{"id":"https://openalex.org/W4406992562","doi":"https://doi.org/10.1161/str.56.suppl_1.tmp15","title":"Abstract TMP15: Stroke Nurse Navigator Structured Phone Call Protocol to Improve Transitions of Care After Stroke","display_name":"Abstract TMP15: Stroke Nurse Navigator Structured Phone Call Protocol to Improve Transitions of Care After Stroke","publication_year":2025,"publication_date":"2025-01-30","ids":{"openalex":"https://openalex.org/W4406992562","doi":"https://doi.org/10.1161/str.56.suppl_1.tmp15"},"language":"en","primary_location":{"id":"doi:10.1161/str.56.suppl_1.tmp15","doi":"https://doi.org/10.1161/str.56.suppl_1.tmp15","is_oa":false,"landing_page_url":"https://doi.org/10.1161/str.56.suppl_1.tmp15","pdf_url":null,"source":{"id":"https://openalex.org/S62532593","display_name":"Stroke","issn_l":"0039-2499","issn":["0039-2499","1524-4628"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Stroke","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","is_traditional":false,"indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5005131791","display_name":"Katelyn Skeels","orcid":"https://orcid.org/0009-0000-4952-0726","observed_orcids":["https://orcid.org/0009-0000-4952-0726"]},"institutions":[{"id":"https://openalex.org/I1290900354","display_name":"Tufts Medical Center","ror":"https://ror.org/002hsbm82","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1290900354"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Katelyn Skeels","raw_affiliation_strings":["Tufts Medical Center, Boston, Massachusetts, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Tufts Medical Center, Boston, Massachusetts, United States","institution_ids":["https://openalex.org/I1290900354"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5116088228","display_name":"Lorna Caffrey","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1290900354","display_name":"Tufts Medical Center","ror":"https://ror.org/002hsbm82","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1290900354"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Lorna Caffrey","raw_affiliation_strings":["Tufts Medical Center, Stroke Center, Boston, Massachusetts, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Tufts Medical Center, Stroke Center, Boston, Massachusetts, United States","institution_ids":["https://openalex.org/I1290900354"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5104162261","display_name":"Sarah Kendall","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1290900354","display_name":"Tufts Medical Center","ror":"https://ror.org/002hsbm82","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1290900354"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sarah Kendall","raw_affiliation_strings":["Tufts Medical Center, Boston, Massachusetts, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Tufts Medical Center, Boston, Massachusetts, United States","institution_ids":["https://openalex.org/I1290900354"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5004334483","display_name":"Lester Y. Leung","orcid":"https://orcid.org/0000-0002-5027-7740","observed_orcids":["https://orcid.org/0000-0002-5027-7740"]},"institutions":[{"id":"https://openalex.org/I1290900354","display_name":"Tufts Medical Center","ror":"https://ror.org/002hsbm82","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1290900354"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Lester Leung","raw_affiliation_strings":["Tufts Medical Center, Boston, Massachusetts, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Tufts Medical Center, Boston, Massachusetts, United States","institution_ids":["https://openalex.org/I1290900354"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I1290900354"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"56","issue":"Suppl_1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10227","display_name":"Acute Ischemic Stroke Management","score":0.4140999913215637,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10227","display_name":"Acute Ischemic Stroke Management","score":0.4140999913215637,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13111","display_name":"Nursing care and research","score":0.11540000140666962,"subfield":{"id":"https://openalex.org/subfields/2922","display_name":"Research and Theory"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10510","display_name":"Stroke Rehabilitation and Recovery","score":0.10209999978542328,"subfield":{"id":"https://openalex.org/subfields/2742","display_name":"Rehabilitation"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/care-transitions","display_name":"care transitions","score":0.9589999914169312},{"id":"https://openalex.org/keywords/secondary-stroke-prevention","display_name":"secondary stroke prevention","score":0.9070000052452087},{"id":"https://openalex.org/keywords/treatment-adherence","display_name":"medication adherence","score":0.9739999771118164},{"id":"https://openalex.org/keywords/stroke-education","display_name":"stroke education","score":0.5680000185966492},{"id":"https://openalex.org/keywords/stroke-rehabilitation","display_name":"stroke rehabilitation","score":0.34599998593330383},{"id":"https://openalex.org/keywords/comprehensive-stroke-center","display_name":"comprehensive stroke center","score":0.5979999899864197},{"id":"https://openalex.org/keywords/ischemic-stroke","display_name":"ischemic stroke","score":0.6370000243186951},{"id":"https://openalex.org/keywords/hemorrhagic-stroke","display_name":"hemorrhagic stroke","score":0.7960000038146973},{"id":"https://openalex.org/keywords/transient-ischemic-attack","display_name":"transient ischemic attack","score":0.8769999742507935},{"id":"https://openalex.org/keywords/caregiver-involvement","display_name":"caregiver involvement","score":0.3869999945163727},{"id":"https://openalex.org/keywords/hospital-readmission","display_name":"hospital readmission","score":0.4169999957084656}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9570106863975525},{"id":"https://openalex.org/C2780645631","wikidata":"https://www.wikidata.org/wiki/Q671554","display_name":"Stroke (engine)","level":2,"score":0.8092814683914185},{"id":"https://openalex.org/C2780385302","wikidata":"https://www.wikidata.org/wiki/Q367158","display_name":"Protocol (science)","level":3,"score":0.5538960099220276},{"id":"https://openalex.org/C2778707766","wikidata":"https://www.wikidata.org/wiki/Q202064","display_name":"Phone","level":2,"score":0.5346360206604004},{"id":"https://openalex.org/C3020166492","wikidata":"https://www.wikidata.org/wiki/Q12202","display_name":"Acute stroke","level":3,"score":0.4755518138408661},{"id":"https://openalex.org/C2776361831","wikidata":"https://www.wikidata.org/wiki/Q10681911","display_name":"Stroke recovery","level":3,"score":0.4385015368461609},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.4320130944252014},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3379064202308655},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3364703059196472},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.30209383368492126},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.1346079707145691},{"id":"https://openalex.org/C2778818304","wikidata":"https://www.wikidata.org/wiki/Q1819478","display_name":"Rehabilitation","level":2,"score":0.12689131498336792},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.12472420930862427},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C41895202","wikidata":"https://www.wikidata.org/wiki/Q8162","display_name":"Linguistics","level":1,"score":0.0},{"id":"https://openalex.org/C78519656","wikidata":"https://www.wikidata.org/wiki/Q101333","display_name":"Mechanical engineering","level":1,"score":0.0},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1161/str.56.suppl_1.tmp15","doi":"https://doi.org/10.1161/str.56.suppl_1.tmp15","is_oa":false,"landing_page_url":"https://doi.org/10.1161/str.56.suppl_1.tmp15","pdf_url":null,"source":{"id":"https://openalex.org/S62532593","display_name":"Stroke","issn_l":"0039-2499","issn":["0039-2499","1524-4628"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Stroke","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.98580002784729}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2897493889","https://openalex.org/W2897313256","https://openalex.org/W3006098159","https://openalex.org/W3012115858","https://openalex.org/W7126108574","https://openalex.org/W2896691193","https://openalex.org/W3044681165","https://openalex.org/W2734831377","https://openalex.org/W4391438950","https://openalex.org/W7126026323"],"abstract_inverted_index":{"Background:":[0],"After":[1,252],"discharge":[2,189],"can":[3,146],"be":[4,147,330],"a":[5,71,77,90,155,288,314,345],"vulnerable":[6,216],"time":[7,195,200],"for":[8,209,307,354],"stroke":[9,63,84,114,210,242,277,321,355],"patients":[10,125,145,186,222,356],"and":[11,45,60,64,89,118,133,165,174,179,212,228,245,262,325,341,347],"their":[12],"caregivers.":[13],"Nurse":[14,29,73],"navigators":[15,30],"have":[16,344],"been":[17],"utilized":[18],"in":[19,23,160],"other":[20],"specialties":[21],"resulting":[22],"positive":[24],"impacts":[25],"on":[26,205,247,319],"patient":[27,43,98,180,297,302],"care.":[28,361],"are":[31,182,272,293],"becoming":[32],"an":[33],"important":[34],"part":[35],"of":[36,110,188,313,352,360],"Stroke":[37,51,72,79,120,169,176,253,326],"Center":[38,52,80],"teams.":[39],"Responsibilities":[40],"vary,":[41],"including":[42,129],"education":[44,85],"post-discharge":[46,56,92,136,159,316,348],"phone":[47,93,137],"calls.":[48],"A":[49,249],"Primary":[50],"found":[53],"nurse":[54],"navigator":[55],"calls":[57,138,192,224,349],"improved":[58],"follow-up":[59],"decreased":[61],"30-day":[62],"all":[65],"cause":[66],"readmissions.":[67],"Purpose:":[68],"To":[69],"implement":[70],"Navigator":[74],"(SNN)":[75],"at":[76,149,193,225,266,281],"Comprehensive":[78],"(CSC),":[81],"providing":[82],"in-person":[83],"during":[86],"the":[87,97,140,162,167,233,237,240,267,275,284,296,301],"hospitalization":[88],"structured":[91,315],"call":[94,156,199,317],"protocol":[95,318],"with":[96,127,295],"and/or":[99],"caregiver.":[100],"The":[101,198,311],"goal":[102],"is":[103,264,290,303,339],"to":[104,213,257,274,279,305,335,343,357],"connect":[105],"care":[106,353],"settings,":[107],"improve":[108,112,358],"transitions":[109,359],"care,":[111],"secondary":[113,320],"prevention":[115,322],"medication":[116,323],"adherence,":[117],"increase":[119],"Clinic":[121,170,327],"follow-up.":[122,282],"Methods:":[123],"All":[124,185],"discharged":[126,152],"stroke,":[128],"TIA,":[130],"AIS,":[131],"ICH,":[132],"SAH":[134],"receive":[135,154,191,223],"by":[139],"SNN.":[141],"Additional":[142],"high":[143],"risk":[144,243],"added":[148],"discretion.":[150],"Patients":[151],"home":[153],"within":[157],"7":[158],"which":[161],"SNN":[163,238,346],"reviews":[164,239],"verifies":[166],"patient\u2019s":[168,241],"follow-up,":[171],"outpatient":[172,276],"testing,":[173],"medications.":[175],"symptom":[177],"recognition":[178],"concerns":[181],"also":[183],"discussed.":[184],"regardless":[187],"disposition":[190],"various":[194],"points":[196,201,217],"post-discharge.":[197,231],"were":[202],"determined":[203],"based":[204],"predictive":[206],"recovery":[207],"curves":[208],"subtypes":[211],"anticipate":[214],"potential":[215],"after":[218],"discharge;":[219],"e.g.":[220],"AIS":[221],"30,":[226],"60,":[227],"90":[229],"days":[230],"For":[232],"30":[234],"day":[235,269,286],"call,":[236,287],"factors":[244],"educates":[246],"interventions.":[248],"Late":[250],"Complications":[251],"(LCAS)":[254],"screening":[255],"tool":[256],"identify":[258],"complications,":[259],"like":[260],"depression":[261],"headaches":[263],"completed":[265,294],"60/90":[268],"call.":[270],"Concerns":[271],"communicated":[273],"clinician":[278],"address":[280],"During":[283],"90/180":[285],"mRS":[289],"completed.":[291],"Calls":[292],"or":[298],"caregiver":[299],"if":[300],"unable":[304],"participate":[306],"any":[308],"reason.":[309],"Discussion:":[310],"impact":[312],"adherence":[324],"retention":[328],"will":[329],"evaluated.":[331],"This":[332],"initiative":[333],"aims":[334],"prove":[336],"that":[337],"it":[338],"feasible":[340],"beneficial":[342],"as":[350],"standard":[351]},"counts_by_year":[],"updated_date":"2026-09-21T07:43:02.447757","created_date":"2025-01-31T00:00:00"}
