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Simple In-Hospital Interventions to Reduce Door-to-CT Time in Acute Stroke
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 o...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4958441/ https://www.ncbi.nlm.nih.gov/pubmed/27478641 http://dx.doi.org/10.1155/2016/1656212 |
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author | Sadeghi-Hokmabadi, Elyar Taheraghdam, Aliakbar Hashemilar, Mazyar Rikhtegar, Reza Mehrvar, Kaveh Mehrara, Mehrdad Mirnour, Reshad Hassasi, Rogayyeh Aliyar, Hannane Farzi, Mohammadamin Hasaneh Tamar, Somayyeh |
author_facet | Sadeghi-Hokmabadi, Elyar Taheraghdam, Aliakbar Hashemilar, Mazyar Rikhtegar, Reza Mehrvar, Kaveh Mehrara, Mehrdad Mirnour, Reshad Hassasi, Rogayyeh Aliyar, Hannane Farzi, Mohammadamin Hasaneh Tamar, Somayyeh |
author_sort | Sadeghi-Hokmabadi, Elyar |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-4958441 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-49584412016-07-31 Simple In-Hospital Interventions to Reduce Door-to-CT Time in Acute Stroke Sadeghi-Hokmabadi, Elyar Taheraghdam, Aliakbar Hashemilar, Mazyar Rikhtegar, Reza Mehrvar, Kaveh Mehrara, Mehrdad Mirnour, Reshad Hassasi, Rogayyeh Aliyar, Hannane Farzi, Mohammadamin Hasaneh Tamar, Somayyeh Int J Vasc Med Research Article 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. Hindawi Publishing Corporation 2016 2016-07-10 /pmc/articles/PMC4958441/ /pubmed/27478641 http://dx.doi.org/10.1155/2016/1656212 Text en Copyright © 2016 Elyar Sadeghi-Hokmabadi et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Sadeghi-Hokmabadi, Elyar Taheraghdam, Aliakbar Hashemilar, Mazyar Rikhtegar, Reza Mehrvar, Kaveh Mehrara, Mehrdad Mirnour, Reshad Hassasi, Rogayyeh Aliyar, Hannane Farzi, Mohammadamin Hasaneh Tamar, Somayyeh Simple In-Hospital Interventions to Reduce Door-to-CT Time in Acute Stroke |
title | Simple In-Hospital Interventions to Reduce Door-to-CT Time in Acute Stroke |
title_full | Simple In-Hospital Interventions to Reduce Door-to-CT Time in Acute Stroke |
title_fullStr | Simple In-Hospital Interventions to Reduce Door-to-CT Time in Acute Stroke |
title_full_unstemmed | Simple In-Hospital Interventions to Reduce Door-to-CT Time in Acute Stroke |
title_short | Simple In-Hospital Interventions to Reduce Door-to-CT Time in Acute Stroke |
title_sort | simple in-hospital interventions to reduce door-to-ct time in acute stroke |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4958441/ https://www.ncbi.nlm.nih.gov/pubmed/27478641 http://dx.doi.org/10.1155/2016/1656212 |
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