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@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 and 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, vol.~23, No~8, p.~2122-2129. ISSN~1052-3057. Available from: https://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2014.03.019.
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