Matches in SemOpenAlex for { <https://semopenalex.org/work/W2896964295> ?p ?o ?g. }
Showing items 1 to 88 of
88
with 100 items per page.
- W2896964295 abstract "Introduction: Patients with minor stroke symptoms tend not to call 911. They often come to the Emergency Department (ED) via personal transport, and walk in through the triage area. These patients historically have longer door to needle times. We established the Brain Alert (BA) nurse driven initiative with ED education on an algorithm applicable to patients who walk in with stroke symptoms. This study assesses the difference between time metrics before and after implementation. Methods: BA metrics were based on the TARGET:STROKE guidelines. The intervention was an ED wide education of all ED staff on F.A.S.T symptoms and the BA process. The ED triage nurse was empowered to page a BA and rapidly initiate the bedding of the patient. The BA page triggered the stroke team to rapidly come to the ED and examine the patient simultaneously with the ED physician. Data were recorded for 6 months pre and post implementation. Outcomes included door to initial MD evaluation, stroke team notification, CT scan initiation and interpretation and thrombolytic administration (DTN). Fisher’s Exact and Wilcoxon Rank Sum Tests were used for data analysis. Results: There were 38 walk in patients pre intervention vs. 36 post intervention. Thirteen (35.1%) BA activations occurred post intervention. The most common reason for not calling a BA was the patient did not have F.A.S.T symptoms. No differences in baseline demographics were found. CT scans were ordered and completed quicker post intervention (median ordered: 13.5 [IQR 7-18.5] mins post vs. 17.5 [IQR 12.5-22.5] mins pre, p=0.021), (median completed: 22.5 [IQR 18-27] mins post vs. 25 [IQR 20-30] mins pre, p= 0.024). A higher percentage of patients received thrombolytics ≤60 mins post intervention (84.6% vs. 78.7%), but was not statistically significant, p=0.41). Conclusion: The BA process improved door to CT order and completion times. There was higher percentage of patients who received IVtPA ≤ 60 minutes, which did not reach statistical significance likely due to the small number of patients involved in the study. Institution of a specific algorithm to address patients who walk in with stroke symptoms into a hospital triage area, can result in improved code stroke time metrics." @default.
- W2896964295 created "2018-10-26" @default.
- W2896964295 creator A5003619701 @default.
- W2896964295 creator A5009758190 @default.
- W2896964295 creator A5012045197 @default.
- W2896964295 creator A5029135440 @default.
- W2896964295 creator A5047687890 @default.
- W2896964295 creator A5066219369 @default.
- W2896964295 creator A5066319728 @default.
- W2896964295 creator A5080890849 @default.
- W2896964295 date "2018-01-22" @default.
- W2896964295 modified "2023-09-23" @default.
- W2896964295 title "Abstract TP372: BRAIN ALERT: An Emergency Department Initiative to Improve Time Metrics for Patients that Walk in with Stroke Symptoms" @default.
- W2896964295 doi "https://doi.org/10.1161/str.49.suppl_1.tp372" @default.
- W2896964295 hasPublicationYear "2018" @default.
- W2896964295 type Work @default.
- W2896964295 sameAs 2896964295 @default.
- W2896964295 citedByCount "0" @default.
- W2896964295 crossrefType "journal-article" @default.
- W2896964295 hasAuthorship W2896964295A5003619701 @default.
- W2896964295 hasAuthorship W2896964295A5009758190 @default.
- W2896964295 hasAuthorship W2896964295A5012045197 @default.
- W2896964295 hasAuthorship W2896964295A5029135440 @default.
- W2896964295 hasAuthorship W2896964295A5047687890 @default.
- W2896964295 hasAuthorship W2896964295A5066219369 @default.
- W2896964295 hasAuthorship W2896964295A5066319728 @default.
- W2896964295 hasAuthorship W2896964295A5080890849 @default.
- W2896964295 hasConcept C111459926 @default.
- W2896964295 hasConcept C118552586 @default.
- W2896964295 hasConcept C126322002 @default.
- W2896964295 hasConcept C127413603 @default.
- W2896964295 hasConcept C142724271 @default.
- W2896964295 hasConcept C194828623 @default.
- W2896964295 hasConcept C204787440 @default.
- W2896964295 hasConcept C2777120189 @default.
- W2896964295 hasConcept C2780007028 @default.
- W2896964295 hasConcept C2780645631 @default.
- W2896964295 hasConcept C2780724011 @default.
- W2896964295 hasConcept C3020166492 @default.
- W2896964295 hasConcept C3020581612 @default.
- W2896964295 hasConcept C545542383 @default.
- W2896964295 hasConcept C71924100 @default.
- W2896964295 hasConcept C78519656 @default.
- W2896964295 hasConceptScore W2896964295C111459926 @default.
- W2896964295 hasConceptScore W2896964295C118552586 @default.
- W2896964295 hasConceptScore W2896964295C126322002 @default.
- W2896964295 hasConceptScore W2896964295C127413603 @default.
- W2896964295 hasConceptScore W2896964295C142724271 @default.
- W2896964295 hasConceptScore W2896964295C194828623 @default.
- W2896964295 hasConceptScore W2896964295C204787440 @default.
- W2896964295 hasConceptScore W2896964295C2777120189 @default.
- W2896964295 hasConceptScore W2896964295C2780007028 @default.
- W2896964295 hasConceptScore W2896964295C2780645631 @default.
- W2896964295 hasConceptScore W2896964295C2780724011 @default.
- W2896964295 hasConceptScore W2896964295C3020166492 @default.
- W2896964295 hasConceptScore W2896964295C3020581612 @default.
- W2896964295 hasConceptScore W2896964295C545542383 @default.
- W2896964295 hasConceptScore W2896964295C71924100 @default.
- W2896964295 hasConceptScore W2896964295C78519656 @default.
- W2896964295 hasIssue "Suppl_1" @default.
- W2896964295 hasLocation W28969642951 @default.
- W2896964295 hasOpenAccess W2896964295 @default.
- W2896964295 hasPrimaryLocation W28969642951 @default.
- W2896964295 hasRelatedWork W2023348154 @default.
- W2896964295 hasRelatedWork W2031193849 @default.
- W2896964295 hasRelatedWork W2087851398 @default.
- W2896964295 hasRelatedWork W2124881889 @default.
- W2896964295 hasRelatedWork W2233881403 @default.
- W2896964295 hasRelatedWork W2409623898 @default.
- W2896964295 hasRelatedWork W2623084360 @default.
- W2896964295 hasRelatedWork W2736262008 @default.
- W2896964295 hasRelatedWork W2895929491 @default.
- W2896964295 hasRelatedWork W2896918534 @default.
- W2896964295 hasRelatedWork W2898036372 @default.
- W2896964295 hasRelatedWork W2912004082 @default.
- W2896964295 hasRelatedWork W2912257182 @default.
- W2896964295 hasRelatedWork W2913187003 @default.
- W2896964295 hasRelatedWork W2913355934 @default.
- W2896964295 hasRelatedWork W2913558046 @default.
- W2896964295 hasRelatedWork W2927311985 @default.
- W2896964295 hasRelatedWork W3011791828 @default.
- W2896964295 hasRelatedWork W3048417678 @default.
- W2896964295 hasRelatedWork W3136297138 @default.
- W2896964295 hasVolume "49" @default.
- W2896964295 isParatext "false" @default.
- W2896964295 isRetracted "false" @default.
- W2896964295 magId "2896964295" @default.
- W2896964295 workType "article" @default.