Jordan Yates Matrix .docx - Running head MATRIX DOCUMENT 1 Matrix Document Jordan Yates Maryville University Evidence Based Practice MATRIX DOCUMENT

Jordan Yates Matrix .docx - Running head MATRIX DOCUMENT 1...

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Running head: MATRIX DOCUMENT Matrix Document Jordan Yates Maryville University Evidence Based Practice July 23, 2017 1
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MATRIX DOCUMENT Matrix 2
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MATRIX DOCUMENT 3 APA Citation: (Amaro, Llull, Urra, Obach, Cervera, & Chamorro, 2013). Variable and key concepts Current guidelines recommend withholding antithrombotic therapy (ATT) for at least 24 hours in patients who have suffered acute ischemic strokes that have been treated with antithrombotic therapy and this study is shooting to prove that the implementation of ATT prior to the 24 hour mark is actually more beneficial in acute ischemic stroke patients. Hypothesis was implied The research question was clearly stated in the introduction. The research question to be answered was is there more benefit in administering antithrombotic therapy (ATT) before or after 24 hours of intravenous thrombolysis? Sampling The study consisted of 172 stroke patients under the age of 81 who received rt-PA within 4.5 hours of onset of stroke symptoms and includes 33 patients who underwent a thrombectomy. For an initial study, this was enough patients but I do believe they should have allowed more than two and a half years to gather more information on more patients that undergo the same protocols. The researchers performed a retrospective analysis from a prospectively collected clinical registry of acute ischemic stroke patients who received tPA No patients dropped out due to the sample planning of this study Design and Method Retrospective research analysis Mix quantitative and qualitative study The design and method used throughout this research study was appropriate to obtain the most accurate results and to provide the best evidence to use in practice. Instruments/Data Collection Demographics, risk factors, laboratory tests, neuroimaging, concomitant therapies, clinical course, and functional outcome were prospectively collected. This data was sufficient to perform the research at hand. This information was gathered and stored in a web-based registry. They used the NIHSS score to evaluate the deficit of the stroke and other crucial assessment skills. The NIHSS is a valid tool used throughout the nation when diagnosing and treating stroke patients. Results The vessel-patency rate increased by 88% in patients who had the early implementation (before 24hrs) of ATT. The overall re-occlusion rate was very low and notably absent in this study. The results of the study were as I anticipated them to be, the earlier implementation of ATT in stroke patients is going to aid in the overall vessel-patency rate. These results make sense and achieve the goals Strengths & Limitations Strengths : The researchers set an imaging protocol to evaluate from the initial onset of stroke and throughout the therapy to see how the therapy was progressing.
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  • Spring '17
  • manuelcevallos
  • ischemic stroke

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