J 2021

One-Stop Management to Initiate Thrombolytic Treatment on the Computed Tomography Table Adoption and Results

HARŠÁNY, Michal, Michal BAR, David CERNIK, Roman HERZIG, René JURA et. al.

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

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30210 Clinical neurology

Country of publisher

Republic of Korea

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 8.632

RIV identification code

RIV/00216224:14110/21:00122755

Organization unit

Faculty of Medicine

UT WoS

000705288200001

Keywords in English

Thrombolytic Treatment; Computed Tomography Table Adoption

Tags

International impact, Reviewed
Změněno: 17/5/2022 11:03, Mgr. Tereza Miškechová

Abstract

V originále

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 infrastructures
Name: CZECRIN III