Article type
Abstract
Title:
Development of Rapid Recommendation: Necessity of ICU stay in patients with stroke and TIA.
Background:
In the Czech Republic, significant heterogeneity exists among its 13 complex cardiovascular centers regarding the provision of ICU care during the acute phase of stroke/TIA. These variations may lead to different mortality rates and outcomes. We identified the heterogeneity within national Diagnosis-related group analyses, and the executive board of the National Institute for Quality and Excellence in Healthcare (NIKEZ) prioritized this topic.
Aims/purpose:
This work aims to create a Rapid Recommendation regarding the ICU stay in patients with stroke/TIA, providing clear and evidence-based recommendations for management. The goal is to improve the quality and equity of healthcare services in the Czech Republic.
Methods:
The development of the Rapid Recommendation followed GRADE-ADOLOPMENT principles and was guided by the national methodological guide for the development of guidelines and rapid recommendations. The process included a comprehensive search strategy, the formation of a guideline development group, and a structured workflow.
Results:
A thorough systematic search across various databases revealed 847 systematic reviews, of which only 20 were found to be relevant to our study. One systematic review specifically targeted the identification of all relevant guidelines. From this review, we identified three relevant guidelines for our use, including two NICE guidelines and one Australian and New Zealand stroke foundation guideline. These guidelines, along with the systematic reviews, provided sufficient evidence supporting the necessity of ICU stay in patients with stroke and TIA. The Rapid Recommendation, developed following GRADE principles, strongly recommends a minimum 24-48 hour ICU stay for these patients, with a moderate level of certainty in the evidence.
Conclusion:
The successful creation of the Rapid Recommendation represents a critical step toward standardizing care practices. The next phases involve the dissemination, implementation, and the development of relevant quality indicators to assess the impact on healthcare improvement.
Contact person:
Vlasta Křenková
vlasta.krenkova@uzis.cz
phone: 00420735588319
Development of Rapid Recommendation: Necessity of ICU stay in patients with stroke and TIA.
Background:
In the Czech Republic, significant heterogeneity exists among its 13 complex cardiovascular centers regarding the provision of ICU care during the acute phase of stroke/TIA. These variations may lead to different mortality rates and outcomes. We identified the heterogeneity within national Diagnosis-related group analyses, and the executive board of the National Institute for Quality and Excellence in Healthcare (NIKEZ) prioritized this topic.
Aims/purpose:
This work aims to create a Rapid Recommendation regarding the ICU stay in patients with stroke/TIA, providing clear and evidence-based recommendations for management. The goal is to improve the quality and equity of healthcare services in the Czech Republic.
Methods:
The development of the Rapid Recommendation followed GRADE-ADOLOPMENT principles and was guided by the national methodological guide for the development of guidelines and rapid recommendations. The process included a comprehensive search strategy, the formation of a guideline development group, and a structured workflow.
Results:
A thorough systematic search across various databases revealed 847 systematic reviews, of which only 20 were found to be relevant to our study. One systematic review specifically targeted the identification of all relevant guidelines. From this review, we identified three relevant guidelines for our use, including two NICE guidelines and one Australian and New Zealand stroke foundation guideline. These guidelines, along with the systematic reviews, provided sufficient evidence supporting the necessity of ICU stay in patients with stroke and TIA. The Rapid Recommendation, developed following GRADE principles, strongly recommends a minimum 24-48 hour ICU stay for these patients, with a moderate level of certainty in the evidence.
Conclusion:
The successful creation of the Rapid Recommendation represents a critical step toward standardizing care practices. The next phases involve the dissemination, implementation, and the development of relevant quality indicators to assess the impact on healthcare improvement.
Contact person:
Vlasta Křenková
vlasta.krenkova@uzis.cz
phone: 00420735588319