Matches in SemOpenAlex for { <https://semopenalex.org/work/W2912204414> ?p ?o ?g. }
Showing items 1 to 82 of
82
with 100 items per page.
- W2912204414 abstract "Background and Purpose: In acute stroke therapy, faster reperfusion leads to better outcome. We analyzed optimization steps to reduce treatment delays at a comprehensive stroke center in a non-academic tertiary hospital. Methods: Consecutive patients with ischemic stroke treated with either IV tPA, endovascular therapy or both were analyzed. Patient metrics were divided into two periods: pre-optimization period and post-optimization period. Key interventions of this workflow included: (1) addition of pre notification by EMS to ER and stroke team; (2) dividing stroke alert to level 1 (potential IV/IA candidate) vs. level 2; (3) direct transportation of level 1 stroke patients to brain CT imaging; (4) limitation of non-essential interventions; (5) 24/7 code stroke response by an in house trained vascular midlevel (NP/PA) and vascular neurologist (either in house or through telestroke network);(6) earlier notification of IR team; (7) CT to angiosuite direct transportation for LVO; (8) multidisciplinary monthly meetings to discuss delayed cases. Door to needle time and door to puncture time were used as target metrics in order to measure improvement. Results: A total of 279 patients were identified (101 in the pre-optimization and 178 in the post- optimization periods). No significant differences in any of the patient’s baseline characteristics were documented in the two observation periods. Almost all metrics favored the post-optimization period with a remarkable improvement in door to puncture time (64 (IQR 36-86) vs. 47 (IQR 20-62) min, p=0.002). Although non-statistically significant, we observed an increased percentage of good clinical outcomes in the post-optimization group (60.1% vs 54.8%, p=0.500). Conclusions: For patients undergoing acute reperfusion therapies, significant reductions in workflow time-frames can be achieved after simple optimization steps in a non-academic community based hospital." @default.
- W2912204414 created "2019-02-21" @default.
- W2912204414 creator A5010359618 @default.
- W2912204414 creator A5011124813 @default.
- W2912204414 creator A5014450486 @default.
- W2912204414 creator A5015730028 @default.
- W2912204414 creator A5023602311 @default.
- W2912204414 creator A5027674072 @default.
- W2912204414 creator A5043193030 @default.
- W2912204414 creator A5054023808 @default.
- W2912204414 creator A5055689239 @default.
- W2912204414 creator A5067057424 @default.
- W2912204414 creator A5071385768 @default.
- W2912204414 date "2019-02-01" @default.
- W2912204414 modified "2023-09-26" @default.
- W2912204414 title "Abstract TP352: Work Flow Optimization in Acute Stroke Therapy in a Community Based Comprehensive Stroke Center" @default.
- W2912204414 doi "https://doi.org/10.1161/str.50.suppl_1.tp352" @default.
- W2912204414 hasPublicationYear "2019" @default.
- W2912204414 type Work @default.
- W2912204414 sameAs 2912204414 @default.
- W2912204414 citedByCount "0" @default.
- W2912204414 crossrefType "journal-article" @default.
- W2912204414 hasAuthorship W2912204414A5010359618 @default.
- W2912204414 hasAuthorship W2912204414A5011124813 @default.
- W2912204414 hasAuthorship W2912204414A5014450486 @default.
- W2912204414 hasAuthorship W2912204414A5015730028 @default.
- W2912204414 hasAuthorship W2912204414A5023602311 @default.
- W2912204414 hasAuthorship W2912204414A5027674072 @default.
- W2912204414 hasAuthorship W2912204414A5043193030 @default.
- W2912204414 hasAuthorship W2912204414A5054023808 @default.
- W2912204414 hasAuthorship W2912204414A5055689239 @default.
- W2912204414 hasAuthorship W2912204414A5067057424 @default.
- W2912204414 hasAuthorship W2912204414A5071385768 @default.
- W2912204414 hasConcept C118552586 @default.
- W2912204414 hasConcept C126322002 @default.
- W2912204414 hasConcept C127413603 @default.
- W2912204414 hasConcept C159110408 @default.
- W2912204414 hasConcept C1862650 @default.
- W2912204414 hasConcept C194828623 @default.
- W2912204414 hasConcept C27415008 @default.
- W2912204414 hasConcept C2776572282 @default.
- W2912204414 hasConcept C2780645631 @default.
- W2912204414 hasConcept C3020166492 @default.
- W2912204414 hasConcept C3020199598 @default.
- W2912204414 hasConcept C3020501284 @default.
- W2912204414 hasConcept C541997718 @default.
- W2912204414 hasConcept C71924100 @default.
- W2912204414 hasConcept C78519656 @default.
- W2912204414 hasConceptScore W2912204414C118552586 @default.
- W2912204414 hasConceptScore W2912204414C126322002 @default.
- W2912204414 hasConceptScore W2912204414C127413603 @default.
- W2912204414 hasConceptScore W2912204414C159110408 @default.
- W2912204414 hasConceptScore W2912204414C1862650 @default.
- W2912204414 hasConceptScore W2912204414C194828623 @default.
- W2912204414 hasConceptScore W2912204414C27415008 @default.
- W2912204414 hasConceptScore W2912204414C2776572282 @default.
- W2912204414 hasConceptScore W2912204414C2780645631 @default.
- W2912204414 hasConceptScore W2912204414C3020166492 @default.
- W2912204414 hasConceptScore W2912204414C3020199598 @default.
- W2912204414 hasConceptScore W2912204414C3020501284 @default.
- W2912204414 hasConceptScore W2912204414C541997718 @default.
- W2912204414 hasConceptScore W2912204414C71924100 @default.
- W2912204414 hasConceptScore W2912204414C78519656 @default.
- W2912204414 hasIssue "Suppl_1" @default.
- W2912204414 hasLocation W29122044141 @default.
- W2912204414 hasOpenAccess W2912204414 @default.
- W2912204414 hasPrimaryLocation W29122044141 @default.
- W2912204414 hasRelatedWork W1480082508 @default.
- W2912204414 hasRelatedWork W1910549744 @default.
- W2912204414 hasRelatedWork W1970658819 @default.
- W2912204414 hasRelatedWork W2235361669 @default.
- W2912204414 hasRelatedWork W2529393707 @default.
- W2912204414 hasRelatedWork W2766819371 @default.
- W2912204414 hasRelatedWork W2886886401 @default.
- W2912204414 hasRelatedWork W2896707989 @default.
- W2912204414 hasRelatedWork W2912204414 @default.
- W2912204414 hasRelatedWork W3017570460 @default.
- W2912204414 hasVolume "50" @default.
- W2912204414 isParatext "false" @default.
- W2912204414 isRetracted "false" @default.
- W2912204414 magId "2912204414" @default.
- W2912204414 workType "article" @default.