1. Pre-hospital notification reduced the door-to-needle time for iv t-PA in acute ischaemic stroke
- Author
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Su-Ho Lee, Jae-Kwan Cha, M. J. Kang, Yong Seok Lee, Hee-Joon Bae, S. K. Kim, and S. Y. Kim
- Subjects
medicine.medical_specialty ,business.industry ,Hotline ,medicine.medical_treatment ,Medical information ,Thrombolysis ,Notification system ,medicine.disease ,Surgery ,Door to needle time ,Neurology ,Emergency medicine ,Ischaemic stroke ,medicine ,Tissue type ,Neurology (clinical) ,business ,Stroke - Abstract
Background and purpose: Intrahospital delay is the most serious obstacle in thrombolysis in acute ischaemic stroke (AIS). We implemented the pre-hospital notification system from the emergency medical information system in our metropolitan area to reduce intrahospital delay. Methods: From October 2007, we implemented a 24-h hotline system between our stroke center and the Korean Emergency Medical Information System in Busan. We compared processing times and clinical outcomes amongst patients after using intravenous tissue type plasminogen activator (iv t-PA) with and without the hotline system. Results: After the pre-hospital notification system was implemented, the rate of iv t-PA use increased from 6.5% to 14.3%. Time of onset in patients with pre-hospital notification was much longer than in patients without (121.5 ± 34.8 min vs. 74.7 ± 38.5 min, P
- Published
- 2009
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