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May 2, 2026Brain SciencesOpen Access

Differences in Nursing Complexity and Intensity Across Stroke Subtypes: A Retrospective Study Using Standardized Nursing Language

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Authors

MCManuele CesareAFAugusto FuscoGDGianfranco Damiani

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Overview

Retrospective study reveals significant differences in nursing complexity and intensity across stroke types, indicating varied patient care needs.

Key Points

  • This study aims to determine how nursing complexity and intensity vary among different stroke subtypes using standardized nursing language.
  • Retrospective analysis of nursing and administrative data from an acute care hospital.
  • Classified hospitalizations as ischemic stroke, hemorrhagic stroke, or TIA using ICD-9-CM codes.
  • Measured nursing complexity by documented nursing diagnoses and nursing intensity by recorded nursing actions; analyzed data using ANOVA and Kruskal–Wallis tests.
  • Total of 728 hospitalizations included: 429 ischemic strokes, 236 hemorrhagic strokes, 63 TIAs.
  • Nursing diagnoses differed significantly (F = 5.81, p = 0.003), with TIA showing lower counts than ischemic and hemorrhagic strokes.
  • Nursing actions also differed significantly (H = 16.73, p < 0.001), highest in hemorrhagic stroke and lowest in TIA.

Cite This Study

Cesare et al. (2026) studied this question.

synapsesocial.com/papers/69f594e171405d493afffb7ehttps://doi.org/10.3390/brainsci16050471
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Guidelines for the Early Management of Patients With Acute Ischemic Stroke: 2019 Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association2019 · 7,561 citations
  2. 2An Updated Definition of Stroke for the 21st Century2013 · 3,576 citations
  3. 3Global, regional, and national burden of stroke and its risk factors, 1990–2019: a systematic analysis for the Global Burden of Disease Study 20192021 · 8,073 citations
  4. 4Discrimination of ischemic versus hemorrhagic stroke type by presenting symptoms or signs: A systematic review and meta-analysis2025 · 7 citations
  5. 5Trajectory patterns and influencing factors of supportive care needs in stroke patients: A longitudinal study2024 · 13 citations