Department of Neurology, Gabriel Toure University Hospital, Bamako, Mali
Research Article
Evaluation of an early discharge strategy from neurovascular intensive care unit after IV thrombolysis of ischemic strokes at
Author(s): Seybou Hassane Diallo*, Gurkan Mutlu, Ange E. Kouamé Assouan, Youssoufa Maiga1, Anne Leger, Sandrine Deltour, Sophie Crosier, Charlotte Rosso, Christine Pires and Yves Samson
Strokes are common and represent a major public health concern in both industrialized countries and developing countries. Patient management must prevent overcrowding of intensive care beds and downstream bed capacity.
The aim of the study was to propose an early discharge strategy from the stroke unit after IV thrombolysis, based primarily on the NIHSS score. This is a retrospective study involving 617 patients admitted to the neurovascular unit the "Pitié-Salpêtrière" hospital for ischemic stroke, divided into two cohorts, March 2010 and August 2012.
The patients were divided into 4 classes according to the NIHSS score: Class A, B, C, and D. They were clinically assessed on day 1 and day 7, considering as a criterion for worsening the transition from a lower to a higher class. Patients in classes A and D who were candidates for early.. View More»
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