Door to Needle Time over TelestrokeA Comprehensive Stroke Center Experience
Door to Needle Time over TelestrokeA Comprehensive Stroke Center Experience
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DOI：
10.1089/tmj.2017.0067
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发表时间：
2018-02-01
影响因子：
4.7
通讯作者：
Holmstedt, Christine A.
中科院分区：
文献类型：
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作者：
Al Kasab, Sami;Harvey, Jillian B.;Holmstedt, Christine A.
背景：远程卒中项目的实施使生活在农村地区的急性缺血性卒中患者能够接受专家急性卒中咨询和静脉注射阿替普酶（tPA）。本研究的目的是比较门到针（DTN）的时间时，tPA管理在远程中风网站（辐条）通过远程中风咨询相比，tPA管理在综合中风中心（hub）。方法：收集了所有患者的数据谁收到静脉tPA在枢纽和辐条医院通过大型远程中风计划在2008年5月至2016年12月。比较两组患者的基线特征，并比较研究期间中心医院和分支医院符合DTN指南的患者百分比。比较DTN之前和之后实施的质量改进projects.Results：在研究期间，共有1,665例患者接受tPA无论是在辐条（n=1,323）或枢纽（n=342）。两个治疗组的基线特征相当。在干预之前，DTN时间
Background:The implementation of telestroke programs has allowed patients living in rural areas suffering from acute ischemic stroke to receive expert acute stroke consultation and intravenous Alteplase (tPA). The purpose of this study is to compare door to needle (DTN) time when tPA is administered at telestroke sites (spokes) through telestroke consultations compared to tPA administration at the comprehensive stroke center (hub).Methods:Data on all patients who received intravenous tPA at the hub and spoke hospitals through a large telestroke program between May 2008 and December 2016 were collected. Baseline characteristics were compared between the two groups, and the percentage of patients meeting DTN guidelines was compared between the hub and spoke hospitals during the study period. Comparison of DTN before and after the implementation of a quality improvement project was performed.Results:A total of 1,665 patients received tPA at either the spoke (n=1,323) or the hub (n=342) during the study period. Baseline characteristics were comparable in both treatment groups. Before the intervention, DTN time