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Prehospital Notification Using a Mobile Application Can Improve Regional Stroke Care System in a Metropolitan Area

BACKGROUND: Acute ischemic stroke is a time-sensitive disease. Emergency medical service (EMS) prehospital notification of potential patients with stroke could play an important role in improving the in-hospital medical response and timely treatment of patients with acute ischemic stroke. We analyze...

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Autores principales: Lee, Sang-Hun, Ryoo, Hyun Wook, Jin, Sang-Chan, Ahn, Jae Yun, Sohn, Sung-Il, Hwang, Yang-Ha, Do, Youngrok, Lee, Yoon-Soo, Kim, Jung Ho
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Academy of Medical Sciences 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8668497/
https://www.ncbi.nlm.nih.gov/pubmed/34904406
http://dx.doi.org/10.3346/jkms.2021.36.e327
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author Lee, Sang-Hun
Ryoo, Hyun Wook
Jin, Sang-Chan
Ahn, Jae Yun
Sohn, Sung-Il
Hwang, Yang-Ha
Do, Youngrok
Lee, Yoon-Soo
Kim, Jung Ho
author_facet Lee, Sang-Hun
Ryoo, Hyun Wook
Jin, Sang-Chan
Ahn, Jae Yun
Sohn, Sung-Il
Hwang, Yang-Ha
Do, Youngrok
Lee, Yoon-Soo
Kim, Jung Ho
author_sort Lee, Sang-Hun
collection PubMed
description BACKGROUND: Acute ischemic stroke is a time-sensitive disease. Emergency medical service (EMS) prehospital notification of potential patients with stroke could play an important role in improving the in-hospital medical response and timely treatment of patients with acute ischemic stroke. We analyzed the effects of FASTroke, a mobile app that EMS can use to notify hospitals of patients with suspected acute ischemic stroke at the prehospital stage. METHODS: We conducted a retrospective observational study of patients diagnosed with acute ischemic stroke at 5 major hospitals in metropolitan Daegu City, Korea, from February 2020 to January 2021. The clinical conditions and time required for managing patients were compared according to whether the EMS employed FASTroke app and further compared the factors by dividing the patients into subgroups according to the preregistration received by the hospitals when using FASTroke app. RESULTS: Of the 563 patients diagnosed with acute ischemic stroke, FASTroke was activated for 200; of these, 93 were preregistered. The FASTroke prenotification showed faster door-to-computed-tomography times (19 minutes vs. 25 minutes, P < 0.001), faster door-to-intravenous-thrombolysis times (37 minutes vs. 48 minutes, P < 0.001), and faster door-to-endovascular-thrombectomy times (82 minutes vs. 119 minutes, P < 0.001). The time was further shortened when the preregistration was conducted simultaneously by the receiving hospital. CONCLUSION: The FASTroke app is an easy and useful tool for prenotification as a regional stroke care system in the metropolitan area, leading to reduced transport and acute ischemic stroke management time and more reperfusion treatment. The effect was more significant when the preregistration was performed jointly.
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spelling pubmed-86684972021-12-23 Prehospital Notification Using a Mobile Application Can Improve Regional Stroke Care System in a Metropolitan Area Lee, Sang-Hun Ryoo, Hyun Wook Jin, Sang-Chan Ahn, Jae Yun Sohn, Sung-Il Hwang, Yang-Ha Do, Youngrok Lee, Yoon-Soo Kim, Jung Ho J Korean Med Sci Original Article BACKGROUND: Acute ischemic stroke is a time-sensitive disease. Emergency medical service (EMS) prehospital notification of potential patients with stroke could play an important role in improving the in-hospital medical response and timely treatment of patients with acute ischemic stroke. We analyzed the effects of FASTroke, a mobile app that EMS can use to notify hospitals of patients with suspected acute ischemic stroke at the prehospital stage. METHODS: We conducted a retrospective observational study of patients diagnosed with acute ischemic stroke at 5 major hospitals in metropolitan Daegu City, Korea, from February 2020 to January 2021. The clinical conditions and time required for managing patients were compared according to whether the EMS employed FASTroke app and further compared the factors by dividing the patients into subgroups according to the preregistration received by the hospitals when using FASTroke app. RESULTS: Of the 563 patients diagnosed with acute ischemic stroke, FASTroke was activated for 200; of these, 93 were preregistered. The FASTroke prenotification showed faster door-to-computed-tomography times (19 minutes vs. 25 minutes, P < 0.001), faster door-to-intravenous-thrombolysis times (37 minutes vs. 48 minutes, P < 0.001), and faster door-to-endovascular-thrombectomy times (82 minutes vs. 119 minutes, P < 0.001). The time was further shortened when the preregistration was conducted simultaneously by the receiving hospital. CONCLUSION: The FASTroke app is an easy and useful tool for prenotification as a regional stroke care system in the metropolitan area, leading to reduced transport and acute ischemic stroke management time and more reperfusion treatment. The effect was more significant when the preregistration was performed jointly. The Korean Academy of Medical Sciences 2021-11-17 /pmc/articles/PMC8668497/ /pubmed/34904406 http://dx.doi.org/10.3346/jkms.2021.36.e327 Text en © 2021 The Korean Academy of Medical Sciences. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Lee, Sang-Hun
Ryoo, Hyun Wook
Jin, Sang-Chan
Ahn, Jae Yun
Sohn, Sung-Il
Hwang, Yang-Ha
Do, Youngrok
Lee, Yoon-Soo
Kim, Jung Ho
Prehospital Notification Using a Mobile Application Can Improve Regional Stroke Care System in a Metropolitan Area
title Prehospital Notification Using a Mobile Application Can Improve Regional Stroke Care System in a Metropolitan Area
title_full Prehospital Notification Using a Mobile Application Can Improve Regional Stroke Care System in a Metropolitan Area
title_fullStr Prehospital Notification Using a Mobile Application Can Improve Regional Stroke Care System in a Metropolitan Area
title_full_unstemmed Prehospital Notification Using a Mobile Application Can Improve Regional Stroke Care System in a Metropolitan Area
title_short Prehospital Notification Using a Mobile Application Can Improve Regional Stroke Care System in a Metropolitan Area
title_sort prehospital notification using a mobile application can improve regional stroke care system in a metropolitan area
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8668497/
https://www.ncbi.nlm.nih.gov/pubmed/34904406
http://dx.doi.org/10.3346/jkms.2021.36.e327
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