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A protocol for acute stroke unit care during the COVID-19 pandemic

机译:Covid-19流行期间急性中风单元护理的协议

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Background: Acute stroke unit (ASU) care is proven to reduce mortality and morbidity. During the COVID-19 crisis, established physical units and care practices within existing physical units are likely to be disrupted. Stroke patients with possible suspected COVID-19 infection may be isolated in other wards outside the ASU. Methods: Our hospital developed an adapted ASU protocol which includes key elements for stroke unit care, can be utilized by staff not familiar with stroke care with minimal training and can be implemented in various settings. Results: The adapted protocol has 3 categories of Acute monitoring (neurological observations, blood pressure and input-output monitoring, investigations and specific post-reperfusion issues), Stroke complications (focusing on 5 common complications) and Unified team (describing daily check-ins, patient education, communication, discharge planning and post-discharge support). Conclusions: Details are presented in the article in a format that it can be adopted by other centers facing similar issues in order to ensure ASU care is not compromised.
机译:背景:急性卒中单元(ASU)护理被证明可以降低死亡率和发病率。在2019冠状病毒疾病期间,现有的物理单位和医疗单位的实际做法可能会被破坏。脑卒中患者可能2019冠状病毒疾病可能被隔离在其他病房的ASU。方法:我们医院制定了一个适应的ASU协议,其中包括卒中单元护理的关键要素,不熟悉卒中护理的工作人员可以通过最少的培训使用该协议,并且可以在各种环境下实施。结果:适应方案包括3类急性监测(神经系统观察、血压和输入输出监测、调查和特定再灌注后问题)、中风并发症(重点关注5种常见并发症)和统一团队(描述日常检查、患者教育、沟通、出院计划和出院后支持)。结论:本文以一种可供面临类似问题的其他中心采用的格式提供了详细信息,以确保ASU护理不受损害。

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