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العنوان
Effect of Tele-Stroke Application on Length of Stay and Outcome of Stroke Unit Inpatients /
المؤلف
Elmancy, Khaled Fayez.
هيئة الاعداد
باحث / خالد فايز المنسى
مشرف / نجلاء محمد الخياط
مشرف / تامر حسين عمارة
مشرف / تامر محمود رشدى
تاريخ النشر
2019.
عدد الصفحات
154 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الطب النفسي والصحة العقلية
تاريخ الإجازة
1/1/2019
مكان الإجازة
جامعة عين شمس - كلية الطب - المخ والأعصاب
الفهرس
Only 14 pages are availabe for public view

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from 154

Abstract

Despite advances in stroke prevention and management, stroke remains the second most common cause of death and the leading cause of long term adult disability worldwide.
There is evidence for effective means to reduce recurrence and improving outcomes by means of early platelet inhibition, intravenous alteplase, stroke unit utilization, endovascular thrombectomy however, high patient numbers, limited specialized expertise, and geographic determinants remain major barriers that negatively impact implementation of evidence-based management.
Telemedicine, a method of healthcare delivery and support using telecommunication technologies, is becoming increasingly popular across a wide range of health conditions.
teleconsultation can lead to many other changes in care apart from IV TPA decisions that are beneficial to the patient. Involvement of a neurologist in the care of the stroke patient has been shown to be associated with better outcomes in non–lytic-treated patients. Management of intracerebral hemorrhage is improved by selected triage to centers with neurosurgical capability.
Our study aimed to demonstrate the effect of Tele-stroke on length of stay, stroke outcomes and incidence of medical comorbidities.
It also studied the effect of tele stroke on nursing care and adherence to best infection control practice.
The duration of study was 6 months: 3 months before and 3 months after application of tele stroke
The study setting was stroke unit at ASUSH.
Regarding study tools, NIH scoring was used to assess stroke severity, mRS was used to assess degree of disability or dependence in the daily activities
CDC criteria for diagnosis of health care associated pneumonia & UTI were used
Regarding nursing care & infection control measures were measured by predefined parameters.
Our study showed significant decrease in length of stay after application of tele stroke with significant improvement in NIH scoring & mRS on discharged patients compared to their admission. There was decrease of percentage of incidence of all medical complications with no significant difference.
Regarding nursing& infection control measures, there was significant increase in most of their parameters which demonstrated the effect of telemonitoring on raising quality of care of patients and better application of infection control measures.
Our study recommends application of tele stroke in stroke unit and other intermediate care units and ICUs for better follow up and management of the medical complications and better quality of care of admitted patients.