Stroke-related education to emergency department staff: An acute stroke care quality improvement initiative.

Abstract:

Background:Acute ischemic stroke therapy is time sensitive, and optimum treatment is missed due to pre-hospital and/or in-hospital delay. Materials and Methods:A prospective observational (before and after) study was conducted for 1 year.The study period was defined as phase-I or pre-education phase, phase-II or immediate post-education phase, and phase-III or delayed post-education phase, with each phase lasting for 4months. All consecutive stroke patients presenting within 12 hours of stroke onset were enrolled. Baseline and outcome data including acute stroke care quality matrices and functional outcomes were collected. Results:A total of 264 patients were enrolled. All acute stroke care quality matrices improved significantly (P ≤ 0.01) with a median door to imaging time (DTI) of 114, 35, and 47 minutes in the three phases consecutively. In phase-II, proportions of patients imaged within 25 minutes of arrival increased by 35%. Mean door to needle (DTN) time were 142 ± 49.7,63.7 ± 25.1, and 83.9 ± 38.1 minutes in the three consecutive phases. Patients with DTN < 60 minutes of arrival increased by 63%. Modified Rankin score (mRS) at 3 months improved significantly in all ischemic stroke patients (P = 0.04) and patients with mRS of 0-2 increased by 22%. Conclusions:Stroke education to emergency department (ED) staff is an effective method to improve acute stroke care.

journal_name

Neurol India

journal_title

Neurology India

authors

Puri I,Bhatia R,Vibha D,Singh MB,Padma MV,Aggarwal P,Prasad K

doi

10.4103/0028-3886.253636

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

129-133

issue

1

eissn

0028-3886

issn

1998-4022

pii

ni_2019_67_1_129_253636

journal_volume

67

pub_type

杂志文章
  • Role of magnetic resonance perfusion studies in moyamoya disease.

    abstract::Moyamoya disease, Japanese for 'puff of smoke', is a rare disease that presents most commonly with recurrent TIAs (transient ischemic attacks) / stroke in childhood. Ischemic symptoms in patients with moyamoya disease are usually due to hemodynamically-mediated perfusion failure. Identification of abnormal tissue perf...

    journal_title:Neurology India

    pub_type: 杂志文章

    doi:

    authors: Khanna PC,Lath C,Gadewar SB,Patkar DP

    更新日期:2004-06-01 00:00:00

  • Application of neuroendoscopy in the treatment of obstructive hydrocephalus secondary to hypertensive intraventricular hemorrhage.

    abstract:OBJECTIVE:Neuroendoscopy has become an integral part of neurosurgery, in particular in the ventricular system. Obstructive hydrocephalus secondary to intraventricular hemorrhage (IVH) is a good indication for neuroendoscopic surgery. We evaluated its efficacy and limitations in these patients. MATERIALS AND METHODS:Du...

    journal_title:Neurology India

    pub_type: 杂志文章

    doi:10.4103/0028-3886.91366

    authors: Chen HC,Chuang CC,Tzaan WC,Hsu PW

    更新日期:2011-11-01 00:00:00

  • Comparative evaluation of intraoperative use of normal saline, Ringer's lactate, and combination of normal saline and Ringer's lactate in neurosurgical patients - A preliminary randomized clinical trial.

    abstract:Background:Fluid management during intracranial surgery is an important concern. The type of fluid used can have biochemical and metabolic effects during intraoperative management. However, it is yet to be known whether biochemical and metabolic effects have an influence on the clinical outcome of a patient. Objective...

    journal_title:Neurology India

    pub_type: 杂志文章,随机对照试验

    doi:10.4103/0028-3886.258047

    authors: Bhagat H,Singhal V,Dash HH,Mahajan S,Mishra N,Pandia MP

    更新日期:2019-03-01 00:00:00

  • A comparative study of mPCR, MLPA, and muscle biopsy results in a cohort of children with Duchenne muscular dystrophy: a first study.

    abstract:BACKGROUND:Multiplex ligation-dependant probe amplification (MLPA) is a highly sensitive and rapid alternative to multiplex polymerase chain reaction (PCR). Muscle biopsy should be reserved for mutation-negative cases. MATERIALS AND METHODS:An attempt was made to compare the sensitivity and pattern of mutations by mPC...

    journal_title:Neurology India

    pub_type: 杂志文章

    doi:10.4103/0028-3886.152635

    authors: Manjunath M,Kiran P,Preethish-Kumar V,Nalini A,Singh RJ,Gayathri N

    更新日期:2015-01-01 00:00:00

  • A clinical study of non-parkinsonian and non-cerebellar tremor at a specialty movement disorders clinic.

    abstract:BACKGROUND:No Indian studies have focused on the clinical aspects of tremor. AIMS:To study the distribution of various etiological types of tremor disorders at a Movement Disorders clinic of a large, tertiary care hospital in India and to study the clinical characteristics of essential tremor [ET]. SETTING AND DESIGN...

    journal_title:Neurology India

    pub_type: 杂志文章

    doi:

    authors: Shukla G,Behari M

    更新日期:2004-06-01 00:00:00

  • Does increased 18FDG uptake reflect malignant transformation of a low-grade glioma? A diagnostic dilemma.

    abstract::Benign gliomas of the brain show decreased uptake of 18F fluorodeoxyglucose (FDG) on positron emission tomography (PET). Malignant transformation is usually manifested by an increase of 18FDG uptake. A 45-year-old female has been followed up since 1987 by means of 18FDG-PET for a right hemispheric World Health Organiz...

    journal_title:Neurology India

    pub_type: 杂志文章

    doi:10.4103/0028-3886.15076

    authors: Novak L,Molnar P,Lengyel Z,Tron L

    更新日期:2005-03-01 00:00:00

  • A functional magnetic resonance imaging study of human brain in pain-related areas induced by electrical stimulation with different intensities.

    abstract:BACKGROUND:Pain-related studies have mainly been performed through traditional methods, which lack the rigorous analysis of anatomical locations. Functional magnetic resonance imaging (fMRI) is a noninvasive method detecting neural activity, and has the ability to precisely locate related activations in vivo. Moreover,...

    journal_title:Neurology India

    pub_type: 杂志文章

    doi:10.4103/0028-3886.73748

    authors: Yuan W,Ming Z,Rana N,Hai L,Chen-wang J,Shao-hui M

    更新日期:2010-11-01 00:00:00

  • Neurology of renal disorders.

    abstract::Chronic kidney disease (CKD) is a critical and rapidly growing global health problem. Neurological complications occur in almost all patients with severe CKD, potentially affecting all levels of the nervous system, from the central nervous system (CNS) through to the peripheral nervous system (PNS). Patients with CKD ...

    journal_title:Neurology India

    pub_type: 杂志文章,评审

    doi:10.4103/0028-3886.222815

    authors: Renjen PN,Chaudhari D,Sagar G,Jasuja S

    更新日期:2018-01-01 00:00:00

  • Bilateral optic nerve injury.

    abstract::Bilateral optic nerve injury is a rare condition and is reported in 5-6 percent of all optic nerve injuries. However, there is no published series on bilateral optic nerve injury. Analysis of 31 cases of bilateral optic nerve involvement seen amongst 275 patients with optic nerve injury (11.5 percent) is discussed. Ro...

    journal_title:Neurology India

    pub_type: 杂志文章

    doi:

    authors: Mahapatra AK

    更新日期:1999-06-01 00:00:00

  • Recurrent seizures: an unusual manifestation of vitamin B12 deficiency.

    abstract::The present report highlights an unusual presentation of vitamin B12 deficiency--recurrent seizures in a 26-year-old man. His symptoms responded to parenteral vitamin B12 therapy. The relevant literature is reviewed. ...

    journal_title:Neurology India

    pub_type: 杂志文章

    doi:

    authors: Kumar S

    更新日期:2004-03-01 00:00:00

  • Rib head disarticulation for multilevel transpedicular thoracic corpectomies and expandable cage reconstruction.

    abstract::Traditional posterior approaches to the thoracic spine are done with either costo-transversectomy, lateral extracavitary approaches, or transpedicular approaches. The transpedicular approach is the only one that preserves the rib head. However, placing an expandable cage with this rib head intact poses special challen...

    journal_title:Neurology India

    pub_type: 杂志文章

    doi:10.4103/0028-3886.55602

    authors: Chou D,Eltgroth M,Yang I,Lu D,Manley G

    更新日期:2009-07-01 00:00:00

  • A Case of Large Intraoral Teratoma with Intracranial Extension: Peri‑Operative Challenges.

    abstract::A 40-day-old female child presented to us with an oral cavity mass, noticed at birth and progressively increasing in size. Preoperative computed tomography revealed intracranial extension of the lesion. Airway management, securing and maintaining invasive vascular access peri-operatively and transport of the patient t...

    journal_title:Neurology India

    pub_type:

    doi:10.4103/0028-3886.279687

    authors: Bidkar PU,Bangera R,Ramjeevan R,Dey A,Mishra SK

    更新日期:2020-01-01 00:00:00

  • The 100 Most-Cited Papers in Traumatic Injury of the Spine.

    abstract:Background:Traumatic injury to the spine can be a complex diagnostic and therapeutic entity often with devastating consequences. Outside of the isolated vertebral column injury costs; annual costs associated with spinal cord injury (SCI) are estimated to exceed $9.7 billion. Objective:To identify the 100 most-cited ar...

    journal_title:Neurology India

    pub_type: 杂志文章,评审

    doi:10.4103/0028-3886.293470

    authors: Tariq MB,Wu OC,Agulnick MA,Kasliwal MK

    更新日期:2020-07-01 00:00:00

  • Spectrum of mutations in sarcoglycan genes in the Mumbai region of western India: high prevalence of 525del T.

    abstract:BACKGROUND:While the clinical and immunocytochemical features of sarcoglycanopathies have been reported from India, genetic aspects have not been studied. There is large variation in the sarcoglycan mutations among the studied populations. AIM:To study the spectrum of mutations in sarcoglycan genes (SG). MATERIALS AN...

    journal_title:Neurology India

    pub_type: 杂志文章

    doi:10.4103/0028-3886.55603

    authors: Khadilkar SV,Singh RK,Hegde M,Urtizberea A,Love DR,Chong B

    更新日期:2009-07-01 00:00:00

  • Comparison of normal saline and balanced crystalloid (plasmalyte) in patients undergoing elective craniotomy for supratentorial brain tumors: A randomized controlled trial.

    abstract:Background:The choice of fluid is important in neurosurgical patients, who may be dehydrated due to the administration of diuretics in order to reduce cerebral edema. Normal saline, the infused fluid routinely used in neurosurgical patients, can cause hyperchloremic metabolic acidosis. A balanced crystalloid (BC) may h...

    journal_title:Neurology India

    pub_type: 杂志文章,随机对照试验

    doi:10.4103/0028-3886.241347

    authors: Dey A,Adinarayanan S,Bidkar PU,Bangera RK,Balasubramaniyan V

    更新日期:2018-09-01 00:00:00

  • Percutaneous vertebroplasty: current concepts and local experience.

    abstract::With the aging population in our country, symptomatic osteoporotic compression fractures are increasingly common. Osteolytic compression fractures from spinal metastasis are also becoming more frequently seen because of the longer life expectancy from improvements in chemotherapy. Percutaneous vertebroplasty with PMMA...

    journal_title:Neurology India

    pub_type: 杂志文章,评审

    doi:10.4103/0028-3886.22617

    authors: Hee HT

    更新日期:2005-12-01 00:00:00

  • Continuous intravertebral injection of fasudil hydrochloride in the treatment of cerebral vasospasm.

    abstract:BACKGROUND AND OBJECTIVE:Cerebral vasospasm is a serious complication of subarachnoid hemorrhage (SAH) and is associated with clinical deterioration and mortality. The objective of this study is to investigate the effect of continuous intravertebral artery (cIVA) injection of fasudil hydrochloride on delayed cerebral v...

    journal_title:Neurology India

    pub_type: 杂志文章

    doi:10.4103/0028-3886.79127

    authors: Liu P,Liao X,Xiang J,Pan L,Ma L

    更新日期:2011-03-01 00:00:00

  • Non-convulsive status epilepticus: a rare presentation of juvenile myoclonic epilepsy.

    abstract::We present a case of a boy with juvenile myoclonic epilepsy (JME) who presented with features of non-convulsive status epilepticus (NCSE). This case highlights the fact that NCSE, even though not a common occurrence in JME, should be kept in mind when a patient with previous history of seizures presents with subtle ch...

    journal_title:Neurology India

    pub_type: 杂志文章

    doi:

    authors: Chemmanam T,Pandian JD,Singh YP,Pandhi M

    更新日期:2003-12-01 00:00:00

  • Botulinum toxin in movement disorders.

    abstract::Botulinum toxin has gained immense popularity since its introduction for therapeutic use. It is used in a variety of movement disorders like hemi-facial spasm, focal dystonias like blepharospasm, cervical dystonia, oromandibular dystonia, limb dystonias. It is also being used in patients with tremors, tics and for a v...

    journal_title:Neurology India

    pub_type: 杂志文章,评审

    doi:10.4103/0028-3886.226441

    authors: Tater P,Pandey S

    更新日期:2018-03-01 00:00:00

  • Treatment of neuropathic pain after peripheral nerve and brachial plexus traumatic injury.

    abstract::Peripheral nerve and brachial plexus injuries typically cause severe impairment in the affected limb. The incidence of neuropathic pain is high, reaching up to 95% of cases, especially if cervical root avulsion has occurred. Neuropathic pain results from damage to the somatosensory system, and its progression towards ...

    journal_title:Neurology India

    pub_type: 杂志文章,评审

    doi:10.4103/0028-3886.250699

    authors: Lovaglio AC,Socolovsky M,Di Masi G,Bonilla G

    更新日期:2019-01-01 00:00:00

  • Olfactory schwannoma: a report of two cases and literature review.

    abstract::Intracranial schwannoma is a kind of benign intracranial tumors, derived from neuron myelin sheath, growing slowly and curable. Olfactory schwannoma is an exceedingly rare kind of schwannoma, whose origin is still uncovered. Although several theories have been put up for pathogenesis of olfactory schwannoma, till now,...

    journal_title:Neurology India

    pub_type: 杂志文章,评审

    doi:10.4103/0028-3886.141289

    authors: Wang Z,Zhang W,You G,Wang J,Li G,Gao Z,Xie J

    更新日期:2014-07-01 00:00:00

  • Amaurosis fugax and orbital anterio-venous malformation.

    abstract::Amaurosis Fugax has not been described in relation to orbital Arterio-venous Malformation, which are tumours of rare occurrence. One such case is being reported. ...

    journal_title:Neurology India

    pub_type: 杂志文章

    doi:

    authors: Kaur A,Kohli A,Phadke RV,Jain VK,Chhabra DK

    更新日期:1996-07-01 00:00:00

  • Melanotic intracranial epidermoid: Case report and description of a new subtype.

    abstract::Intracranial epidermoids are generally seen as hypodense nonenhancing lesions on computed tomography scans; and, as T1 hypointense and T2 hyperintense lesions on magnetic resonance imaging (MRI). Unusual radiological findings have been reported earlier. The authors present the case of a 54-year old male patient who ha...

    journal_title:Neurology India

    pub_type:

    doi:10.4103/0028-3886.232336

    authors: Sridhar K,Vij M

    更新日期:2018-05-01 00:00:00

  • Neurological mitochondrial cytopathies.

    abstract::The mitochondrial cytopathies are genetically and phenotypically heterogeneous group of disorders caused by structural and functional abnormalities in mitochondria. To the best of our knowledge, there are very few studies published from India till date. Selected and confirmed fourteen cases of neurological mitochondri...

    journal_title:Neurology India

    pub_type: 杂志文章

    doi:

    authors: Mehndiratta MM,Agarwal P,Tatke M,Krishnamurthy M

    更新日期:2002-06-01 00:00:00

  • Unilateral hemilaminectomy: The surgical approach of choice for juxta-medullary spinal tumors.

    abstract:BACKGROUND:The conventional laminectomy may precipitate numerous long-term complications such as the development of kypho-scoliosis, spinal instability, epidural fibrosis and loss of bony shield over the spinal cord, thus increasing the risk of a subsequent myelopathy. The present study evaluates the efficacy of a unil...

    journal_title:Neurology India

    pub_type: 杂志文章

    doi:10.4103/0028-3886.156289

    authors: Mohindra S,Savardekar A

    更新日期:2015-03-01 00:00:00

  • Massive pontine hemorrhagic transformation associated with an anticoagulant for basilar artery occlusion.

    abstract::Symptomatic hemorrhagic transformation is common in supratentorial and cerebellar infarction, but is rare in brainstem infarction. It is seldom reported in basilar artery occlusion. Although early arterial recanalization by thrombolytic agent has became the new trend of treatment, for some neurologists anticoagulant i...

    journal_title:Neurology India

    pub_type: 杂志文章

    doi:10.4103/0028-3886.28123

    authors: Hsiao MC,Lee JD,Lee M,Weng HH

    更新日期:2006-12-01 00:00:00

  • Is infantile spinal muscular atrophy a disease of maturation arrest or a dynamic neurogenic atrophy of the skeletal muscle?

    abstract::Spinal muscular atrophy constitutes one of the major disease entities amongst infantile neuro-muscular disorders. On the basis of morphological evidence, it had been suggested that the infantile spinal muscular atrophy (ISMA) is due to maturation arrest of the myofibres at 20 weeks gestation. Therefore, in the present...

    journal_title:Neurology India

    pub_type: 杂志文章

    doi:

    authors: Gayathri N,Das S,Gourie-Devi M,Ramamohan Y,Sarala D

    更新日期:1998-07-01 00:00:00

  • Fungal infections of the central nervous system: the clinical syndromes.

    abstract::Fungal infections of the central nervous system (CNS) are being increasingly diagnosed both in immunocompromised and immunocompetent individuals. Sinocranial aspergillosis is more frequently described from countries with temperate climates, more often in otherwise immunocompetent individuals. The clinical syndromes wi...

    journal_title:Neurology India

    pub_type: 杂志文章,评审

    doi:10.4103/0028-3886.35682

    authors: Murthy JM

    更新日期:2007-07-01 00:00:00

  • Multiple vasculogenic disabilities : a challenge in rehabilitation.

    abstract::A 37 year old male presented with left hemiplegia, left below knee amputation, right partial foot amputation and claudication pain. The limitations in the rehabilitation management in such a high-risk patient are multiplied. The appreciable benefits from supervised rehabilitation and judicious goal setting can help in...

    journal_title:Neurology India

    pub_type: 杂志文章

    doi:

    authors: Handa G,Singh U

    更新日期:2001-03-01 00:00:00

  • Lift-up laminoplasty for myelopathy caused by ossification of the posterior longitudinal ligament of the cervical spine.

    abstract:BACKGROUND AND AIMS:We have utilized lift-up laminoplasty to treat patients with myelopathy caused by ossification of the posterior longitudinal ligament (OPLL) of the cervical spine. The preliminary surgical outcome with computer-assisted morphological assessment is presented. MATERIAL AND METHODS:The surgical techni...

    journal_title:Neurology India

    pub_type: 杂志文章

    doi:

    authors: Takami T,Ohata K,Goto T,Nishikawa M,Nishio A,Tsuyuguchi N,Hara M

    更新日期:2004-03-01 00:00:00