In order to coordinate the best possible treatment options for stroke patients a highly organised and streamlined pathway is needed, covering all aspects of stoke care, from initial screening to treatment. Stroke Units are one of the most efficient ways to do this.
In order to coordinate the best possible treatment options for stroke patients a highly organised and streamlined pathway is needed, covering all aspects of stoke care, from initial screening to treatment. Stroke Units are one of the most efficient ways to do this.
Stroke Units are central to stroke care in most high-income countries, but many low- , middle- and emerging-high income countries do not have organised clinical stroke care pathways. In addition, despite there being many guidelines and protocols available for stroke care many of these have been developed in high-income countries and successful implementation of stroke care pathways in low- , middle- and emerging-high income countries can be challenging.
“While the guidelines are readily available, key barriers to the successful execution of stroke units in emerging high-, middle- and low- income can be: a lack of organised care systems, and a lack of resources and experience.” explains Dr. Urrutia, of The Johns Hopkins Hospital’s Comprehensive Stroke Center.
To overcome some of these barriers, the team at Pacífica Salud in Panamá led by Dr. Novarro-Escudero, came together to design and implement a Stroke Centre for its hospital in collaboration with, and under the mentorship of, The Johns Hopkins Hospital, Baltimore, USA.
The Team from The Pacífica Salud, Hospital Punta Pacífica and The Johns Hopkins Hospital.
In 2016 the process of developing a stroke program began. The collaboration saw the teams adapting guidelines for translating evidence into practice by Pronovost et al1 into 7 steps, which were then used to execute their programme. These were:
“Since the development and implementation of the stroke programme at Pacífica Salud, year over year comparisons have shown an increase in the number of stroke patients treated and the number of acute interventions carried out.” said Dr. Urrutia.
Graph to show Increase of Acute Stroke Interventions at Pacífica Salud from 2017-2019.
The teams have attributed their success to the excellent collaborative efforts and believe the mentorship programme positively enhanced their accomplishments. “We believe this mentorship model is the way forward” explained Dr. Urrutia “we were able to overcome difficulties with translating evidence into practice through experience, teaching and education”.
References
Achieving our vision of a life free from stroke is a task that WSO cannot achieve alone. We are committed to building our partnerships at the global, regional and national level to scale up and deliver improvements in prevention, treatment and support to reduce the burden of stroke.
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