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Your search keyword '"Berg-Vos, R.M. van den"' showing total 3 results
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3 results on '"Berg-Vos, R.M. van den"'

2. Experiences with information provision and preferences for decision making of patients with acute stroke

Author

Prick, J.C.M., Zonjee, V.J., Schaik, S.M. van, Dahmen, R., Garvelink, M.M., Brouwers, P., Saxena, R., Keus, S.H., Deijle, I.A., Uden-Kraan, C.F. van, Wees, P.J. van der, Berg-Vos, R.M. van den, Prick, J.C.M., Zonjee, V.J., Schaik, S.M. van, Dahmen, R., Garvelink, M.M., Brouwers, P., Saxena, R., Keus, S.H., Deijle, I.A., Uden-Kraan, C.F. van, Wees, P.J. van der, and Berg-Vos, R.M. van den

Abstract

Contains fulltext : 251103.pdf (Publisher’s version ) (Open Access), OBJECTIVE: The aim of this study was to gain insight into experiences of patients with acute stroke regarding information provision and their preferred involvement in decision-making processes during the initial period of hospitalisation. METHODS: A sequential explanatory design was used in two independent cohorts of patients with stroke, starting with a survey after discharge from hospital (cohort 1) followed by observations and structured interviews during hospitalisation (cohort 2). Quantitative data were analysed descriptively. RESULTS: In total, 72 patients participated in this study (52 in cohort 1 and 20 in cohort 2). During hospitalisation, the majority of the patients were educated about acute stroke and their treatment. Approximately half of the patients preferred to have an active role in the decision-making process, whereas only 21% reported to be actively involved. In cohort 2, 60% of the patients considered themselves capable to carefully consider treatment options. CONCLUSIONS: Active involvement in the acute decision-making process is preferred by approximately half of the patients with acute stroke and most of them consider themselves capable of doing so. However, they experience a limited degree of actual involvement. PRACTICE IMPLICATIONS: Physicians can facilitate patient engagement by explicitly emphasising when a decision has to be made in which the patient's opinion is important.

Published
2022

3. Triage of stroke patients in the chain of acute stroke care

Author

Nguyen, T.T.M., Wermer, M.J.H., Kruyt, N.D., Hertog, H.M. den, Quax, P.H.A., Chavannes, N.H., Groot, B. de, Berg-Vos, R.M. van den, Laat, K.F. de, and Leiden University

Subjects
Prediction scales, Large anterior vessel occlusion, Stroke biomarker, Hyperglycemia, Prehospital triage, Acute stroke, Intracranial hemorrhage, Endovascular treatment, cardiovascular diseases, Diagnostic accuracy, Intravenous thrombolysis
Abstract

By advancing existing stroke triage systems, diagnosis and timely access of stroke patients to specialized care can be improved, which in turn can have a tremendous impact on current clinical practice. The overall aim of this thesis was to assess various ways to improve stroke triage in the chain of acute stroke. To begin with patient triage by assessing the patient’s entrance into the chain of acute stroke care (Part I). To improve patient triage, the focus should be to directly involve the ambulance once stroke is suspected. In Part II, prehospital triage tools to improve patient selection in the ambulance are identified en validated. Prehospital triage tools that can help identify patients who are more likely to have large anterior vessel occlusion or can differentiate between patients with acute ischemic stroke and intracerebral hemorrhage, will improve patient selection in the ambulance and thereby result in earlier initiation of endovascular treatment, thereby improving patient outcomes. In the last part (Part III), in-hospital factors are investigated that are known to have an adverse effect on patient outcome in the final part of the chain of acute stroke care, as continued efforts need to be made to further reduce in-hospital delays.

Published
2022

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