Optimising acute stroke care organisation: a simulation study to assess the potential to increase intravenous thrombolysis rates and patient gains.

ABSTRACT:

Objectives

To assess potential increases in intravenous thrombolysis (IVT) rates given particular interventions in the stroke care pathway.

Design

Simulation modelling was used to compare the performance of the current pathway, best practices based on literature review and an optimised model.

Setting

Four hospitals located in the North of the Netherlands, as part of a centralised organisational model.

Participants

Ischaemic stroke patients prospectively ascertained from February to August 2010.

Intervention

The interventions investigated included efforts aimed at patient response and mode of referral, prehospital triage and intrahospital delays.

Primary and secondary outcome measures

The primary outcome measure was thrombolysis utilisation. Second

SUBMITTER: Lahr MMH 

PROVIDER: S-EPMC7045180 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature