028 Delayed CT imaging leading to delays in acute stroke management in regional australia

Autor:	Toni M Wonson, Udit Nindra, Karen Fuller
Rok vydání:	2019
Předmět:	medicine.medical_specialty Referral business.industry medicine.medical_treatment Thrombolysis Positive correlation Positive patient Arrival time Early initiation Psychiatry and Mental health Emergency medicine medicine Surgery Neurology (clinical) Ct imaging business Acute stroke
Zdroj:	Journal of Neurology, Neurosurgery & Psychiatry. 90:A10.2-A10
ISSN:	1468-330X 0022-3050
Popis:	IntroductionUrgent CT imaging is crucial for acute stroke management to allow for timely thrombolysis and early referral to a peripheral endovascular thrombectomy (ECR) service. Delays in CT imaging are suspected to correlate with lengthening door-to-needle time (DNT) and arrival-to-referral time (ART) in regional Australia.Methods and resultsWe retrospectively analysed 656 acute stroke admissions between 2016 and 2018 to determine mean DNT and ART in addition to influencing factors such as age, gender, onset to arrival time & baseline National Institute of Health Stroke Scale (NIHSS) score. Over 3 years, 70 patients underwent thrombolysis and 56 ECR. The mean DNT was 108 minutes with mean arrival to CT time of 30 minutes. Multiple linear regression displayed a positive correlation between arrival to CT time and DNT (pConclusionsIt is known that early initiation of both thrombolysis and ECR are associated with positive patient outcomes. There is a need to reduce time taken to complete CT imaging in regional Australia, as it is clearly shown to be associated with lengthened time for treatment initiation and timely referral. Reduction in this arrival to CT time will likely improve patient outcomes.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::96cc84a044d8174bc0162b9ce6522410 https://doi.org/10.1136/jnnp-2019-anzan.27 Zobrazit plný text záznamu