Door to thrombolysis:: ER reorganization and reduced delays to acute stroke treatment

被引：128

作者：

Lindsberg, P. J.

Haeppoelae, O.

Kallela, M.

Valanne, L.

Kuisma, M.

Kaste, M.

机构：

[1] Univ Helsinki, Cent Hosp, Dept Neurol, FIN-00014 Helsinki, Finland

[2] Univ Helsinki, Cent Hosp, Dept Radiol, FIN-00014 Helsinki, Finland

[3] Univ Helsinki, Cent Hosp, Program Neurosci, FIN-00014 Helsinki, Finland

[4] Univ Helsinki, Cent Hosp, Biomedicum, Helsinki Emergency Med Serv, FIN-00014 Helsinki, Finland

来源：

NEUROLOGY | 2006年 / 67卷 / 02期

基金：

芬兰科学院;

关键词：

D O I：

10.1212/01.wnl.0000224759.44743.7d

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The authors reorganized the emergency room (ER) by moving CT to the ER and streamlining triage by prenotification by emergency medical services (EMS), which reduced in-hospital delays and enhanced access to stroke thrombolysis. CT delay dropped from 1 hour 3 minutes +/- 14 minutes in 1999 to 7 +/- 2 minutes in 2004 (p < 0.0001). Door-to-needle time dropped from 1 hour 28 minutes +/- 7 minutes to 50 +/- 3 minutes (p < 0.001), while symptom-to-needle time dropped from 2 hours 44 minutes +/- 6 minutes to 2 hours 5 minutes +/- 4 minutes (p < 0.0001). From 23 patients in 1999, thrombolysis access was increased to 100 patients in 2004 and 183 patients in 2005.

引用

页码：334 / 336

页数：3

共 10 条

[1] EFFECTS OF PUBLIC AND PROFESSIONAL-EDUCATION ON REDUCING THE DELAY IN PRESENTATION AND REFERRAL OF STROKE PATIENTS
ALBERTS, MJ
PERRY, A
DAWSON, DV
BERTELS, C
[J]. STROKE, 1992, 23 (03) : 352 - 356
[2] Therapeutic yield and outcomes of a community teaching hospital code stroke protocol
Asimos, AW
Norton, HJ
Price, MF
Cheek, WM
[J]. ACADEMIC EMERGENCY MEDICINE, 2004, 11 (04) : 361 - 370
[3] Prehospital and in-hospital delays in acute stroke care
Evenson, KR
Rosamond, WD
Morris, DL
[J]. NEUROEPIDEMIOLOGY, 2001, 20 (02) : 65 - 76
[4] Jahnke Heidi K, 2003, J Emerg Nurs, V29, P133, DOI 10.1067/men.2003.85
[5] Improving the efficiency of delivery of thrombolysis for acute stroke: a systematic review
Kwan, J
Hand, P
Sandercock, P
[J]. QJM-AN INTERNATIONAL JOURNAL OF MEDICINE, 2004, 97 (05) : 273 - 279
[6] Community-based thrombolytic therapy of acute ischemic stroke in Helsinki
Lindsberg, PJ
Soinne, L
Roine, RO
Salonen, O
Tatlisumak, T
Kallela, M
Häppölä, O
Tiainen, M
Haapaniemi, E
Kuisma, M
Kaste, M
[J]. STROKE, 2003, 34 (06) : 1443 - 1449
[7] Improving delivery of acute stroke therapy - The TLL Temple Foundation Stroke Project
Morgenstern, LB
Staub, L
Chan, WY
Wein, TH
Bartholomew, LK
King, M
Felberg, RA
Burgin, WS
Groff, J
Hickenbottom, SL
Saldin, K
Demchuk, AM
Kalra, A
Dhingra, A
Grotta, JC
[J]. STROKE, 2002, 33 (01) : 160 - 166
[8] Prehospital and emergency department delays after acute stroke - The Genentech Stroke Presentation Survey
Morris, DL
Rosamond, W
Madden, K
Schultz, C
Hamilton, S
[J]. STROKE, 2000, 31 (11) : 2585 - 2590
[9] Pre- and in-hospital delays from stroke onset to intra-arterial thrombolysis
Nedeltchev, K
Arnold, M
Brekenfeld, C
Isenegger, J
Remonda, L
Schroth, G
Mattle, HP
[J]. STROKE, 2003, 34 (05) : 1230 - 1234
[10] Activation of emergency medical services for acute stroke in a nonurban population - The TLL Temple Foundation Stroke Project
Wein, TH
Staub, L
Felberg, R
Hickenbottom, SL
Chan, WY
Grotta, JC
Demchuk, AM
Groff, J
Bartholomew, LK
Morgenstern, LB
[J]. STROKE, 2000, 31 (08) : 1925 - 1928

← 1 →