Streamlined Poststroke Treatment Order Sets During the SARS-CoV-2 Pandemic: Simplifying While Not Compromising Care.
Identifieur interne : 000201 ( Main/Exploration ); précédent : 000200; suivant : 000202Streamlined Poststroke Treatment Order Sets During the SARS-CoV-2 Pandemic: Simplifying While Not Compromising Care.
Auteurs : Laura C. Gioia ; Alexandre Y. Poppe ; Roxanne Laroche ; Tristan Dacier-Falque ; Isabelle Sévigny ; Nicole Daneault ; Yan Deschaintre ; Grégory Jacquin ; Christian Stapf ; Celine OdierSource :
- Stroke [ 1524-4628 ] ; 2020.
Descripteurs français
- KwdFr :
- Accident vasculaire cérébral (physiopathologie), Accident vasculaire cérébral (thérapie), Adulte d'âge moyen (MeSH), Betacoronavirus (MeSH), Femelle (MeSH), Flux de travaux (MeSH), Humains (MeSH), Infections à coronavirus (MeSH), Monitorage physiologique (méthodes), Mâle (MeSH), Pandémies (MeSH), Pneumopathie virale (MeSH), Programme clinique (MeSH), Qualité des soins de santé (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Thrombectomie (MeSH), Traitement thrombolytique (MeSH).
- MESH :
- méthodes : Monitorage physiologique.
- physiopathologie : Accident vasculaire cérébral.
- thérapie : Accident vasculaire cérébral.
- Adulte d'âge moyen, Betacoronavirus, Femelle, Flux de travaux, Humains, Infections à coronavirus, Mâle, Pandémies, Pneumopathie virale, Programme clinique, Qualité des soins de santé, Sujet âgé, Sujet âgé de 80 ans ou plus, Thrombectomie, Traitement thrombolytique.
English descriptors
- KwdEn :
- Aged (MeSH), Aged, 80 and over (MeSH), Betacoronavirus (MeSH), Coronavirus Infections (MeSH), Critical Pathways (MeSH), Female (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Monitoring, Physiologic (methods), Pandemics (MeSH), Pneumonia, Viral (MeSH), Quality of Health Care (MeSH), Stroke (physiopathology), Stroke (therapy), Thrombectomy (MeSH), Thrombolytic Therapy (MeSH), Workflow (MeSH).
- MESH :
- methods : Monitoring, Physiologic.
- physiopathology : Stroke.
- therapy : Stroke.
- Aged, Aged, 80 and over, Betacoronavirus, Coronavirus Infections, Critical Pathways, Female, Humans, Male, Middle Aged, Pandemics, Pneumonia, Viral, Quality of Health Care, Thrombectomy, Thrombolytic Therapy, Workflow.
Abstract
BACKGROUND AND PURPOSE
Standard poststroke treatment monitoring protocols are made problematic during the coronavirus disease 2019 (COVID-19) pandemic by the frequency of patient assessments, requiring repeated donning and doffing procedures in a short interval of time.
METHODS
A streamlined poststroke treatment protocol was developed to limit frequency of patient encounters while maximizing the yield of each encounter by grouping together different components of poststroke care into single bedside visits.
RESULTS
Streamlined order sets were developed late March 2020. During the first 6 weeks following implementation, 70 patients were admitted to a geographically defined designated warm COVID-19 unit with modified poststroke care order sets. Of these, 33 (47.1%) patients received acute reperfusion therapy. All but 3 patients evolved favorably with either stable or improving National Institutes of Health Stroke Scale at 24 hours. In the 3 patients who experienced early neurological deterioration, none were found to be attributable to insufficient patient monitoring.
CONCLUSIONS
Adapting preexisting poststroke care protocols may be necessary while the risk of COVID-19 infection remains high. We propose a streamlined approach to facilitate poststroke monitoring in patients with stroke with unknown COVID status.
DOI: 10.1161/STROKEAHA.120.031008
PubMed: 32790493
PubMed Central: PMC7446994
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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(R,L., T.D.-F., I.S.).</nlm:affiliation><wicri:noCountry code="subField">I.S.).</wicri:noCountry></affiliation></author><author><name sortKey="Sevigny, Isabelle" sort="Sevigny, Isabelle" uniqKey="Sevigny I" first="Isabelle" last="Sévigny">Isabelle Sévigny</name><affiliation><nlm:affiliation>Department of Nursing Sciences, Centre hospitalier de l'Université de Montréal (CHUM). (R,L., T.D.-F., I.S.).</nlm:affiliation><wicri:noCountry code="subField">I.S.).</wicri:noCountry></affiliation></author><author><name sortKey="Daneault, Nicole" sort="Daneault, Nicole" uniqKey="Daneault N" first="Nicole" last="Daneault">Nicole Daneault</name><affiliation><nlm:affiliation>Department of Neurosciences, Université de Montréal (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</nlm:affiliation><wicri:noCountry code="subField">C.O.).</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Neurovascular Health Group, Neuroscience Axis, Centre de recherche de l'Université de Montréal (CRCHUM) (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</nlm:affiliation><wicri:noCountry code="subField">C.O.).</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Department of Neurology, Neurovascular Health Program, Centre hospitalier de l'Université de Montréal (CHUM). (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</nlm:affiliation><wicri:noCountry code="subField">C.O.).</wicri:noCountry></affiliation></author><author><name sortKey="Deschaintre, Yan" sort="Deschaintre, Yan" uniqKey="Deschaintre Y" first="Yan" last="Deschaintre">Yan Deschaintre</name><affiliation><nlm:affiliation>Department of Neurosciences, Université de Montréal (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</nlm:affiliation><wicri:noCountry code="subField">C.O.).</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Neurovascular Health Group, Neuroscience Axis, Centre de recherche de l'Université de Montréal (CRCHUM) (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</nlm:affiliation><wicri:noCountry code="subField">C.O.).</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Department of Neurology, Neurovascular Health Program, Centre hospitalier de l'Université de Montréal (CHUM). (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</nlm:affiliation><wicri:noCountry code="subField">C.O.).</wicri:noCountry></affiliation></author><author><name sortKey="Jacquin, Gregory" sort="Jacquin, Gregory" uniqKey="Jacquin G" first="Grégory" last="Jacquin">Grégory Jacquin</name><affiliation><nlm:affiliation>Department of Neurosciences, Université de Montréal (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</nlm:affiliation><wicri:noCountry code="subField">C.O.).</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Neurovascular Health Group, Neuroscience Axis, Centre de recherche de l'Université de Montréal (CRCHUM) (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</nlm:affiliation><wicri:noCountry code="subField">C.O.).</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Department of Neurology, Neurovascular Health Program, Centre hospitalier de l'Université de Montréal (CHUM). (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</nlm:affiliation><wicri:noCountry code="subField">C.O.).</wicri:noCountry></affiliation></author><author><name sortKey="Stapf, Christian" sort="Stapf, Christian" uniqKey="Stapf C" first="Christian" last="Stapf">Christian Stapf</name><affiliation><nlm:affiliation>Department of Neurosciences, Université de Montréal (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</nlm:affiliation><wicri:noCountry code="subField">C.O.).</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Neurovascular Health Group, Neuroscience Axis, Centre de recherche de l'Université de Montréal (CRCHUM) (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</nlm:affiliation><wicri:noCountry code="subField">C.O.).</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Department of Neurology, Neurovascular Health Program, Centre hospitalier de l'Université de Montréal (CHUM). (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</nlm:affiliation><wicri:noCountry code="subField">C.O.).</wicri:noCountry></affiliation></author><author><name sortKey="Odier, Celine" sort="Odier, Celine" uniqKey="Odier C" first="Celine" last="Odier">Celine Odier</name><affiliation><nlm:affiliation>Department of Neurosciences, Université de Montréal (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</nlm:affiliation><wicri:noCountry code="subField">C.O.).</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Neurovascular Health Group, Neuroscience Axis, Centre de recherche de l'Université de Montréal (CRCHUM) (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</nlm:affiliation><wicri:noCountry code="subField">C.O.).</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Department of Neurology, Neurovascular Health Program, Centre hospitalier de l'Université de Montréal (CHUM). (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</nlm:affiliation><wicri:noCountry code="subField">C.O.).</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32790493</idno><idno type="pmid">32790493</idno><idno type="doi">10.1161/STROKEAHA.120.031008</idno><idno type="pmc">PMC7446994</idno><idno type="wicri:Area/Main/Corpus">000678</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000678</idno><idno type="wicri:Area/Main/Curation">000678</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000678</idno><idno type="wicri:Area/Main/Exploration">000678</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Streamlined Poststroke Treatment Order Sets During the SARS-CoV-2 Pandemic: Simplifying While Not Compromising Care.</title><author><name sortKey="Gioia, Laura C" sort="Gioia, Laura C" uniqKey="Gioia L" first="Laura C" last="Gioia">Laura C. Gioia</name><affiliation><nlm:affiliation>Department of Neurosciences, Université de Montréal (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</nlm:affiliation><wicri:noCountry code="subField">C.O.).</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Neurovascular Health Group, Neuroscience Axis, Centre de recherche de l'Université de Montréal (CRCHUM) (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</nlm:affiliation><wicri:noCountry code="subField">C.O.).</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Department of Neurology, Neurovascular Health Program, Centre hospitalier de l'Université de Montréal (CHUM). (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</nlm:affiliation><wicri:noCountry code="subField">C.O.).</wicri:noCountry></affiliation></author><author><name sortKey="Poppe, Alexandre Y" sort="Poppe, Alexandre Y" uniqKey="Poppe A" first="Alexandre Y" last="Poppe">Alexandre Y. Poppe</name><affiliation><nlm:affiliation>Department of Neurosciences, Université de Montréal (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</nlm:affiliation><wicri:noCountry code="subField">C.O.).</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Neurovascular Health Group, Neuroscience Axis, Centre de recherche de l'Université de Montréal (CRCHUM) (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</nlm:affiliation><wicri:noCountry code="subField">C.O.).</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Department of Neurology, Neurovascular Health Program, Centre hospitalier de l'Université de Montréal (CHUM). (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</nlm:affiliation><wicri:noCountry code="subField">C.O.).</wicri:noCountry></affiliation></author><author><name sortKey="Laroche, Roxanne" sort="Laroche, Roxanne" uniqKey="Laroche R" first="Roxanne" last="Laroche">Roxanne Laroche</name><affiliation><nlm:affiliation>Department of Nursing Sciences, Centre hospitalier de l'Université de Montréal (CHUM). (R,L., T.D.-F., I.S.).</nlm:affiliation><wicri:noCountry code="subField">I.S.).</wicri:noCountry></affiliation></author><author><name sortKey="Dacier Falque, Tristan" sort="Dacier Falque, Tristan" uniqKey="Dacier Falque T" first="Tristan" last="Dacier-Falque">Tristan Dacier-Falque</name><affiliation><nlm:affiliation>Department of Nursing Sciences, Centre hospitalier de l'Université de Montréal (CHUM). (R,L., T.D.-F., I.S.).</nlm:affiliation><wicri:noCountry code="subField">I.S.).</wicri:noCountry></affiliation></author><author><name sortKey="Sevigny, Isabelle" sort="Sevigny, Isabelle" uniqKey="Sevigny I" first="Isabelle" last="Sévigny">Isabelle Sévigny</name><affiliation><nlm:affiliation>Department of Nursing Sciences, Centre hospitalier de l'Université de Montréal (CHUM). (R,L., T.D.-F., I.S.).</nlm:affiliation><wicri:noCountry code="subField">I.S.).</wicri:noCountry></affiliation></author><author><name sortKey="Daneault, Nicole" sort="Daneault, Nicole" uniqKey="Daneault N" first="Nicole" last="Daneault">Nicole Daneault</name><affiliation><nlm:affiliation>Department of Neurosciences, Université de Montréal (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</nlm:affiliation><wicri:noCountry code="subField">C.O.).</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Neurovascular Health Group, Neuroscience Axis, Centre de recherche de l'Université de Montréal (CRCHUM) (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</nlm:affiliation><wicri:noCountry code="subField">C.O.).</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Department of Neurology, Neurovascular Health Program, Centre hospitalier de l'Université de Montréal (CHUM). (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</nlm:affiliation><wicri:noCountry code="subField">C.O.).</wicri:noCountry></affiliation></author><author><name sortKey="Deschaintre, Yan" sort="Deschaintre, Yan" uniqKey="Deschaintre Y" first="Yan" last="Deschaintre">Yan Deschaintre</name><affiliation><nlm:affiliation>Department of Neurosciences, Université de Montréal (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</nlm:affiliation><wicri:noCountry code="subField">C.O.).</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Neurovascular Health Group, Neuroscience Axis, Centre de recherche de l'Université de Montréal (CRCHUM) (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</nlm:affiliation><wicri:noCountry code="subField">C.O.).</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Department of Neurology, Neurovascular Health Program, Centre hospitalier de l'Université de Montréal (CHUM). (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</nlm:affiliation><wicri:noCountry code="subField">C.O.).</wicri:noCountry></affiliation></author><author><name sortKey="Jacquin, Gregory" sort="Jacquin, Gregory" uniqKey="Jacquin G" first="Grégory" last="Jacquin">Grégory Jacquin</name><affiliation><nlm:affiliation>Department of Neurosciences, Université de Montréal (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</nlm:affiliation><wicri:noCountry code="subField">C.O.).</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Neurovascular Health Group, Neuroscience Axis, Centre de recherche de l'Université de Montréal (CRCHUM) (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</nlm:affiliation><wicri:noCountry code="subField">C.O.).</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Department of Neurology, Neurovascular Health Program, Centre hospitalier de l'Université de Montréal (CHUM). (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</nlm:affiliation><wicri:noCountry code="subField">C.O.).</wicri:noCountry></affiliation></author><author><name sortKey="Stapf, Christian" sort="Stapf, Christian" uniqKey="Stapf C" first="Christian" last="Stapf">Christian Stapf</name><affiliation><nlm:affiliation>Department of Neurosciences, Université de Montréal (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</nlm:affiliation><wicri:noCountry code="subField">C.O.).</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Neurovascular Health Group, Neuroscience Axis, Centre de recherche de l'Université de Montréal (CRCHUM) (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</nlm:affiliation><wicri:noCountry code="subField">C.O.).</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Department of Neurology, Neurovascular Health Program, Centre hospitalier de l'Université de Montréal (CHUM). (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</nlm:affiliation><wicri:noCountry code="subField">C.O.).</wicri:noCountry></affiliation></author><author><name sortKey="Odier, Celine" sort="Odier, Celine" uniqKey="Odier C" first="Celine" last="Odier">Celine Odier</name><affiliation><nlm:affiliation>Department of Neurosciences, Université de Montréal (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</nlm:affiliation><wicri:noCountry code="subField">C.O.).</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Neurovascular Health Group, Neuroscience Axis, Centre de recherche de l'Université de Montréal (CRCHUM) (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</nlm:affiliation><wicri:noCountry code="subField">C.O.).</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Department of Neurology, Neurovascular Health Program, Centre hospitalier de l'Université de Montréal (CHUM). (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</nlm:affiliation><wicri:noCountry code="subField">C.O.).</wicri:noCountry></affiliation></author></analytic><series><title level="j">Stroke</title><idno type="eISSN">1524-4628</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Betacoronavirus (MeSH)</term><term>Coronavirus Infections (MeSH)</term><term>Critical Pathways (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Monitoring, Physiologic (methods)</term><term>Pandemics (MeSH)</term><term>Pneumonia, Viral (MeSH)</term><term>Quality of Health Care (MeSH)</term><term>Stroke (physiopathology)</term><term>Stroke (therapy)</term><term>Thrombectomy (MeSH)</term><term>Thrombolytic Therapy (MeSH)</term><term>Workflow (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Accident vasculaire cérébral (physiopathologie)</term><term>Accident vasculaire cérébral (thérapie)</term><term>Adulte d'âge moyen (MeSH)</term><term>Betacoronavirus (MeSH)</term><term>Femelle (MeSH)</term><term>Flux de travaux (MeSH)</term><term>Humains (MeSH)</term><term>Infections à coronavirus (MeSH)</term><term>Monitorage physiologique (méthodes)</term><term>Mâle (MeSH)</term><term>Pandémies (MeSH)</term><term>Pneumopathie virale (MeSH)</term><term>Programme clinique (MeSH)</term><term>Qualité des soins de santé (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>Thrombectomie (MeSH)</term><term>Traitement thrombolytique (MeSH)</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Monitoring, Physiologic</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Monitorage physiologique</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Accident vasculaire cérébral</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Stroke</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Stroke</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Accident vasculaire cérébral</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Betacoronavirus</term><term>Coronavirus Infections</term><term>Critical Pathways</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Pandemics</term><term>Pneumonia, Viral</term><term>Quality of Health Care</term><term>Thrombectomy</term><term>Thrombolytic Therapy</term><term>Workflow</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Betacoronavirus</term><term>Femelle</term><term>Flux de travaux</term><term>Humains</term><term>Infections à coronavirus</term><term>Mâle</term><term>Pandémies</term><term>Pneumopathie virale</term><term>Programme clinique</term><term>Qualité des soins de santé</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Thrombectomie</term><term>Traitement thrombolytique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND AND PURPOSE</b></p><p>Standard poststroke treatment monitoring protocols are made problematic during the coronavirus disease 2019 (COVID-19) pandemic by the frequency of patient assessments, requiring repeated donning and doffing procedures in a short interval of time.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A streamlined poststroke treatment protocol was developed to limit frequency of patient encounters while maximizing the yield of each encounter by grouping together different components of poststroke care into single bedside visits.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Streamlined order sets were developed late March 2020. During the first 6 weeks following implementation, 70 patients were admitted to a geographically defined designated warm COVID-19 unit with modified poststroke care order sets. Of these, 33 (47.1%) patients received acute reperfusion therapy. All but 3 patients evolved favorably with either stable or improving National Institutes of Health Stroke Scale at 24 hours. In the 3 patients who experienced early neurological deterioration, none were found to be attributable to insufficient patient monitoring.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Adapting preexisting poststroke care protocols may be necessary while the risk of COVID-19 infection remains high. We propose a streamlined approach to facilitate poststroke monitoring in patients with stroke with unknown COVID status.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32790493</PMID><DateCompleted><Year>2020</Year><Month>10</Month><Day>08</Day></DateCompleted><DateRevised><Year>2020</Year><Month>10</Month><Day>08</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1524-4628</ISSN><JournalIssue CitedMedium="Internet"><Volume>51</Volume><Issue>10</Issue><PubDate><Year>2020</Year><Month>10</Month></PubDate></JournalIssue><Title>Stroke</Title><ISOAbbreviation>Stroke</ISOAbbreviation></Journal><ArticleTitle>Streamlined Poststroke Treatment Order Sets During the SARS-CoV-2 Pandemic: Simplifying While Not Compromising Care.</ArticleTitle><Pagination><MedlinePgn>3115-3118</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1161/STROKEAHA.120.031008</ELocationID><Abstract><AbstractText Label="BACKGROUND AND PURPOSE">Standard poststroke treatment monitoring protocols are made problematic during the coronavirus disease 2019 (COVID-19) pandemic by the frequency of patient assessments, requiring repeated donning and doffing procedures in a short interval of time.</AbstractText><AbstractText Label="METHODS">A streamlined poststroke treatment protocol was developed to limit frequency of patient encounters while maximizing the yield of each encounter by grouping together different components of poststroke care into single bedside visits.</AbstractText><AbstractText Label="RESULTS">Streamlined order sets were developed late March 2020. During the first 6 weeks following implementation, 70 patients were admitted to a geographically defined designated warm COVID-19 unit with modified poststroke care order sets. Of these, 33 (47.1%) patients received acute reperfusion therapy. All but 3 patients evolved favorably with either stable or improving National Institutes of Health Stroke Scale at 24 hours. In the 3 patients who experienced early neurological deterioration, none were found to be attributable to insufficient patient monitoring.</AbstractText><AbstractText Label="CONCLUSIONS">Adapting preexisting poststroke care protocols may be necessary while the risk of COVID-19 infection remains high. We propose a streamlined approach to facilitate poststroke monitoring in patients with stroke with unknown COVID status.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Gioia</LastName><ForeName>Laura C</ForeName><Initials>LC</Initials><AffiliationInfo><Affiliation>Department of Neurosciences, Université de Montréal (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Neurovascular Health Group, Neuroscience Axis, Centre de recherche de l'Université de Montréal (CRCHUM) (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Neurology, Neurovascular Health Program, Centre hospitalier de l'Université de Montréal (CHUM). (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Poppe</LastName><ForeName>Alexandre Y</ForeName><Initials>AY</Initials><AffiliationInfo><Affiliation>Department of Neurosciences, Université de Montréal (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Neurovascular Health Group, Neuroscience Axis, Centre de recherche de l'Université de Montréal (CRCHUM) (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Neurology, Neurovascular Health Program, Centre hospitalier de l'Université de Montréal (CHUM). (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Laroche</LastName><ForeName>Roxanne</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Nursing Sciences, Centre hospitalier de l'Université de Montréal (CHUM). (R,L., T.D.-F., I.S.).</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dacier-Falque</LastName><ForeName>Tristan</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Department of Nursing Sciences, Centre hospitalier de l'Université de Montréal (CHUM). (R,L., T.D.-F., I.S.).</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sévigny</LastName><ForeName>Isabelle</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Department of Nursing Sciences, Centre hospitalier de l'Université de Montréal (CHUM). (R,L., T.D.-F., I.S.).</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Daneault</LastName><ForeName>Nicole</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Department of Neurosciences, Université de Montréal (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Neurovascular Health Group, Neuroscience Axis, Centre de recherche de l'Université de Montréal (CRCHUM) (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Neurology, Neurovascular Health Program, Centre hospitalier de l'Université de Montréal (CHUM). (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Deschaintre</LastName><ForeName>Yan</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>Department of Neurosciences, Université de Montréal (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Neurovascular Health Group, Neuroscience Axis, Centre de recherche de l'Université de Montréal (CRCHUM) (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Neurology, Neurovascular Health Program, Centre hospitalier de l'Université de Montréal (CHUM). (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jacquin</LastName><ForeName>Grégory</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Department of Neurosciences, Université de Montréal (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Neurovascular Health Group, Neuroscience Axis, Centre de recherche de l'Université de Montréal (CRCHUM) (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Neurology, Neurovascular Health Program, Centre hospitalier de l'Université de Montréal (CHUM). (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Stapf</LastName><ForeName>Christian</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Neurosciences, Université de Montréal (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Neurovascular Health Group, Neuroscience Axis, Centre de recherche de l'Université de Montréal (CRCHUM) (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Neurology, Neurovascular Health Program, Centre hospitalier de l'Université de Montréal (CHUM). (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Odier</LastName><ForeName>Celine</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Neurosciences, Université de Montréal (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Neurovascular Health Group, Neuroscience Axis, Centre de recherche de l'Université de Montréal (CRCHUM) (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Neurology, Neurovascular Health Program, Centre hospitalier de l'Université de Montréal (CHUM). (L.C.G., A.Y.P., N.D., Y.D., G.J., C.S., C.O.).</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>08</Month><Day>13</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Stroke</MedlineTA><NlmUniqueID>0235266</NlmUniqueID><ISSNLinking>0039-2499</ISSNLinking></MedlineJournalInfo><SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName><SupplMeshName Type="Organism" UI="C000656484">severe acute respiratory syndrome coronavirus 2</SupplMeshName></SupplMeshList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="N">Betacoronavirus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="Y">Coronavirus Infections</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019091" MajorTopicYN="Y">Critical Pathways</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008991" MajorTopicYN="N">Monitoring, Physiologic</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="Y">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="Y">Pneumonia, Viral</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011787" MajorTopicYN="Y">Quality of Health Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020521" MajorTopicYN="N">Stroke</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017131" MajorTopicYN="N">Thrombectomy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015912" MajorTopicYN="N">Thrombolytic Therapy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D057188" MajorTopicYN="N">Workflow</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>8</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>10</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>8</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32790493</ArticleId><ArticleId IdType="doi">10.1161/STROKEAHA.120.031008</ArticleId><ArticleId IdType="pmc">PMC7446994</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list></list><tree><noCountry><name sortKey="Dacier Falque, Tristan" sort="Dacier Falque, Tristan" uniqKey="Dacier Falque T" first="Tristan" last="Dacier-Falque">Tristan Dacier-Falque</name><name sortKey="Daneault, Nicole" sort="Daneault, Nicole" uniqKey="Daneault N" first="Nicole" last="Daneault">Nicole Daneault</name><name sortKey="Deschaintre, Yan" sort="Deschaintre, Yan" uniqKey="Deschaintre Y" first="Yan" last="Deschaintre">Yan Deschaintre</name><name sortKey="Gioia, Laura C" sort="Gioia, Laura C" uniqKey="Gioia L" first="Laura C" last="Gioia">Laura C. Gioia</name><name sortKey="Jacquin, Gregory" sort="Jacquin, Gregory" uniqKey="Jacquin G" first="Grégory" last="Jacquin">Grégory Jacquin</name><name sortKey="Laroche, Roxanne" sort="Laroche, Roxanne" uniqKey="Laroche R" first="Roxanne" last="Laroche">Roxanne Laroche</name><name sortKey="Odier, Celine" sort="Odier, Celine" uniqKey="Odier C" first="Celine" last="Odier">Celine Odier</name><name sortKey="Poppe, Alexandre Y" sort="Poppe, Alexandre Y" uniqKey="Poppe A" first="Alexandre Y" last="Poppe">Alexandre Y. Poppe</name><name sortKey="Sevigny, Isabelle" sort="Sevigny, Isabelle" uniqKey="Sevigny I" first="Isabelle" last="Sévigny">Isabelle Sévigny</name><name sortKey="Stapf, Christian" sort="Stapf, Christian" uniqKey="Stapf C" first="Christian" last="Stapf">Christian Stapf</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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