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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
09:21

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

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Establishment of emergency-nursing pathway of interventional thrombectomy in acute ischemic stroke

Ting Zhang1, Xiaolu Li2, Guiguan Sun2

  • 1Department of Thoracic Surgery, Tianjin First Central Hospital Tianjin 300192, China.

American Journal of Translational Research
|November 17, 2021
PubMed

Insights

Establishing an emergency nursing pathway significantly reduced treatment times and improved outcomes for acute ischemic stroke patients undergoing interventional thrombectomy. This pathway increased recanalization rates and patient satisfaction.

Area of Science:

  • Neurology
  • Emergency Medicine
  • Nursing Science

Background:

  • Acute ischemic stroke (AIS) requires rapid intervention.
  • Interventional thrombectomy is a critical treatment for AIS.
  • Optimizing emergency care pathways is essential for improving patient outcomes.

Purpose of the Study:

  • To establish and evaluate an emergency-nursing pathway for interventional thrombectomy in AIS patients.
  • To compare the efficiency and effectiveness of the new pathway against a conventional emergency model.

Main Methods:

  • A retrospective study comparing 113 AIS patients (control group) with 127 AIS patients (observation group) who underwent interventional thrombectomy.
  • The observation group utilized a pathway-based emergency nursing program.
  • Key metrics included time to recanalization, recanalization rates, neurological impairment scores (NIHSS), and 90-day functional outcomes (mRS).

Main Results:

  • The pathway-based group showed significantly shorter times from admission to recanalization (P<0.05).
  • Higher recanalization rates (92.13% vs. 80.53%, P<0.05) and improved neurological function (lower post-treatment NIHSS scores, P<0.05) were observed in the pathway group.
  • The pathway group also demonstrated a higher curative rate (90.55% vs. 79.65%, P<0.05) and greater patient satisfaction with nursing care (90.55% vs. 73.45%, P<0.05).

Conclusions:

  • The established emergency-nursing pathway is effective in reducing treatment delays for AIS patients undergoing interventional thrombectomy.
  • This pathway improves recanalization rates, neurological function, treatment efficacy, and patient satisfaction.
  • Implementing such pathways is crucial for optimizing emergency care in stroke management.
Abstract

Keywords:
Emergency-nursing pathwayacute ischemic strokeinterventional thrombectomy

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