학술논문

A new protocol reduces median door-to-needle time to the benchmark of 30 minutes in acute stroke treatment
Document Type
article
Source
Neurología (English Edition), Vol 36, Iss 7, Pp 487-494 (2021)
Subject
Tiempo puerta-aguja
Trombolisis intravenosa
Tratamiento del ictus
Protocolo intrahospitalario
Ictus agudo
Ictus isquémico
Neurology. Diseases of the nervous system
RC346-429
Language
English
ISSN
2173-5808
Abstract
Introduction: Recent analyses emphasise that The Benchmark Stroke Door-to-Needle Time (DNT) should be 30 min. This study aimed to determine if a new in-hospital IVT protocol is effective in reducing door-to-needle time and correcting previously identified factors associated with delays. Material and methods: In 2014, we gradually introduced a series of measures aimed to reduce door-to-needle time for patients receiving IVT, and compared it before (2009-2012) and after (2014-2017) the new protocol was introduced. Results: The sample included 239 patients before and 222 after the introduction of the protocol. Median overall door-to-needle time was 27 min after the protocol was fully implemented (a 48% reduction on previous door-to-needle time [52 min], P