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Physiological Variability during Prehospital Stroke Care: Which Monitoring and Interventions Are Used?
Healthcare (Basel). 2024 Apr 15;12(8):835
ABSTRACT
Prehospital care for stroke is crucial for quick diagnosis and management. This review looks at how monitoring and interventions for physiological parameters in stroke patients can be improved to enhance outcomes.
- The review included 19 studies and focused on two main areas: physiological monitoring and pharmacological therapy.
- Physiological monitoring studies found that high blood pressure was linked to larger hematoma volume in intracerebral hemorrhage and increased risk of early neurological deterioration.
- Reduced prehospital heart rate variability was associated with unfavorable clinical outcomes.
- Pharmacological therapy studies showed that blood pressure-lowering interventions were successful, but evidence of their benefit to clinical outcomes is limited.
- Studies on the use of oxygen and magnesium sulfate as neuroprotective agents did not show improvement in patient outcomes.
This review emphasizes the need for continuous physiological parameter monitoring and provides recommendations for future work to enhance stroke patient outcomes.
PMID:38667597 | DOI:10.3390/healthcare12080835
Authors: Abdulaziz Alshehri
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