Simple In-Hospital Interventions to Reduce Door-to-CT Time in Acute Stroke

Sadeghi-Hokmabadi, E. and Taheraghdam, A. and Hashemilar, M. and Rikhtegar, R. and Mehrvar, K. and Mehrara, M. and Mirnour, R. and Hassasi, R. and Aliyar, H. and Farzi, M. and Hasaneh Tamar, S. (2016) Simple In-Hospital Interventions to Reduce Door-to-CT Time in Acute Stroke. International Journal of Vascular Medicine, 2016.

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Abstract

Background. Intravenous tissue plasminogen activator, a time dependent therapy, can reduce the morbidity and mortality of acute ischemic stroke. This study was designed to assess the effect of simple in-hospital interventions on reducing door-to-CT (DTC) time and reaching door-to-needle (DTN) time of less than 60 minutes. Methods. Before any intervention, DTC time was recorded for 213 patients over a one-year period at our center. Five simple quality-improvement interventions were implemented, namely, call notification, prioritizing patients for CT scan, prioritizing patients for lab analysis, specifying a bed for acute stroke patients, and staff education. After intervention, over a course of 44 months, DTC time was recorded for 276 patients with the stroke code. Furthermore DTN time was recorded for 106 patients who were treated with IV thrombolytic therapy. Results. The median DTC time significantly decreased in the postintervention period comparing to the preintervention period median (IQR); 20 (12-30) versus 75 (52.5-105), P < 0.001 . At the postintervention period, the median (IQR) DTN time was 55 (40-73) minutes and proportion of patients with DTN time less than 60 minutes was 62.4% (P < 0.001). Conclusion. Our interventions significantly reduced DTC time and resulted in an acceptable DTN time. These interventions are feasible in most hospitals and should be considered. © 2016 Elyar Sadeghi-Hokmabadi et al.

Item Type: Article
Additional Information: Cited By :7 Export Date: 16 February 2020 Correspondence Address: Sadeghi-Hokmabadi, E.; Neuroscience Research Center, Imam Reza Hospital, Tabriz University of Medical Science, Daneshgah Street, Iran; email: aeass@yahoo.com
Uncontrolled Keywords: alteplase adult aged Article brain ischemia cerebrovascular accident computer assisted tomography door to ct time door to needle time female fibrinolytic therapy human major clinical study male outcome assessment staff training time total quality management
Subjects: WN Radiology . Diagnostic Imaging
QZ pathology-neoplasms-Genetics
Divisions: Mashhad University of Medical Sciences
Depositing User: mr lib4 lib4
Date Deposited: 29 Feb 2020 09:25
Last Modified: 29 Feb 2020 09:25
URI: http://eprints.mums.ac.ir/id/eprint/13172

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