Factors Influencing Door-to-Imaging Time: Analysis of the Safe
Implementation of Treatments in Stroke-EAST Registry

J 2014

Factors Influencing Door-to-Imaging Time: Analysis of the Safe Implementation of Treatments in Stroke-EAST Registry

HARŠÁNY, Michal, Pavla KADLECOVÁ, Viktor ŠVIGELJ, Janika KORV, Vanja Bašić KES et. al.

Základní údaje

Originální název

Factors Influencing Door-to-Imaging Time: Analysis of the Safe Implementation of Treatments in Stroke-EAST Registry

Autoři

HARŠÁNY, Michal (703 Slovensko, domácí), Pavla KADLECOVÁ (203 Česká republika), Viktor ŠVIGELJ (705 Slovinsko), Janika KORV (233 Estonsko), Vanja Bašić KES (191 Chorvatsko), Aleksandras VILIONSKIS (440 Litva), Yakup KRESPI (792 Turecko) a Robert MIKULÍK (203 Česká republika, garant, domácí)

Vydání

Journal of Stroke and Cerebrovascular Diseases, Amsterdam, Elsevier Science Inc. 2014, 1052-3057

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30000 3. Medical and Health Sciences

Stát vydavatele

Nizozemské království

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 1.669

Kód RIV

RIV/00216224:14110/14:00078732

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2014.03.019

UT WoS

000341484900031

Klíčová slova anglicky

Door-to-imaging time; door-to-needle time; acute stroke; ischemic stroke; imaging; thrombolysis

Štítky

EL OK

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 27. 1. 2015 16:11, Soňa Böhmová

Anotace

V originále

Background: Brain imaging is logistically the most difficult step before thrombolysis. To improve door-to-needle time (DNT), it is important to understand if (1) longer door-to-imaging time (DIT) results in longer DNT, (2) hospitals have different DIT performances, and (3) patient and hospital characteristics predict DIT. Methods: Prospectively collected data in the Safe Implementation of Treatments in Stroke-EAST (SITS-EAST) registry from Central/Eastern European countries between 2008 and 2011 were analyzed. Hospital characteristics were obtained by questionnaire from each center. Patient-and hospital-level predictors of DIT of 25 minutes or less were identified by the method of generalized estimating equations. Results: Altogether 6 of 9 SITS-EASTcountries participated with 4212 patients entered into the database of which 3631 (86%) had all required variables. DIT of 25 minutes or less was achieved in 2464 (68%) patients (range, 3%-93%; median, 65%; and interquartile range, 50%-80% between centers). Patients with DIT of 25 minutes or less had shorter DNT (median, 60 minutes) than patients with DIT of more than 25 minutes (median, 86 minutes; P < . 001). Four variables independently predicted DIT of 25 minutes or less: longer time from stroke onset to admission (91-180 versus 0-90 minutes; odds ratio [OR], 1.6; 95% confidence interval [CI], 1.3-1.8), transport time of 5 minutes or less (OR, 2.9; 95% CI, 1.7-4.7) between the place of admission and a computed tomography (CT) scanner, no or minimal neurologic deficit before stroke (OR, 1.3; 95% CI, 1.02-1.5), and diabetes mellitus (OR,.8; 95% CI,.7-. 97). Conclusions: DIT should be improved in patients arriving early and late. Place of admission should allow transport time to a CT scanner under 5 minutes.

Citovat

HARŠÁNY, Michal, Pavla KADLECOVÁ, Viktor ŠVIGELJ, Janika KORV, Vanja Bašić KES, Aleksandras VILIONSKIS, Yakup KRESPI a Robert MIKULÍK. Factors Influencing Door-to-Imaging Time: Analysis of the Safe Implementation of Treatments in Stroke-EAST Registry. Journal of Stroke and Cerebrovascular Diseases. Amsterdam: Elsevier Science Inc., 2014, roč. 23, č. 8, s. 2122-2129. ISSN 1052-3057. Dostupné z: https://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2014.03.019.

@article{1218804,
   author = {Haršány, Michal and Kadlecová, Pavla and Švigelj, Viktor and Korv, Janika and Kes, Vanja Bašić and Vilionskis, Aleksandras and Krespi, Yakup and Mikulík, Robert},
   article_location = {Amsterdam},
   article_number = {8},
   doi = {http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2014.03.019},
   keywords = {Door-to-imaging time; door-to-needle time; acute stroke; ischemic stroke; imaging; thrombolysis},
   language = {eng},
   issn = {1052-3057},
   journal = {Journal of Stroke and Cerebrovascular Diseases},
   title = {Factors Influencing Door-to-Imaging Time: Analysis of the Safe Implementation of Treatments in Stroke-EAST Registry},
   volume = {23},
   year = {2014}
}

TY  - JOUR
ID  - 1218804
AU  - Haršány, Michal - Kadlecová, Pavla - Švigelj, Viktor - Korv, Janika - Kes, Vanja Bašić - Vilionskis, Aleksandras - Krespi, Yakup - Mikulík, Robert
PY  - 2014
TI  - Factors Influencing Door-to-Imaging Time: Analysis of the Safe Implementation of Treatments in Stroke-EAST Registry
JF  - Journal of Stroke and Cerebrovascular Diseases
VL  - 23
IS  - 8
SP  - 2122-2129
EP  - 2122-2129
PB  - Elsevier Science Inc.
SN  - 10523057
KW  - Door-to-imaging time
KW  - door-to-needle time
KW  - acute stroke
KW  - ischemic stroke
KW  - imaging
KW  - thrombolysis
N2  - Background: Brain imaging is logistically the most difficult step before thrombolysis. To improve door-to-needle time (DNT), it is important to understand if (1) longer door-to-imaging time (DIT) results in longer DNT, (2) hospitals have different DIT performances, and (3) patient and hospital characteristics predict DIT. Methods: Prospectively collected data in the Safe Implementation of Treatments in Stroke-EAST (SITS-EAST) registry from Central/Eastern European countries between 2008 and 2011 were analyzed. Hospital characteristics were obtained by questionnaire from each center. Patient-and hospital-level predictors of DIT of 25 minutes or less were identified by the method of generalized estimating equations. Results: Altogether 6 of 9 SITS-EASTcountries participated with 4212 patients entered into the database of which 3631 (86%) had all required variables. DIT of 25 minutes or less was achieved in 2464 (68%) patients (range, 3%-93%; median, 65%; and interquartile range, 50%-80% between centers). Patients with DIT of 25 minutes or less had shorter DNT (median, 60 minutes) than patients with DIT of more than 25 minutes (median, 86 minutes; P < . 001). Four variables independently predicted DIT of 25 minutes or less: longer time from stroke onset to admission (91-180 versus 0-90 minutes; odds ratio [OR], 1.6; 95% confidence interval [CI], 1.3-1.8), transport time of 5 minutes or less (OR, 2.9; 95% CI, 1.7-4.7) between the place of admission and a computed tomography (CT) scanner, no or minimal neurologic deficit before stroke (OR, 1.3; 95% CI, 1.02-1.5), and diabetes mellitus (OR,.8; 95% CI,.7-. 97). Conclusions: DIT should be improved in patients arriving early and late. Place of admission should allow transport time to a CT scanner under 5 minutes.
ER  -

HARŠÁNY, Michal, Pavla KADLECOVÁ, Viktor ŠVIGELJ, Janika KORV, Vanja Baši$\backslash$'c KES, Aleksandras VILIONSKIS, Yakup KRESPI a Robert MIKULÍK. Factors Influencing Door-to-Imaging Time: Analysis of the Safe Implementation of Treatments in Stroke-EAST Registry. \textit{Journal of Stroke and Cerebrovascular Diseases}. Amsterdam: Elsevier Science Inc., 2014, roč.~23, č.~8, s.~2122-2129. ISSN~1052-3057. Dostupné z: https://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2014.03.019.

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