Academic Journal

Impact of a series of measures for optimisation hospital code stroke care on door-to-needle times

التفاصيل البيبلوغرافية
العنوان: Impact of a series of measures for optimisation hospital code stroke care on door-to-needle times
المؤلفون: H. Tejada Meza, I. Saldaña Inda, M. Serrano Ponz, J.R. Ara, J. Marta Moreno
المصدر: Neurología (English Edition), Vol 38, Iss 3, Pp 141-149 (2023)
بيانات النشر: Elsevier España, 2023.
سنة النشر: 2023
المجموعة: LCC:Neurology. Diseases of the nervous system
مصطلحات موضوعية: Accidente cerebrovascular, Ictus isquémico, Ictus agudo, Tiempo puerta-aguja, Fibrinólisis intravenosa, Neurology. Diseases of the nervous system, RC346-429
الوصف: Introduction: Time continues to be a fundamental variable in reperfusion treatments for acute ischaemic stroke. Despite the recommendations made in clinical guidelines, only around one-third of these patients receive fibrinolysis within 60 minutes. In this study, we describe our experience with the implementation of a specific protocol for patients with acute ischaemic stroke and evaluate its impact on door-to-needle times in our hospital. Methods: Measures were gradually implemented in late 2015 to shorten stroke management times and optimise the care provided to patients with acute ischaemic stroke; these measures included the creation of a specific on-call neurovascular care team. We compare stroke management times before (2013-2015) and after (2017-2019) the introduction of the protocol. Results: The study includes 182 patients attended before implementation of the protocol and 249 attended after. Once all measures were in effect, the overall median door-to-needle time was 45 minutes (vs 74 minutes before, a 39% reduction; P
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2173-5808
Relation: http://www.sciencedirect.com/science/article/pii/S2173580823000032; https://doaj.org/toc/2173-5808
DOI: 10.1016/j.nrleng.2020.07.023
URL الوصول: https://doaj.org/article/7875afe1dce74cf1ac3d7ca0df78c606
رقم الانضمام: edsdoj.7875afe1dce74cf1ac3d7ca0df78c606
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:21735808
DOI:10.1016/j.nrleng.2020.07.023