The Effect of Implementing Initial Emergency Care Bundle on Early Outcomes among Acute Ischemic Stroke Patients | ||||
| Egyptian Journal of Health Care | ||||
| Article 14, Volume 12, Issue 1, March 2021, Page 213-234 PDF (785.43 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhc.2021.138795 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Wafaa Wahdan Abd El-Aziz1; Heba A. Al-Metyazidy2; Hend Elsayed Mansour2; Soheir M. Weheida3 | ||||
| 1lecturers of Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura University, Egypt | ||||
| 2Assistant Prof of Critical Care Nursing, Faculty of Nursing, Tanta University, Egypt | ||||
| 3Prof of Medical Surgical Nursing, Faculty of Nursing, Alexandria University, Egypt and lecturers of Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura University, Egypt | ||||
| Abstract | ||||
| Implementing an initial emergency care bundle for acute stroke patients bridges the gap < /div> between evidence-based and clinical practice to improve patients outcomes. Aim: To evaluate the effect of implementing the initial emergency care bundle on early outcomes among acute stroke patients. Setting: This study was conducted at the emergency department and neurocritical care unit at Mansoura University Hospital, Egypt. Method: An experimental research design was utilized in this study. A random sample of 120 adults patient with acute stroke was selected and divided into two equal groups of 60 patients in each group. Two tools were utilized to collect data: Tool (I): Tool I: Stroke patient assessment. Tool II: Stroke patients' outcomes assessment. Results: It was noticed that nearly one-third (30.0%) of patients of the control group were died compared to only 11.7% of the study group during 7 days post-admission to the intensive care unit. Also, there were highly statistically significant improvements among patients of both control and study groups regarding patient outcomes which include physiological parameters, pre feeding assessment, hydration status, and activity level on admission, 3 days, and 7 days following implementation of stroke care bundle. Conclusions: Acute stroke patients who received the initial emergency care bundle had a statistically significant reduction in mortality rate, higher independency, and normal pre-feeding assessment compared to those who receive routine care on admission, 3 days, and 7 days post-admission Recommendations: The recent evidence-based practice should be integrated into the management of acute stroke patients to improve the patients' outcomes. | ||||
| Keywords | ||||
| Acute ischemic stroke; Initial emergency care bundle; Patients’ outcomes | ||||
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