The goal of this clinical trial is to evaluate whether a multicomponent nurse-led intervention (BEST CARE ICTUS\_HC) can reduce stroke-related complications and improve recovery in adults (18 years and older) hospitalized with an acute ischemic or hemorrhagic stroke in hospitals without specialized Stroke Units. The main questions it aims to answer are:
1. Does the implementation of the program increase the early and correct detection of swallowing difficulties (dysphagia) to prevent pneumonia? 2. Does the program reduce the severity of attention problems (hemineglect) and improve the patients' quality of life up to 6 months after discharge?
Researchers will compare patients receiving the BEST CARE ICTUS\_HC program to patients receiving usual hospital care to see if this new approach improves patient safety and long-term functional recovery.
Participants will:
* Receive either the usual hospital care for stroke or the BEST CARE ICTUS\_HC nursing program, depending on the study phase of the hospital. * Be screened for swallowing problems using a standardized test before receiving any food or drink. * Be cared for in an adapted environment (FLECHA Project) that uses visual signs and room organization to help with orientation and safety. * Have their temperature, blood sugar, and blood pressure monitored under a strict specialized protocol. * Be contacted by phone 30 days and 6 months after leaving the hospital to answer questions about their health and quality of life.
Patients aged 18 years or older.
Clinical diagnosis of acute ischemic or hemorrhagic stroke.
Admission to conventional hospitalization units (Internal Medicine) in regional hospitals without specialized Stroke Units.
Patients admitted for a cause other than stroke who develop a stroke during their hospital stay (in-hospital stroke).
Patients subjected to invasive neurological procedures.
Patients undergoing invasive procedures, such as thrombectomy, who require transfer to a referral hospital and remain there for more than 48 hours.
Patients with deterioration of the level of consciousness that prevents the performance of dysphagia testing.
University of Malaga
Lead sponsor
Instituto de Salud Carlos III
Collaborator
Fundación Pública Andaluza para la Investigación de Málaga en Biomedicina y Salud
Collaborator
Andalusian Health Service
Collaborator