Elkin Kenneth, Khan Usama, Hussain Mohammed, Ding Yuchuan
Department of Neurosurgery, Wayne State University School of Medicine, Detroit, Michigan, USA.
Department of Neurology, University of Connecticut, Farmington, CT, USA.
Brain Circ. 2019 Apr-Jun;5(2):84-89. doi: 10.4103/bc.bc_11_19. Epub 2019 Jun 27.
Stroke is the leading cause of adult disability in the US. Rapid diagnosis and treatment of stroke, in addition to efficacious rehabilitation, is invaluable. The present review aims to report the recent improvements in hybrid operating rooms (hybrid ORs), and in the organization of Neurological intensive care unit (NICUs) and dedicated stroke wards (SWs), which contribute to enhanced stroke treatment. A PubMed literature review was conducted in addition to the collection of other online media releases regarding recent organizational advances in stroke care. PubMed keywords included but were not limited to "neurological intensive care unit," "hybrid operating room," and "stroke ward," while all other online information regarding recent advances in the physical organization was selected and synthesized in accord with its relevance. The current research indicates that hybrid ORs facilitate surgical innovation and improved patient care through the colocation of advanced imaging modalities and surgical capabilities. Moreover, the recent reorganization of NICUs and SWs may lead to better-quality initial treatment and rehabilitation. The present review also considers the current ER triage protocol for stroke patients, and it concludes with relevant considerations relating to the role of the physical hospital structure and organization in stroke care.
中风是美国成年人残疾的主要原因。除了有效的康复治疗外，中风的快速诊断和治疗也非常重要。本综述旨在报告混合手术室（hybrid ORs）、神经重症监护病房（NICUs）和专门的中风病房（SWs）在组织方面的最新进展，这些进展有助于提高中风治疗水平。除了收集其他有关中风护理近期组织进展的在线媒体报道外，还进行了PubMed文献综述。PubMed关键词包括但不限于“神经重症监护病房”、“混合手术室”和“中风病房”，而所有其他有关近期物理组织进展的在线信息则根据其相关性进行选择和综合。目前的研究表明，混合手术室通过将先进的成像模式和手术能力并置，促进了手术创新并改善了患者护理。此外，最近对神经重症监护病房和中风病房的重组可能会带来更高质量的初始治疗和康复。本综述还考虑了目前针对中风患者的急诊分诊方案，并以与实体医院结构和组织在中风护理中的作用相关的考虑作为结尾。
