Protocolized emergency department observation care improves quality of ischemic stroke care in Haiti.

ABSTRACT:

Introduction

In many low-income countries, Emergency Medicine is underdeveloped and faces many operational challenges including emergency department (ED) overcrowding and prolonged patient length of stays (LOS). In high-resource settings, protocolized ED observation unit (EDOU) care reduces LOS while preserving care quality. EDOUs are untested in low-income countries. We evaluate the effect protocolized EDOU care for ischemic stroke on the quality and efficiency of care in Haiti.

Methods

We performed a prospective cohort study of protocolized observation care for ischemic stroke at a Haitian academic hospital between January 2014 and September 2015. We compared patients cared for in the EDOU using the ischemic stroke protocol (study group) to eligible patients cared for befo

SUBMITTER: Rouhani SA 

PROVIDER: S-EPMC7474244 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature