Transitions of care for stroke and TIA

Journal of the American Association of Nurse Practitioners
Helena N HaynesLeslie S Ritter

Abstract

The purpose of this study was to identify elements of a stroke population that may affect transitions of care (TOC). A retrospective analysis of the demographic characteristics of patients from an urban primary stroke center with an admitting diagnosis of transient ischemic attack, acute ischemic stroke, subarachnoid hemorrhage, or intracerebral hemorrhage was performed over an 8-month period (N = 276). A subset of this patient sample participated in a telephone survey 1 month after discharge. Hospital length of stay, age, insurance status, discharge disposition, comorbidities, and readmission rates were identified as important elements affecting TOC for stroke and TIA. Information from patient surveys indicated that emotional health, follow-up with care providers, stroke education, and point of contact are important elements during the transition periods after stroke and TIA. Both providers and patients should inform the development of a comprehensive TOC program that spans in-hospital to multiple care settings, including the home, which is essential. The advanced practice nurse is ideally suited to successfully lead these programs.

References

Feb 24, 1999·JAMA : the Journal of the American Medical Association·M D NaylorJ S Schwartz
Jan 16, 2002·The American Journal of Medicine·V DudasS Z Pantilat
Dec 28, 2002·Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing·Dorothy BrootenJoAnne M Youngblut
Mar 27, 2003·Journal of the American Geriatrics Society·Eric A ColemanUNKNOWN American Geriatrics Society Health Care Systems Committee
May 14, 2003·Neurology·S C JohnstonT Weiskopf
Jul 26, 2003·Stroke; a Journal of Cerebral Circulation·Jacob S Elkins, S Claiborne Johnston
Oct 7, 2004·Annals of Internal Medicine·Eric A Coleman, Robert A Berenson
Oct 28, 2004·Journal of the American Geriatrics Society·Eric A ColemanAndrew M Kramer
Mar 22, 2006·Journal of Neurology, Neurosurgery, and Psychiatry·A Croquelois, J Bogousslavsky
Sep 27, 2006·Archives of Internal Medicine·Eric A ColemanSung-Joon Min
Mar 8, 2007·Journal of the American Geriatrics Society·Amy J H KindMichael D Finch
Oct 16, 2007·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Sunil KripalaniEric A Coleman
Jul 17, 2008·Cerebrovascular Diseases·Jacques JoubertStephen Davis
Jan 31, 2009·Care Management Journals : Journal of Case Management ; the Journal of Long Term Home Health Care·Lolita Jacob, Eileen Blechman Poletick
Mar 25, 2009·Journal of Professional Nursing : Official Journal of the American Association of Colleges of Nursing·Mary O'Neil MundingerNancy Fugate Woods
May 30, 2009·Stroke; a Journal of Cerebral Circulation·Debbie SummersUNKNOWN American Heart Association Council on Cardiovascular Nursing and the Stroke Council
Aug 22, 2009·Journal of the American Geriatrics Society·Param DedhiaEric Howell
Nov 11, 2009·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Kyle AllenDenise Kropp
Nov 26, 2009·Professional Case Management·Monique M ParrishEric A Coleman
Dec 19, 2009·Circulation·UNKNOWN WRITING GROUP MEMBERSUNKNOWN American Heart Association Statistics Committee and Stroke Statistics Subcommittee
Feb 24, 2010·Circulation·Donald Lloyd-JonesUNKNOWN American Heart Association Statistics Committee and Stroke Statistics Subcommittee
Dec 18, 2010·Stroke; a Journal of Cerebral Circulation·Gregg C FonarowUNKNOWN Get With The Guidelines Steering Committee and Hospitals
Apr 8, 2011·Health Affairs·Mary D NaylorKaren B Hirschman
Jul 15, 2011·The Journal of Thoracic and Cardiovascular Surgery·Lindsay S RogersJack Rychik
Jul 29, 2011·Optometry : Journal of the American Optometric Association·UNKNOWN American Optometric Association
Mar 13, 2012·Nursing Administration Quarterly·Mary D Naylor
May 5, 2012·The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses·Angie WestDaiwai M Olson
May 26, 2012·Stroke; a Journal of Cerebral Circulation·Yannick BéjotMaurice Giroud
Sep 8, 2012·The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses·Sari-Ann Yonaty, Sharon Kitchie
Sep 19, 2012·Annals of Internal Medicine·Janet Prvu BettgerPamela W Duncan
Dec 20, 2013·Circulation·Alan S GoUNKNOWN American Heart Association Statistics Committee and Stroke Statistics Subcommittee

❮ Previous
Next ❯

Citations

Jun 2, 2017·Continuum : Lifelong Learning in Neurology·Marcus Ponce de Leon, Anna D Hohler
Jul 11, 2021·Research in Social & Administrative Pharmacy : RSAP·Elizabeth LieuAnandi V Law

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.