Physicians are not well informed about the new guidelines for the treatment of acute stroke

Gatto, Luana Antunes Maranha; Koppe, Gelson Luis; Demartini, Zeferino; Zétola, Viviane de Hiroki Flumignan

doi:10.1590/0004-282x20170122

Cited by 4 publications

(2 citation statements)

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“…Thrombectomy can be performed after thrombolysis in eligible AIS patients who arrive within 4.5 h of stroke onset ( Academy of Medicine of Malaysia, 2021 ). Previously, it was reported that 86% of physicians were unaware of the possibility of thrombectomy with thrombolysis, which was higher compared to our study ( Gatto et al, 2017 ).…”

Section: Discussioncontrasting

confidence: 85%

Knowledge of acute stroke management and the predictors among Malaysian healthcare professionals

Albart

Khan

Rashid

et al. 2022

PeerJ

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Background Despite rapid advances in acute ischaemic stroke (AIS) management, many healthcare professionals (HCPs) might not be aware of the latest recommended management of AIS patients. Therefore, we aimed to determine the level and factors associated with AIS management knowledge among Malaysian HCPs. Methods This cross-sectional online questionnaire study was conducted nationwide among 627 HCPs in Malaysia using the Acute Stroke Management Questionnaire (ASMaQ). Multiple logistic regression was used to predict the relationship between the independent variables (age, gender, years of service, profession, work setting, work sector, seeing stroke patients in daily practice, and working with specialists) and the outcome variable (good vs poor knowledge). Results Approximately 76% (95% CI [73–79%]) of HCPs had good overall knowledge of stroke. The highest proportion of HCPs with good knowledge was noted for General Stroke Knowledge (GSK) [88.5% (95% CI [86–91%])], followed by Advanced Stroke Management (ASM) [61.2% (95% CI [57–65%])] and Hyperacute Stroke Management (HSM) [58.1% (95% CI [54–62%])]. The odds of having poor knowledge of stroke were significantly higher among non-doctor HCPs [adjusted OR = 3.46 (95% CI [1.49–8.03]), P = 0.004]; among those not seeing stroke patients in daily practice [adjusted OR = 2.67 (95% CI [1.73–4.10]), P < 0.001]; and among those working without specialists [adjusted OR = 2.41 (95% CI [1.38–4.18]), P = 0.002]. Conclusions Stroke education should be prioritised for HCPs with limited experience and guidance. All HCPs need to be up-to-date on the latest AIS management and be able to make a prompt referral to an appropriate facility. Therefore, more stroke patients will benefit from advanced stroke care.

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Section: Discussioncontrasting

confidence: 85%

Knowledge of acute stroke management and the predictors among Malaysian healthcare professionals

Albart

Khan

Rashid

et al. 2022

PeerJ

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“…Um estudo desenvolvido em um hospital público de Fortaleza, com a participação de 10 enfermeiros, vem em contraposição a este dado, visto que os participantes apresentaram conhecimento abrangente sobre tempo de início do tratamento, bem como os critérios de inclusão dos pacientes no uso de alteplase (Manivas, & Freitas, 2012). Concomitante a este dado, outro estudo realizado em Curitiba/PR, com 465 médicos participantes, evidenciou divergências entre os entrevistados sobre o tempo de atuação no evento isquêmico (Gatto, Koppe, Junior, & Zétola, 2017).…”

Section: [] Acredito Que Seria Muito Difícil De Realizar Devido a Resistência Da Equipe E Por Falta De Alguns Recursos Fundamentais (P8)unclassified

Protocolo clínico para acidente vascular cerebral: desenvolvimento de um instrumento informativo

Coradini

Pereira

Machado

et al. 2020

RSD

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The objective was to know what health professionals understand about the Clinical Protocol and Therapeutic Guidelines - Thrombolysis in Acute Ischemic Stroke and to develop an informative instrument about it, to be used in the Emergency Care Unit, the study scenario. This is an exploratory, descriptive research, with a qualitative approach, carried out with five nurses and five doctors in an Emergency Care Unit, in the state of Rio Grande do Sul, Brazil. Data were collected during the months of October to November 2019, through semi-structured interviews, and were subjected to content analysis. The results enabled five categories: Clinical protocol as a criterion for thrombolysis; how to use medication and imaging exams; as standardization / organization of care; standardization, cost reduction and clinical improvement of the patient; need for qualification of human, physical and structural resources. In conclusion, the professionals understand that the realization of the protocol would assist in the organization of the service and standardization, as well as in the reduction of expenses and clinical improvement of the patient.

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Challenges of practicing neuro-endovascular interventions in a resource-limited country; Ghana in focus

et al. 2022

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Physicians are not well informed about the new guidelines for the treatment of acute stroke

Cited by 4 publications

References 4 publications

Knowledge of acute stroke management and the predictors among Malaysian healthcare professionals

Knowledge of acute stroke management and the predictors among Malaysian healthcare professionals

Protocolo clínico para acidente vascular cerebral: desenvolvimento de um instrumento informativo

Challenges of practicing neuro-endovascular interventions in a resource-limited country; Ghana in focus

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