Transportation Time is Significantly Decreased in Acute Ischemic Stroke Patients Under Drip-and-Ship Paradigm for Thrombolysis
| Autor: | Jeong-Yeon Kim, Jae-Kwan Cha, Dae-Hyun Kim, Hyun-Wook Nah, Jin-Heon Jeong |
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| Jazyk: | English<br />Korean |
| Rok vydání: | 2018 |
| Předmět: | |
| Zdroj: | Journal of Neurocritical Care, Vol 11, Iss 2, Pp 86-92 (2018) |
| Druh dokumentu: | article |
| ISSN: | 2005-0348 2508-1349 |
| DOI: | 10.18700/jnc.180058 |
| Popis: | Background A delay of transfer for patients with acute stroke needing emergent revascularization is a huge hurdle for efficacy of revascularization. The objective of this study was to investigate changes of transportation time calculated by image to door (ITD) time (from checking brain images at first contact hospital to arriving at our emergency center) before and after 2015. Methods This study was performed in a retrospective manner from 2013 into 2017. Acute ischemic stroke (AIS) patients having intravenous thrombolysis and/or mechanical thrombectomy during the observation period were enrolled. Among them, those who had revascularization under ‘Drip-and-Ship’ or ‘Ship-and-Drip’ paradigm were selected. Results During the observation period, 225 patients were treated under ‘Drip-and-Ship’ or ‘Ship-and-Drip’ paradigm. Twenty-three were excluded due the lack of detailed data. Among 202 patients, 73 and 129 were treated under Drip-and-Ship and Ship-and-Drip paradigms, respectively. In 2013, 35 patients from 18 hospitals (median distance, 25 km) were transferred to our regional stroke center and their median ITD time was 116 minutes. It was gradually decreased after 2015. In 2017, ITD time was significantly (P |
| Databáze: | Directory of Open Access Journals |
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