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Recommendations for Implementing the INTERACT3 CareBundle for Intracerebral Hemorrhagein Latin America: Results of a Delphi Method

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dc.contributor.authorAllende, María Ignacia
dc.contributor.authorMunoz Venturelli, Paula
dc.contributor.authorGonzález, Francisca
dc.contributor.authorBascur, Francisca
dc.contributor.authorCraig S., Anderson
dc.contributor.authorOuyang, Menglu
dc.contributor.authorCabieses, Báltica
dc.contributor.authorObach, Alexandra
dc.contributor.authorCano-Nigenda, Vanessa
dc.contributor.authorArauz, Antonio
dc.contributor.authorLATAM INTERACT3 Consensus Statement Panel
dc.date.accessioned2024-08-29T21:36:11Z
dc.date.available2024-08-29T21:36:11Z
dc.date.issued2024
dc.description.abstractIntroduction: The third Intensive Care Bundle with Blood Pressure Reduction in Acute Cerebral Hemorrhage Trial (INTERACT3) showed that the implementation of a care bundle improves outcomes after acute intracerebral hemorrhage (ICH). We aimed to establish consensus-based recommendations for the broader integration of the care bundle across Latin American countries (LAC). Methods: A 3-phase Delphi study allowed a panel of 32 healthcare workers from 14 LAC to sequentially rank statements relevant to 7 domains (training, resources/infrastructure, patient education, blood pressure, temperature, glycemic control, and anticoagulation reversal). The pre-defined consensus threshold was 75%. Results: A total of 43 statements reached consensus by the third round, with 12 new statements emerging through rounds. The highest-ranked statements in each domain emphasized critical aspects, but successful implementation requires appropriate resourcing. Key priorities were continuous training of all healthcare workers in ICH management, establishing protocols aligned with available resources, and collaborative interdisciplinary care supported by institutional networks. Statements related to anticoagulation reversal had the highest priority. Conclusions: Consensus statements are provided to facilitate integration of the INTERACT3 care bundle to reduce disparities in ICH outcomes in LAC.
dc.description.versionVersión publicada
dc.format.extent8 p.
dc.identifier.citationAllende MI, LATAM INTERACT3 Consensus Statement Panel, Muñoz-Venturelli P, González F, Bascur F, Anderson CS, Ouyang M, Cabieses B, Obach A, Cano-Nigenda V, Arauz A. Recommendations for implementing the INTERACT3 care bundle for intracerebral hemorrhage in Latin America: a Delphi study. Cerebrovascular Diseases, 2024, 1-8. DOI: 10.1159/000540038
dc.identifier.doihttps://doi.org/10.1159/000540038
dc.identifier.urihttps://hdl.handle.net/11447/9277
dc.language.isoen
dc.subjectImplementation science
dc.subjectIntracerebral hemorrhage
dc.subjectCare bundle
dc.subjectStroke
dc.subjectLatin America
dc.titleRecommendations for Implementing the INTERACT3 CareBundle for Intracerebral Hemorrhagein Latin America: Results of a Delphi Method
dc.typeArticle
dcterms.accessRightsAcceso abierto
dcterms.sourceCerebrovascular Diseases
dspace.entity.typePublication
relation.isAuthorOfPublication77bec604-0a16-4d85-aaee-734c326e253a
relation.isAuthorOfPublication3a282efd-ab86-4038-a2f5-b07ba013fb51
relation.isAuthorOfPublicationc8f522fa-58db-4828-a863-5320824be3c6
relation.isAuthorOfPublication.latestForDiscovery77bec604-0a16-4d85-aaee-734c326e253a

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