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The Journal of Neurological and Neurosurgical Nursing

Functioning of the Integrated System of Care for Stroke Patients Treated with Mechanical Thrombectomy Based on the Case Report
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Functioning of the Integrated System of Care for Stroke Patients Treated with Mechanical Thrombectomy Based on the Case Report

Authors

  • Adriana Borodzicz Wrocław Medical University, Poland
  • Ewelina Bąk Technical and Humanities University in Bielsko-Biała, Poland
  • Iwona Drabczak University Clinical Hospital in Wrocław, Poland
  • Sylwia Krzemińska High Medical School in Kłodzko, Poland

DOI:

https://doi.org/10.15225/PNN.2023.12.2.6

Keywords

mechanical thrombectomy, integrated care system, stroke

Abstract

Introduction. Mechanical thrombectomy is a treatment method used in the event of ischemic stroke, caused by obstruction of a large artery. This method is used to treat stroke in its acute phase. An integrated health care system is about placing the patient in need of help at the centre of the procedure. In such a system, the patient receives support and treatment methods in various fields and from various specialists.

Aim. The aim of the work is to present the issue of introduction and implementation of the program of treatment of patients after stroke by means of mechanical thrombectomy.

Case Report. The research material in the work was medical documentation of patients of the neurology department, and scientific literature. The research method was the individual case method, analysis of literature and medical documentation.

Conclusions. A very well-implemented pilot program of mechanical thrombectomy treatment, with specific guidelines, standards, rules of conduct, contact methods, contributes to reducing mortality due to ischemia strokes. (JNNN 2023;12(2):92–97)

References

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Kostecka A. Prof. Samoliński: W zintegrowanej opiece medycznej przegrają ci, którzy nie lubią pracować. Termedia 2019, https://www.termedia.pl/mz/Prof-Samolinski-W-zintegrowanej-opiece-medycznej-przegraja-ci-ktorzy-nie-lubia-pracowac,35497.html [dostęp: 14.05.2023].

Rudawska I. Zintegrowana opieka zdrowotna. Podejście relacyjne do obsługi pacjenta jako klienta. Wolters Kluwer SA, Warszawa 2014.

Alderwick H., Ham C., Buck D. Population health systems. Going beyond integrated care. The King’s Fund, 2015.

Rudawska I. Zintegrowana opieka zdrowotna. W poszukiwaniu poprawy efektywności. Problemy Zarządzania. 2011;9(3):140–152.

Sacco R.L., Kasner S.E., Broderick J.P. et al. An updated definition of stroke for the 21st century: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2013;44(7):2064–2089.

Pérez M.A., Miloslavski E., Fischer S., Bäzner H., Henkes H. Intracranial thrombectomy using the Solitaire stent: a historical vignette. J Neurointerv Surg. 2012;4(6):e32.

Berkhemer O.A., Fransen P.S., Beumer D. et al. A randomized trial of intraarterial treatment for acute ischemic stroke. N Engl J Med. 2015;372(1):11–20.

Campbell B.C., Mitchell P.J., Kleinig T.J. et al. Endovascular therapy for ischemic stroke with perfusion-imaging selection. N Engl J Med. 2015;372(11):1009–1018.

Goyal M., Demchuk A.M., Menon B.K. et al. Randomized assessment of rapid endovascular treatment of ischemic stroke. N Engl J Med. 2015;372(11):1019–1030.

Saver J.L., Goyal M., Bonafe A. et al. Stent-retriever thrombectomy after intravenous t-PA vs. t-PA alone in stroke. N Engl J Med. 2015;372(24):2285–2295.

Jovin T.G., Chamorro A., Cobo E. et al. Thrombectomy within 8 hours after symptom onset in ischemic stroke. N Engl J Med. 2015;372(24):2296–2306.

Cabral N.L., Conforto A., Magalhaes P.S.C. et al. Intravenous rtPA versus mechanical thrombectomy in acute ischemic stroke: A historical cohort in Joinville, Brazil. eNeurologicalSci. 2016;5:1–6.

Evans M.R.B., White P., Cowley P., Werring D.J. Revolution in acute ischaemic stroke care: a practical guide to mechanical thrombectomy. Pract Neurol. 2017;17(4):252–265.

Adamczyk P., Attenello F., Wen G. et al. Mechanical thrombectomy in acute stroke: utilization variances and impact of procedural volume on inpatient mortality. J Stroke Cerebrovasc Dis. 2013;22(8):1263–1269.

The Journal of Neurological and Neurosurgical Nursing

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Published

2023-06-30

How to Cite

1.
BORODZICZ, Adriana, BĄK, Ewelina, DRABCZAK, Iwona and KRZEMIŃSKA, Sylwia. Functioning of the Integrated System of Care for Stroke Patients Treated with Mechanical Thrombectomy Based on the Case Report. The Journal of Neurological and Neurosurgical Nursing. Online. 30 June 2023. Vol. 12, no. 2, pp. 92-97. [Accessed 26 January 2026]. DOI 10.15225/PNN.2023.12.2.6.
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Vol. 12 No. 2 (2023)

Section

Case report

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