Stroke Characteristics in a Cohort of Hmong American Patients.

Background Prior studies have indicated high rates of vascular risk factors, but little is known about stroke in Hmong. Methods and Results The institutional Get With The Guidelines (GWTG) database was used to identify patients discharged with acute ischemic stroke, intracerebral hemorrhage, or subarachnoid hemorrhage between 2010 and 2019. Hmong patients were identified using clan names and primary language.

Hmong Stroke Knowledge Survey.

The Hmong are an ethnic group from Southeast Asia who migrated in large numbers to the United States after the end of the Vietnam War and are now clustered in several parts of the country, including our city. Based on a retrospective review of medical records and on our anecdotal experience, we suspected that there was a gap in stroke knowledge in our Hmong patients. This stroke knowledge survey was intended to uncover any knowledge gaps within the Hmong community before engaging in community awareness activities.

Hmong Cross-Cultural Adaptation of Stroke Educational Material.

Background: The presence of significant cultural and language barriers can affect timely, effective dissemination of stroke education for Hmong patients. Our aim was to design stroke educational material suitable for the Hmong community, using culturally sensitive strategies and patient education best practices.

Methods: We collaborated with the American Heart Association/American Stroke Association to adapt existing English educational material for use among Hmong patients.

A Successful Quality Improvement Project for Detection and Management of Acute Stroke in Hospitalized Patients.

Background: The incidence rate of stroke in hospitalized patients ranges between 2% and 17% of all strokes-a higher rate than in the community. Delays in recognition and management of stroke in hospitalized patients lead to worse outcomes. At our hospital, the existing in-hospital stroke (IHS) code showed low usage and effectiveness.

Prevention of incontinence-related skin breakdown for acute and critical care patients: comparison of two products.

Perineal protection products were compared for their efficacy in preventing skin breakdown in the hospitalized patient with urinary and/or fecal incontinence. Each product was used for the duration of the hospital stay with daily observations for perineal skin condition. Results indicated the spray product and wipe product were comparable in rate of skin breakdown prevention.