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Updated: Jan 25, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
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Ischemic stroke: clinical pathway impact.

Antonio Giulio de Belvis1,2, Franziska Michaela Lohmeyer3, Andrea Barbara3

  • 1Department for Evaluation of Clinical Pathways and Outcomes, Fondazione Policlinico Universitario A. Gemelli IRCCS , Rome, Italy.

International Journal of Health Care Quality Assurance
|April 26, 2019
PubMed
Summary
This summary is machine-generated.

Implementation of a clinical pathway for acute ischemic stroke improved patient flow and care efficiency. This study demonstrates a positive impact on patient management through standardized protocols and integrated multidisciplinary care.

Keywords:
AppropriatenessClinical governanceClinical pathwayStroke

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Area of Science:

  • Neurology
  • Healthcare Management
  • Public Health

Background:

  • A multidisciplinary team in an Italian teaching hospital implemented a clinical pathway for acute ischemic stroke patients in 2014.
  • Evaluating the pathway's impact on patient management and service efficiency is crucial for optimizing stroke care.

Purpose of the Study:

  • To assess the effectiveness of a clinical pathway implemented for acute ischemic stroke patients.
  • To compare performance data before and after the pathway's introduction.

Main Methods:

  • A pre-post retrospective observational study analyzed volume, process, and outcome indicators.
  • Medical records of patients admitted in 2013 and 2015 with specific ICD-9 codes for ischemic stroke were included.

Main Results:

  • Patient flow from the Emergency Department to specialized wards (Stroke and Neurology Units) increased significantly (23.7%, p<0.001).
  • While patient numbers with severe events and transfers to Neurology increased, there were no significant changes in 30-day readmission rates or mortality.

Conclusions:

  • The clinical pathway demonstrated a positive effect on patient management and service efficiency.
  • Standardized, time-dependent protocols and integrated multidisciplinary care improved acute ischemic stroke care phases.