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Paryono
Universitas Negeri Malang
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Journal : Neurona

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PERAN LABELATOL DALAM MANAJEMEN HIPERTENSI EMERGENSI PADA STROKE AKUT Setyopranoto, Ismail; Gofir, Abdul; Paryono
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 41 No 5: Edisi Suplemen Neurona Bekerjasama dengan JogjaCLAN 2025
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v41i5.862

Abstract

PERAN CLINICAL PATHWAY DALAM PERAWATAN STROKE Paryono; Anindhita, Edina Ufairah; Ar Rochmah, Mawaddah
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 41 No 5: Edisi Suplemen Neurona Bekerjasama dengan JogjaCLAN 2025
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v41i5.863

Abstract

Stroke remains a leading cause of disability and mortality worldwide, demanding a comprehensive, structured, and evidence-based approach across the full continuum of care. Clinical pathways (CPs) are integrated, multidisciplinary protocols that operationalize guidelines into day-to-day practice—linking prehospital prenotification, emergency triage, acute treatment, early rehabilitation, and discharge planning. This narrative review synthesizes the rationale, design steps, core components, and clinical evidence for CP implementation in stroke care. Key pathway elements include time-critical targets (e.g., rapid brain imaging for reperfusion candidates), standardized assessments (e.g., National Institutes of Health Stroke Scale / NIHSS), complication prevention bundles (dysphagia screening, venous thromboembolism prophylaxis, glucose and temperature control), mobilization and nutrition plans, patient–caregiver education, and follow-up coordination, all embedded within audit/variance tracking for continuous quality improvement. Evidence indicates that CPs can reduce in-hospital complications, shorten length of stay, lower costs, increase documentation completeness, strengthen adherence to guidelines, and enhance patient satisfaction and team collaboration. Effects on hard clinical outcomes (mortality, long-term disability) are more variable and appear contingent on stroke-unit infrastructure, resource readiness, team training, and local adaptation. Overall, CPs remain a strategic tool within organized stroke systems, translating evidence into timely, coordinated care and supporting iterative improvements in quality and efficiency. Keywords: Clinical pathway, stroke, evidence-based medicine, multidisciplinary care, patient outcomes
Co-Authors - Sarana - Suharto Abdul Gofir Abdul Hamid, Abdul Kharim Abdul Razzaq, Abdul Rasid Abidin, Z Agung, Wahyu Agustina, Lusinta Ahmad, Baihaqi Aisyah Darti Megasari Amat Mukhadis Andre Rachmat Scabra Andri Irawan Andriyani, Asti Anindhita, Edina Ufairah Ardi Nugroho Ari Kurniarum Ariana, Septian Dwi Ashari, Rowi Astuti, Endah Widhi Ayu Adhita Damayanti Azizah Azizah Bachri, Syaeful Baiq Hilda Astriana Baiq Hilda Astriana, Baiq Hilda Baiq Naola Sazkina Putri Noor Bastian Dwi Laksono Bayu Agung Prahadika Chandrika Eka Larasati Chandrika Eka Larasati Chandrika Eka Larasati, Chandrika Eka Deliana Megawati Dewi Eka Murniati Dewi Putri Lestari, Dewi Putri Dewi, Amalia Sartika Dinda Kharisma Hafizah Dwi Maryani, Wiwik Edwin Jefri Edy Suwarto Eka Murtiasri Eko Edi Poerwanto Erwin Komara Mindarta Fendi Handika Setiawan Feri Catur Yuliani Finanta, Arnu Frandiska Eltian Gigentika, Soraya Hamzah Hamzah Hamzah, Hamzah Hana, Kharis Fadlullah Hasbullah, Lalu Hayati, Hanifah Fajarisna Himawan, Mahardika Rizki Hugo Aries Suprapto Ibadur Rahman Indarwati Indarwati Ismail Setyopranoto Isti Khotimah Itok Endirga Krissensen Jefri, Edwin Jumi, Jumi Khaldun, Muhammad Hafidz Ibnu Kholilah, Nenik Komarun Zaman Krishna Nur Rokhman Lalu Ferdi Alfarisi Murdin lestariningsih, Wiwid Lestariningsih, Wiwid Andriyani Lilia Pasca Riani Lumbessy, Salnida Yuniarti Lusiana Wulansari Lusinta Agustina M. Junaidi Mahardika Rizqi Himawan Mahendra, Putra Ivan Mardji Mardji Marji Marji Marji Marji Marji Marji Martanina, Martanina Mawaddah Ar-Rochmah Maylanda, Donna Ayu Megasari, Aisyah Darti Moch Harly Muchammad Harly Muhammad Junaidi Muhammad Nur Ali Muhammad Rusdi Muhammad Sumsanto Mukhammad Khafid Mulyono, Tedjo Murdin, Lalu Ferdi Alfarisi Nabilah, Luthfi Azmatun Najib, Moh Shofi Ainun Nanda Diniarti Naning Warih Susilowati Nella Harisa Harisa NOVITA WULANDARI Nunik Cokrowati Nur Azizah Nur Hayati Nurliah nurliah, nurliah Nyoman Widi Artha Putra Pangestu, Wiyan Dwi Partono Partono Pernodjo Dahlan Prihanto Trihutomo Putra, Nyoman Widi Artha Putri, Arnisa Putri, Elizabeth Anindya Rahfika, Rahfika Rahman, Ibadur Rahman, Rifki Zainur Ramadhan, Moch Fitrah Ratna Indriati, Ratna Rhojim Wahyudi Rosalina Rosalina Rosalinna, Rosalinna Rossa Amanda, Eka Puspita Rusdianto, Muhammad Rusmin Nuryadin Sadikin Amir Sakina, Sholihati Lathifa Salahudin Salahudin Salwa, Hanna samuel beta Samuel Beta Kuntardjo Santoso, Teguh Budi Saptono Waspodo Sarana Sarana Satiti, Sekar Sholihati Lathifa Sakina Sigit Widiyarto Silva Pradina Siswiyanti, Siswiyanti Sitti Hilyana Sitti Hilyana Soni Nopembri Soraya Gigentika Sri Sutarni Sri Wahyuni Srimulati, Triwik Subagya Subagya, Subagya Suendi, Raden Oki Suharto Suharto sukmawati, yeni Sumarli Sumarli Sumarli Sumarli, Sumarli suyatni, suyatni Syarif Suhartadi Tahir, Ahdiat Mardelaga Teguh Budisantoso Umam, Misbahul Umi S. Intansari Ida Savitri Laksanawati Witriyani . Wiwid Andriyani Lestariningsih Wulandari, Dwi Januar Zaenal Abidin Zaenuddin, Achmad Zaman, Komarun