Multidisciplinary Approach to Decrease In-Hospital Delay for Stroke Thrombolysis.

ABSTRACT:

Background and purpose

Decreasing the time delay for thrombolysis, including intravenous thrombolysis (IVT) with tissue plasminogen activator and intra-arterial thrombectomy (IAT), is critical for decreasing the morbidity and mortality of patients experiencing acute stroke. We aimed to decrease the in-hospital delay for both IVT and IAT through a multidisciplinary approach that is feasible 24 h/day.

Methods

We implemented the Stroke Alert Team (SAT) on May 2, 2016, which introduced hospital-initiated ambulance prenotification and reorganized in-hospital processes. We compared the patient characteristics, time for each step of the evaluation and thrombolysis, thrombolysis rate, and post-thrombolysis intracranial hemorrhage from January 2014 to August 2016.

Results

A to

SUBMITTER: Jeon SB 

PROVIDER: S-EPMC5466296 | biostudies-literature | 2017 May

REPOSITORIES: biostudies-literature