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Neurology. 2006 Jul 25;67(2):334-6.

Door to thrombolysis: ER reorganization and reduced delays to acute stroke treatment.

Author information

  • 1Emergency Neurology Services, Department of Neurology, Biomedicum Helsinki,Helsinki, Finland. perttu.lindsberg@hus.fi

Abstract

The authors reorganized the emergency room (ER) by moving CT to the ER and streamlining triage by prenotification by emergency medical services (EMS), which reduced in-hospital delays and enhanced access to stroke thrombolysis. CT delay dropped from 1 hour 3 minutes +/- 14 minutes in 1999 to 7 +/- 2 minutes in 2004 (p < 0.0001). Door-to-needle time dropped from 1 hour 28 minutes +/- 7 minutes to 50 +/- 3 minutes (p < 0.001), while symptom-to-needle time dropped from 2 hours 44 minutes +/- 6 minutes to 2 hours 5 minutes +/- 4 minutes (p < 0.0001). From 23 patients in 1999, thrombolysis access was increased to 100 patients in 2004 and 183 patients in 2005.

PMID:
16864834
[PubMed - indexed for MEDLINE]
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