Door to thrombolysis: ER reorganization and reduced delays to acute stroke treatment
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...
Saved in:
Published in | Neurology Vol. 67; no. 2; p. 334 |
---|---|
Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
United States
25.07.2006
|
Subjects | |
Online Access | Get more information |
Cover
Loading…
Abstract | 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. |
---|---|
AbstractList | 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. |
Author | Kaste, M Lindsberg, P J Häppölä, O Valanne, L Kallela, M Kuisma, M |
Author_xml | – sequence: 1 givenname: P J surname: Lindsberg fullname: Lindsberg, P J email: perttu.lindsberg@hus.fi organization: Emergency Neurology Services, Department of Neurology, Biomedicum Helsinki,Helsinki, Finland. perttu.lindsberg@hus.fi – sequence: 2 givenname: O surname: Häppölä fullname: Häppölä, O – sequence: 3 givenname: M surname: Kallela fullname: Kallela, M – sequence: 4 givenname: L surname: Valanne fullname: Valanne, L – sequence: 5 givenname: M surname: Kuisma fullname: Kuisma, M – sequence: 6 givenname: M surname: Kaste fullname: Kaste, M |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/16864834$$D View this record in MEDLINE/PubMed |
BookMark | eNo1T21LwzAYDKK4Of0LEvzemjxJmsVvMucLDASZ4LeRNk-12iYjyZD5662ox8HBwR13J-TQB4-EXHBWcuBwyXj56fuSjQCQWplSSi1Fqd0BmXIFVVEJeJmQk5TeGRsNbY7JhFfzSs6FnJL1TQiR5kDzWwxDHfp96tIVXT7RiCG-Wt992dwFT613o-V2DTrqsLf79JOyzS4jTTmGD6Q5os0D-nxKjlrbJzz70xl5vl2uF_fF6vHuYXG9KhohdS7axlmwaDiOi0cKVEYYaY02Qgmn0NUArtVM105Bw6wE0wrWVrWzys0ZzMj5b-92Vw_oNtvYDTbuN__34BvVoFW3 |
CitedBy_id | crossref_primary_10_1111_j_1749_6632_2012_06663_x crossref_primary_10_1017_cjn_2014_41 crossref_primary_10_1161_STROKEAHA_111_618587 crossref_primary_10_1161_STROKEAHA_116_015712 crossref_primary_10_3171_2015_6_JNS15175 crossref_primary_10_1016_j_jstrokecerebrovasdis_2012_01_012 crossref_primary_10_1161_CIRCULATIONAHA_110_974675 crossref_primary_10_1161_STROKEAHA_108_524686 crossref_primary_10_5853_jos_2016_01655 crossref_primary_10_1111_imj_12204 crossref_primary_10_1111_j_1600_0404_2008_01136_x crossref_primary_10_21307_ajon_2020_001b crossref_primary_10_1097_JNN_0000000000000516 crossref_primary_10_3389_fneur_2024_1364952 crossref_primary_10_1016_j_jns_2021_117557 crossref_primary_10_1016_j_jstrokecerebrovasdis_2014_03_019 crossref_primary_10_1161_CIRCOUTCOMES_116_003242 crossref_primary_10_1016_j_ajem_2008_05_001 crossref_primary_10_1161_STROKEAHA_113_003216 crossref_primary_10_1161_STROKEAHA_110_590372 crossref_primary_10_1155_2010_916868 crossref_primary_10_1136_bmjopen_2012_001430 crossref_primary_10_1080_10903120902935272 crossref_primary_10_1161_STROKEAHA_121_035853 crossref_primary_10_1097_WCO_0b013e328334dafb crossref_primary_10_5888_pcd16_190061 crossref_primary_10_7759_cureus_39180 crossref_primary_10_1136_jnnp_2010_211615 crossref_primary_10_1007_s00415_020_09803_6 crossref_primary_10_1016_j_jstrokecerebrovasdis_2013_03_029 crossref_primary_10_1002_jac5_1082 crossref_primary_10_1016_S1474_4422_09_70173_5 crossref_primary_10_11622_smedj_2018083 crossref_primary_10_1016_j_clineuro_2013_02_010 crossref_primary_10_1111_j_1747_4949_2012_00792_x crossref_primary_10_1007_s00390_009_0151_z crossref_primary_10_1097_JNN_0b013e3181ce5a48 crossref_primary_10_1111_j_1600_0404_2009_01162_x crossref_primary_10_1016_j_ajem_2018_10_020 crossref_primary_10_1016_j_jstrokecerebrovasdis_2015_01_039 crossref_primary_10_1161_STROKEAHA_109_571976 crossref_primary_10_1016_j_ajem_2014_08_002 crossref_primary_10_1161_JAHA_115_002808 crossref_primary_10_1161_STROKEAHA_111_615336 crossref_primary_10_1111_ane_13565 crossref_primary_10_1007_s00115_008_2531_1 crossref_primary_10_1161_STROKEAHA_110_586610 crossref_primary_10_1016_j_jstrokecerebrovasdis_2017_11_038 crossref_primary_10_1161_STROKEAHA_111_621342 crossref_primary_10_1161_STROKEAHA_107_494138 crossref_primary_10_1016_j_annemergmed_2014_10_018 crossref_primary_10_1016_j_ienj_2010_02_005 crossref_primary_10_1155_2019_3747910 crossref_primary_10_1186_1472_6963_9_14 crossref_primary_10_1080_10903120802290828 crossref_primary_10_1111_j_1365_2710_2011_01329_x crossref_primary_10_1111_j_1365_2710_2012_01366_x crossref_primary_10_1161_STROKEAHA_110_583591 crossref_primary_10_13004_kjnt_2024_20_e12 crossref_primary_10_3988_jcn_2009_5_3_107 crossref_primary_10_1080_20476965_2019_1664941 crossref_primary_10_1016_j_wneu_2018_03_032 crossref_primary_10_1136_neurintsurg_2013_010792 crossref_primary_10_4061_2011_198518 crossref_primary_10_1212_WNL_0000000000005954 crossref_primary_10_1212_WNL_0b013e31826959fc crossref_primary_10_1159_000363535 crossref_primary_10_1161_STROKEAHA_113_003898 crossref_primary_10_1038_nrneurol_2009_116 crossref_primary_10_1007_s10728_008_0081_0 crossref_primary_10_1186_1745_6215_14_200 crossref_primary_10_1159_000131083 crossref_primary_10_1097_01_NT_0000429377_90967_f2 crossref_primary_10_1016_j_jstrokecerebrovasdis_2016_08_031 crossref_primary_10_1111_ane_12051 crossref_primary_10_1177_17562864221122491 crossref_primary_10_1111_j_1747_4949_2009_00276_x crossref_primary_10_1136_svn_2020_000332 crossref_primary_10_1016_j_inat_2018_09_005 crossref_primary_10_3389_fneur_2022_931193 crossref_primary_10_1007_s11883_017_0693_7 crossref_primary_10_1111_j_1468_1331_2009_02533_x crossref_primary_10_1186_s12883_019_1527_8 crossref_primary_10_1016_j_jstrokecerebrovasdis_2017_04_021 crossref_primary_10_1111_ane_12204 crossref_primary_10_1111_j_1747_4949_2011_00585_x crossref_primary_10_5694_j_1326_5377_2008_tb02114_x crossref_primary_10_1071_AH14167 crossref_primary_10_1111_j_1553_2712_2010_00828_x crossref_primary_10_1016_j_permed_2012_03_007 crossref_primary_10_1111_j_1600_0404_2010_01413_x crossref_primary_10_1038_nrneurol_2011_89 crossref_primary_10_1016_j_ajem_2019_158398 crossref_primary_10_1111_j_1553_2712_2011_01020_x crossref_primary_10_1161_CIRCOUTCOMES_116_003227 crossref_primary_10_1007_s12028_012_9671_7 crossref_primary_10_1016_j_auec_2021_11_005 crossref_primary_10_1186_1471_2296_15_91 crossref_primary_10_2478_v10039_011_0045_8 crossref_primary_10_1016_j_jstrokecerebrovasdis_2012_08_013 crossref_primary_10_1177_1538574413488458 crossref_primary_10_1007_s00415_014_7365_0 crossref_primary_10_1007_s00415_013_7218_2 crossref_primary_10_1212_WNL_0b013e31825d6011 crossref_primary_10_1016_j_ahj_2023_11_020 crossref_primary_10_3174_ajnr_A1039 crossref_primary_10_1097_01_ccm_0000298122_49245_d7 crossref_primary_10_1016_j_annemergmed_2018_08_439 crossref_primary_10_1161_STROKEAHA_107_512848 crossref_primary_10_1161_STROKEAHA_107_483446 crossref_primary_10_1111_j_1747_4949_2012_00795_x crossref_primary_10_1161_STROKEAHA_113_001981 crossref_primary_10_1016_j_jocn_2014_05_047 crossref_primary_10_1097_WCO_0b013e3282f4304d crossref_primary_10_4103_bc_bc_11_19 crossref_primary_10_1161_01_STR_0000254945_58878_c5 crossref_primary_10_1097_PEC_0b013e318235ea02 crossref_primary_10_48107_CMJ_2019_11_003 |
ContentType | Journal Article |
DBID | CGR CUY CVF ECM EIF NPM |
DOI | 10.1212/01.wnl.0000224759.44743.7d |
DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed |
DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) |
DatabaseTitleList | MEDLINE |
Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database |
DeliveryMethod | no_fulltext_linktorsrc |
Discipline | Medicine |
EISSN | 1526-632X |
ExternalDocumentID | 16864834 |
Genre | Research Support, Non-U.S. Gov't Journal Article |
GeographicLocations | Finland |
GeographicLocations_xml | – name: Finland |
GroupedDBID | --- -~X .55 .GJ .XZ .Z2 01R 0R~ 123 1J1 1KJ 354 3PY 4Q1 4Q2 4Q3 53G 5RE 5VS 6PF 77Y AAAXR AAGIX AAHPQ AAIQE AAJCS AAMOA AAMTA AAQKA AARTV AASCR AASOK AASXQ AAWTL AAXQO AAYEP AAYOK ABBLC ABIVO ABJNI ABOCM ABVCZ ACCJW ACDDN ACGFS ACILI ACLDA ACOAL ACWRI ACXJB ADGGA ADNKB AE6 AEBDS AENEX AFDTB AFEXH AFFNX AFUWQ AGINI AHOMT AHQNM AHVBC AIJEX AKULP AKWKN ALMA_UNASSIGNED_HOLDINGS AMJPA AMKUR AMNEI AOHHW AWKKM BOYCO BQLVK BYPQX C45 CGR CS3 CUY CVF DIWNM DU5 E.X EBS ECM EIF EJD ERAAH EX3 F2K F2L F2M F2N F5P FCALG FW0 GQDEL HZ~ H~9 IKYAY IN~ J5H JF7 KD2 KMI L-C L7B N4W N9A NEJ NPM N~7 N~B O9- OAG OAH OBH ODMTH OHH OHYEH OJAPA OL1 OLB OLH OLU OLV OLW OLY OLZ OPX OVD OVDNE OVIDH OVLEI OWU OWV OWW OWX OWY OWZ OXXIT P2P RHI RIG RLZ RXW SJN TEORI TWZ V2I VVN W3M WH7 WOQ WOW X7M XJT XOL XSW XXN XYM XYN YBU YCJ YFH ZKB ~9M |
ID | FETCH-LOGICAL-c347t-fcda2ae91e7437433e59394a979353d5edb22df707bd52c0a429f30f6bda5d802 |
IngestDate | Tue Oct 15 23:32:25 EDT 2024 |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 2 |
Language | English |
LinkModel | OpenURL |
MergedId | FETCHMERGED-LOGICAL-c347t-fcda2ae91e7437433e59394a979353d5edb22df707bd52c0a429f30f6bda5d802 |
PMID | 16864834 |
ParticipantIDs | pubmed_primary_16864834 |
PublicationCentury | 2000 |
PublicationDate | 2006-07-25 |
PublicationDateYYYYMMDD | 2006-07-25 |
PublicationDate_xml | – month: 07 year: 2006 text: 2006-07-25 day: 25 |
PublicationDecade | 2000 |
PublicationPlace | United States |
PublicationPlace_xml | – name: United States |
PublicationTitle | Neurology |
PublicationTitleAlternate | Neurology |
PublicationYear | 2006 |
SSID | ssj0015279 |
Score | 2.2955434 |
Snippet | The authors reorganized the emergency room (ER) by moving CT to the ER and streamlining triage by prenotification by emergency medical services (EMS), which... |
SourceID | pubmed |
SourceType | Index Database |
StartPage | 334 |
SubjectTerms | Acute Disease Emergency Service, Hospital - organization & administration Finland - epidemiology Hospital Restructuring - organization & administration Hospitalization - statistics & numerical data Humans Stroke - therapy Thrombolytic Therapy - utilization Time Management - organization & administration Triage - organization & administration |
Title | Door to thrombolysis: ER reorganization and reduced delays to acute stroke treatment |
URI | https://www.ncbi.nlm.nih.gov/pubmed/16864834 |
Volume | 67 |
hasFullText | |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3fT9swELYKkxAviA22MbbJD3ubUoJ_JryxrVM1DYZQQbwhO3ZeVpoKMk3sr-fOdtvQjWlDqtImbiLL9-V8d777TMg74_JKFYpnRe14JgolMgt-SGZzh1MG51UoFzs6VsMz8eVCXvR6t52spR-t7Ve__lhX8hipwjWQK1bJ_odk5w-FC_Ab5AtHkDAc_0nGnxrMEWzCZjtXtgnsIujiD07fX_umU2UZs8iRpRXsS-SFvA3EDqbCLIGb9rr57hcp5117NXB3dAPv6MPfzHLCThaLSsOw4i6mU_z-oMbxFP_0ba7TcduWsbkXgj3HzMoYVP26HICI3A44fySlyVSmeNgWfa5V4yYbCT2soyJ5DF7-prphDg3lCP2fk3FglQTjQsuyLwQYOX3tujfBUE6vglD3AWizeOjfW5dotWdNK2RFF6gajzHMk5afJNNlYqiFbu093CnknE0PWvJLgn0y2iQbybGghxElT0nPT56RtaOUOrFFRggW2ja0C5YDOjil96FCASo0QYVGqOBdASo0QoXOobJNzj4PRh-HWdpSI6u40G1WV84w48t9D_2HD_ey5KUwJahpyZ30zjLmap1r6ySrcgPmSs3zWllnpCty9pysTpqJf0moYoVV2uRGGS5q6UtZ4hqy1J6DEazYDnkRx-NyGnlTLmcj9erBll2yvkDYa_KkhhfVvwGrr7Vvg4TuACqKUSo |
link.rule.ids | 786 |
linkProvider | National Library of Medicine |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Door+to+thrombolysis%3A+ER+reorganization+and+reduced+delays+to+acute+stroke+treatment&rft.jtitle=Neurology&rft.au=Lindsberg%2C+P+J&rft.au=H%C3%A4pp%C3%B6l%C3%A4%2C+O&rft.au=Kallela%2C+M&rft.au=Valanne%2C+L&rft.date=2006-07-25&rft.eissn=1526-632X&rft.volume=67&rft.issue=2&rft.spage=334&rft_id=info:doi/10.1212%2F01.wnl.0000224759.44743.7d&rft_id=info%3Apmid%2F16864834&rft_id=info%3Apmid%2F16864834&rft.externalDocID=16864834 |