| Autor: |
H, Tejada Meza, I, Saldaña Inda, M, Serrano Ponz, J R, Ara, J, Marta Moreno |
| Rok vydání: |
2020 |
| Zdroj: |
Neurologia (Barcelona, Spain). |
| ISSN: |
2173-5808 |
| Popis: |
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 60minutes. 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.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.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 45minutes (vs 74 minutes before, a 39% reduction; P.001), with 73.5% of patients treated within 60minutes (a 47% increase; P.001). Median overall time to treatment (onset-to-needle time) was reduced by 20minutes (P.001).The measures included in our protocol achieved a significant, sustained reduction in door-to-needle times, although there remains room for improvement. The mechanisms established for monitoring outcomes and for continuous improvement will enable further advances in this regard. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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