Improving Door-to-Needle Times for Acute Ischemic Stroke by Using Naradhiwas Rajanagarindra Model
Keywords:
acute ischemic stroke, door-to-needle time, stroke fast trackAbstract
Background: The implement of stroke fast track strategies is associated with reduction in treatment times for tissue-type plasminogen activator (t-PA) administration. The impact strategies are variety in each area as well as Naradhiwas Rajanagarindra Hospital.
Objectives: The study aims to report the outcome after developing Naradhiwas Rajanagarindra model.
Methods: In this prospective cohort study, we collected data from the study survey in 160 stroke fast track patients from Naradhiwas Rajanagarindra Hospital between August 1, 2021 to January 31, 2022. Divided in 3 groups, phase I was analyzed baseline performance. In phase II, strategies changes were implemented. Using the model then collected outcome in phase III. Data analysis of difference between groups were performed using Kruskal-Wallis H. and Mann-Whitney Test.
Results: Number of patients are 45 in phase I, 29 in phase II, and 86 in phase III. 13.84 % decrease in door-to-refer time (P-value=0.429). 26.28 % decrease in door-to-door time (P-value=0.027). 34.41 % decrease in door-to-CT time (P-value=0.027). Mean door-to-needle time in phase III is 27.79 minutes and the study can improve door-to-needle time 28.58 % (P-value<0.001).
Conclusion: Development of Naradhiwas Rajanagarindra Hospital stroke fast track model is associated with reduction in referral time, and administering time of t-PA.
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ข้อความภายในบทความที่ตีพิมพ์ในวารสารสมาคมโรคหลอดเลือดสมองไทยเล่มนี้ ตลอดจนความรับผิดชอบด้านเนื้อหาและการตรวจร่างบทความเป็นของผู้นิพนธ์ ไม่เกี่ยวข้องกับกองบรรณาธิการแต่อย่างใด การนำเนื้อหา ข้อความหรือข้อคิดเห็นของบทความไปเผยแพร่ ต้องได้รับอนุญาตจากกองบรรณาธิการอย่างเป็นลายลักษณ์อักษร ผลงานที่ได้รับการตีพิมพ์ในวารสารเล่มนี้ถือเป็นลิขสิทธิ์ของวารสาร
