Prehospital notification can effectively reduce in-hospital delay for thrombolysis in acute stroke

Sadeghi-Hokmabadi, E. and Farhoudi, M. and Taheraghdam, A. and Rikhtegar, R. and Ghafouri, R. R. and Asadi, R. and Far, E. M. and Ghaemian, N. and Mehrara, M. and Mirnour, R. (2018) Prehospital notification can effectively reduce in-hospital delay for thrombolysis in acute stroke. Future Neurology, 13 (1). pp. 5-11.

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Abstract

Aim: To reduce in-hospital intervals by developing a prehospital notification (PHN) protocol which directly notifies a neurologist to prepare for possible treatment. Methods: A 24/7 connection was established between emergency medical services dispatch and the on-call neurologist. A database of all patients with in-hospital stroke code activation was developed, door-to-computed tomography (CT) time and door-to-needle time was recorded from January 2013 to December 2016. The statistical results were considered significant at p < 0.05. Result: PHN resulted in a significant reduction in door-to-CT time (median 14 vs 20; p < 0.001). Among patients who were treated with intravenous thrombolysis, door-to-needle time was significantly shorter in patients with PHN compared with non-PHN group (median 42 vs 70; p < 0.001). Conclusion: PHN effectively reduced door-to-CT and door-to-needle times. © 2018 2018 Reshad Mirnour.

Item Type: Article
Additional Information: Cited By :1 Export Date: 16 February 2020 Correspondence Address: Sadeghi-Hokmabadi, E.; Neurosciences Research Center (NSRC), Neurology Department, Imam Reza Hospital, Tabriz University of Medical SciencesIran; email: aeass@yahoo.com
Uncontrolled Keywords: door-to-CT door-to-needle golden hour in-hospital delay prehospital notification stroke stroke code stroke outcome symptom onset thrombolysis alteplase adult aged Article cerebrovascular accident Cincinnati stroke scale computer assisted tomography controlled study emergency care emergency medical dispatch female fibrinolytic therapy human Iran major clinical study male National Institutes of Health Stroke Scale neurologic disease assessment neurologist priority journal rescue personnel time to treatment university hospital
Subjects: WH Hemic and Lymphatic System
WL Nervous system
Divisions: Mashhad University of Medical Sciences
Depositing User: lib2 lib2 lib2
Date Deposited: 05 May 2020 03:32
Last Modified: 05 May 2020 03:32
URI: http://eprints.mums.ac.ir/id/eprint/17502

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