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 |