HARŠÁNY, Michal, Michal BAR, David CERNIK, Roman HERZIG, René JURA, Lubomir JURAK, Jiri NEUMANN, Daniel SANAK, Svatopluk OSTRY, Petr SEVCIK, Ondrej SKODA, David SKOLOUDIK, Daniel VACLAVIK, Ales TOMEK and Robert MIKULÍK. One-Stop Management to Initiate Thrombolytic Treatment on the Computed Tomography Table Adoption and Results. JOURNAL OF STROKE. SEOUL: KOREAN STROKE SOC, 2021, vol. 23, No 3, p. „437-439+1“-„2“, 5 pp. ISSN 2287-6391. Available from: https://dx.doi.org/10.5853/jos.2021.00878.
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Basic information
Original name One-Stop Management to Initiate Thrombolytic Treatment on the Computed Tomography Table Adoption and Results
Authors HARŠÁNY, Michal (703 Slovakia, guarantor, belonging to the institution), Michal BAR (203 Czech Republic), David CERNIK (203 Czech Republic), Roman HERZIG (203 Czech Republic), René JURA (203 Czech Republic, belonging to the institution), Lubomir JURAK (203 Czech Republic), Jiri NEUMANN (203 Czech Republic), Daniel SANAK (203 Czech Republic), Svatopluk OSTRY (203 Czech Republic), Petr SEVCIK (203 Czech Republic), Ondrej SKODA (203 Czech Republic), David SKOLOUDIK (203 Czech Republic), Daniel VACLAVIK (203 Czech Republic), Ales TOMEK (203 Czech Republic) and Robert MIKULÍK (203 Czech Republic, belonging to the institution).
Edition JOURNAL OF STROKE, SEOUL, KOREAN STROKE SOC, 2021, 2287-6391.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30210 Clinical neurology
Country of publisher Republic of Korea
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 8.632
RIV identification code RIV/00216224:14110/21:00122755
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.5853/jos.2021.00878
UT WoS 000705288200001
Keywords in English Thrombolytic Treatment; Computed Tomography Table Adoption
Tags 14110127, 14110221, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 17/5/2022 11:03.
Abstract
Data from clinical practice show that median door-to-needle time (DNT) for intravenous thrombolysis (IVT) remains around 60 minutes. However, many reports documented that hospital logistics could be substantially streamlined and DNT shortened below 30 minutes. Given Czech stroke care reform, many stroke centers have recently been changing their logistical pathways with the aim to initiate IVT quicker than before.3 Several stroke centers introduced one-stop management, which means that all suspected acute ischemic stroke (AIS) patients are admitted directly to the computed tomography (CT) room and IVT is initiated on the CT table. As a consequence, our national data show that some hospitals were able to reach an extremely short DNT, while others were not. The aim of this nationwide study was to understand how logistical pathways are being used, and how they impact quality of patient care as measured by DNT.
Links
90128, large research infrastructuresName: CZECRIN III
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