Cuyahoga County Operation Stroke speed of emergency department evaluation and compliance with National Institutes of Neurological Disorders and stroke time targets

Cuyahoga County Operation Stroke speed of emergency department evaluation and compliance with National Institutes of Neurological Disorders and stroke time targets
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DOI:
10.1161/01.str.0000060870.55480.61
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发表时间:
2003-04-01
期刊:
影响因子:
8.3
通讯作者:
Landis, DM
Landis, DM
中科院分区:
医学1区
文献类型:
--
作者:
Katzan, IL;Graber, TM;Landis, DM

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背景和目的--尽管美国国立神经疾病和卒中研究所(NINDS)已经建立了评估急性卒中患者的时间目标,但对于社区中这些目标的实现频率知之甚少。为了跟踪遵守NINDS的指导方针,凯霍加县中风手术实施了一个县范围内的数据收集过程,提供比较报告的医院performance.Methods-Data的中风患者的急诊科评价已回顾性收集自2000年1月以来,参加凯霍加县中风手术的医院。所有医院均使用一张包含NINDS时间目标信息的单页表格。结果:该队列中1003例患者到达急诊室的中位时间为115分钟; 382例患者(38%)到达急诊室。
Background and Purpose-Although the National Institutes of Neurological Disorders and Stroke (NINDS) has established time targets for the evaluation of acute stroke patients, little is known about how often these targets are met in the community. To track compliance with NINDS guidelines, Cuyahoga County Operation Stroke implemented a countywide data collection process that provides comparative reporting of hospital performance.Methods-Data on the emergency department evaluation of stroke patients have been retrospectively collected since January 2000 by hospitals participating in Cuyahoga County Operation Stroke. All hospitals used a 1-page form that includes NINDS time target information.Results-Median time to emergency department arrival for the 1003 patients in this cohort was 115 minutes; 382 patients (38%) arrived in