Prehospital Notification can Effectively Reduce In-Hospital Delay for Thrombolysis in Acute Stroke | Zendy

Elyar SadeghiHokmabadi | Zendy; Mehdi Farhoudi | Zendy; Aliakbar Taheraghdam | Zendy; Reza Rikhtegar | Zendy; Rouzbeh Rajaei Ghafouri | Zendy; Rogayyeh Asadi | Zendy; Elham Mehdizadeh Far | Zendy; Neda Ghaemian | Zendy; Mehrdad Mehrara | Zendy; Reshad Mirnour | Zendy

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Prehospital Notification can Effectively Reduce In-Hospital Delay for Thrombolysis in Acute Stroke

Author(s) -

Elyar SadeghiHokmabadi,

Mehdi Farhoudi,

Aliakbar Taheraghdam,

Reza Rikhtegar,

Rouzbeh Rajaei Ghafouri,

Rogayyeh Asadi,

Elham Mehdizadeh Far,

Neda Ghaemian,

Mehrdad Mehrara,

Reshad Mirnour

Publication year - 2018

Publication title -

future neurology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.419

H-Index - 32

eISSN - 1748-6971

pISSN - 1479-6708

DOI - 10.2217/fnl-2017-0031

Subject(s) - thrombolysis , medicine , acute stroke , emergency medicine , emergency medical services , stroke (engine) , medical emergency , protocol (science) , emergency department , myocardial infarction , nursing , mechanical engineering , alternative medicine , pathology , engineering

Aim: To reduce in-hospital intervals by developing a prehospital notification (PHN) protocol which directly notifies a neurologist to prepare for possible treatment. Methods: A 24/7 connection was established between emergency medical services dispatch and the on-call neurologist. A database of all patients with in-hospital stroke code activation was developed, door-to-computed tomography (CT) time and door-to-needle time was recorded from January 2013 to December 2016. The statistical results were considered significant at p < 0.05. Result: PHN resulted in a significant reduction in door-to-CT time (median 14 vs 20; p < 0.001). Among patients who were treated with intravenous thrombolysis, door-to-needle time was significantly shorter in patients with PHN compared with non-PHN group (median 42 vs 70; p < 0.001). Conclusion: PHN effectively reduced door-to-CT and door-to-needle times. © 2018 2018 Reshad Mirnour.

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