The Effect of Implementing Initial Emergency Care Bundle on Early Outcomes among Acute Ischemic Stroke Patients

Wahdan Abd El-Aziz, Wafaa; A. Al-Metyazidy, Heba; Elsayed  Mansour, Hend; M. Weheida, Soheir

doi:10.21608/ejhc.2021.138795

The Effect of Implementing Initial Emergency Care Bundle on Early Outcomes among Acute Ischemic Stroke Patients

Document Type : Original Article

Authors

¹ lecturers of Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura University, Egypt

² Assistant Prof of Critical Care Nursing, Faculty of Nursing, Tanta University, Egypt

³ Prof of Medical Surgical Nursing, Faculty of Nursing, Alexandria University, Egypt and lecturers of Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura University, Egypt

10.21608/ejhc.2021.138795

Abstract

Implementing an initial emergency care bundle for acute stroke patients bridges the gap < /div>
between evidence-based and clinical practice to improve patients outcomes. Aim: To
evaluate the effect of implementing the initial emergency care bundle on early outcomes
among acute stroke patients. Setting: This study was conducted at the emergency
department and neurocritical care unit at Mansoura University Hospital, Egypt. Method:
An experimental research design was utilized in this study. A random sample of 120 adults
patient with acute stroke was selected and divided into two equal groups of 60 patients in
each group. Two tools were utilized to collect data: Tool (I): Tool I: Stroke patient
assessment. Tool II: Stroke patients' outcomes assessment. Results: It was noticed that
nearly one-third (30.0%) of patients of the control group were died compared to only
11.7% of the study group during 7 days post-admission to the intensive care unit. Also,
there were highly statistically significant improvements among patients of both control and
study groups regarding patient outcomes which include physiological parameters, pre
feeding assessment, hydration status, and activity level on admission, 3 days, and 7 days
following implementation of stroke care bundle. Conclusions: Acute stroke patients who
received the initial emergency care bundle had a statistically significant reduction in
mortality rate, higher independency, and normal pre-feeding assessment compared to those
who receive routine care on admission, 3 days, and 7 days post-admission
Recommendations: The recent evidence-based practice should be integrated into the
management of acute stroke patients to improve the patients' outcomes.

Keywords