals to improve speed of tissue-type plasminogen activator treatment in acute ischemic stroke. Stroke, 45(5), 1387–1395.
Xirasagar, S., Tsai, M. H., Heidari, K., Hardin, J. W., Wu, Y., Wronski, R., Hurley, D., Jauch, E. C., & Sen, S. (2019). Why acute ischemic stroke patients in the United States use or do not use emergency medical services transport? Findings of an inpatient survey. BMC Health Services Research, 19(1). https://doi.org/10.1186/s12913-019-4741-6
Zachrison, K. S., Nielsen, V. M., De La Ossa, N. P., Madsen, T. E., Cash, R. E., Crowe, R. P., Odom, E. C., Jauch, E. C., Adeoye, O. M., & Richards, C. T. (2023). Prehospital Stroke Care Part 1: Emergency Medical Services and the Stroke Systems of Care. In Stroke (Vol. 54, Issue 4, pp. 1138–1147). Wolters Kluwer Health. https://doi.org/10.1161/STROKEAHA.122.039586
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Malahayati International Journal of Nursing and Health Science
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
