Delays in the stroke thrombolysis pathway - Identifying areas for improvement

Hdl Handle:
http://hdl.handle.net/10147/316726
Title:
Delays in the stroke thrombolysis pathway - Identifying areas for improvement
Authors:
Brewer, L; Arize, C; Williams, D
Citation:
Brewer L, Arize C, Williams D. Delays in the stroke thrombolysis pathway - identifying areas for improvement. Ir Med J 2014 May 107 (5)
Publisher:
Irish Medical Journal
Journal:
Irish Medical Journal
Issue Date:
May-2014
URI:
http://hdl.handle.net/10147/316726
Abstract:
Despite international consensus on the benefits of thrombolysis for ischaemic stroke (IS), it remains underused. Guidelines now recommend a door-to-needle time of d60 minutes. We reviewed the rate and timeliness of thrombolysis for IS at our hospital. 323 stroke patients presented between January 2011 and April 2012.Thirty patients (10.6% of IS) were thrombolysed, mean age was 68.5 years (42 to 88) and 19 patients (63%) were male. Thirty-six patients (12.7% of IS) were not thrombolysed despite arriving within the time-window and symptom resolution was the commonest reason (15 patients; 42%). Despite most thrombolysed patients (42%) presenting to the Emergency Department during daytime working hours, there were delays at each step of the acute care pathway. The mean time for stroke team review was 23 minutes (5-50). The mean door-to-CT and the door-to-needle times were 60 minutes (25-95) and 92 minutes (46-130) respectively. In parallel with national stroke incentives, local audit can highlight barriers to uptake and efficiency within thrombolysis services.
Item Type:
Article
Language:
en
Keywords:
STROKE AND TIA

Full metadata record

DC FieldValue Language
dc.contributor.authorBrewer, Len_GB
dc.contributor.authorArize, Cen_GB
dc.contributor.authorWilliams, Den_GB
dc.date.accessioned2014-05-12T09:53:22Z-
dc.date.available2014-05-12T09:53:22Z-
dc.date.issued2014-05-
dc.identifier.citationBrewer L, Arize C, Williams D. Delays in the stroke thrombolysis pathway - identifying areas for improvement. Ir Med J 2014 May 107 (5)en_GB
dc.identifier.urihttp://hdl.handle.net/10147/316726-
dc.description.abstractDespite international consensus on the benefits of thrombolysis for ischaemic stroke (IS), it remains underused. Guidelines now recommend a door-to-needle time of d60 minutes. We reviewed the rate and timeliness of thrombolysis for IS at our hospital. 323 stroke patients presented between January 2011 and April 2012.Thirty patients (10.6% of IS) were thrombolysed, mean age was 68.5 years (42 to 88) and 19 patients (63%) were male. Thirty-six patients (12.7% of IS) were not thrombolysed despite arriving within the time-window and symptom resolution was the commonest reason (15 patients; 42%). Despite most thrombolysed patients (42%) presenting to the Emergency Department during daytime working hours, there were delays at each step of the acute care pathway. The mean time for stroke team review was 23 minutes (5-50). The mean door-to-CT and the door-to-needle times were 60 minutes (25-95) and 92 minutes (46-130) respectively. In parallel with national stroke incentives, local audit can highlight barriers to uptake and efficiency within thrombolysis services.en_GB
dc.languageen-
dc.language.isoenen
dc.publisherIrish Medical Journalen_GB
dc.subjectSTROKE AND TIAen_GB
dc.titleDelays in the stroke thrombolysis pathway - Identifying areas for improvementen_GB
dc.typeArticleen
dc.identifier.journalIrish Medical Journalen_GB
dc.description.fundingNo fundingen
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen
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