Clinical Decision Support for Patients Presenting With Large Vessel Occlusion

被引：0
作者：
Simpson, Jennifer R. [1 ]
VanCoevering III, Russell J. [2 ]
Jeppson, Kerri [3 ]
Case, David [4 ]
Seinfeld, Joshua [4 ]
Roark, Christopher [1 ]
Poisson, Sharon N. [4 ]
机构：
[1] Univ Colorado, Sch Med, Sch Med, Boulder, CO 80045 USA
[2] Dept Neurol, Renown Hlth, Reno, NV USA
[3] UCHlth, UCHealth, Aurora, CO USA
[4] Univ Colorado, Dept Neurosurg, Sch Med, Aurora, CO USA
来源：
NEUROHOSPITALIST | 2024年 / 14卷 / 02期
关键词：
endovascular procedure; ischemic stroke; cerebrovascular occlusion; clinical decision support systems; ENDOVASCULAR TREATMENT; ISCHEMIC-STROKE; THROMBECTOMY; ALTEPLASE;
D O I：
10.1177/19418744231220699
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
A single center had a collaborative, multidisciplinary review to determine how to best implement new acute ischemic stroke trials involving large vessel occlusions. A flow diagram process map was created for clinical decision support. Patients were divided into four groups based upon size of infarct and timing of presentation. The process map, available in the electronic health record (EHR) for clinicians to reference, guides the selection of patients for endovascular therapy with neuroimaging. In addition, the process map offers guidance for discussions with families and patients experiencing large vessel occlusions with both small and large core infarcts. This manuscript describes the process of creating the process map through a multidisciplinary review and discussion, with points of controversy and how these were addressed.
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收藏
页码：182 / 185
页数：4
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