Journal
STROKE
Volume 52, Issue 4, Pages 1511-1519Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1161/STROKEAHA.120.032268
Keywords
environment; hospitals; ischemic stroke; thrombectomy; workflow
Categories
Funding
- National Institute for Neurological Disorders and Stroke [K23NS099472]
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In this study, two experienced pediatric endovascular thrombectomy programs were reviewed to identify key design features that can enhance pediatric stroke care. These features include standardized protocols and workflows, integration with adult endovascular thrombectomy workflows, and other essential elements that can serve as a foundation for improving care in other pediatric centers.
Endovascular thrombectomy has played a major role in advancing adult stroke care and may serve a similar role in pediatric stroke care. However, there is a need to develop better evidence and infrastructure for pediatric stroke care. In this work, we review 2 experienced pediatric endovascular thrombectomy programs and examine key design features in both care environments, including a formalized protocol and workflow, integration with an adult endovascular thrombectomy workflow, simplification and automation of workflow steps, pediatric adaptations of stroke imaging, advocacy of pediatric stroke care, and collaboration between providers, among others. These essential features transcend any single hospital environment and may provide an important foundation for other pediatric centers that aim to enhance the care of children with stroke.
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