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10.5853/jos.2016.01802 http://scihub22266oqcxt.onion/10.5853/jos.2016.01802 C5466296!5466296!28592785     free     free     free Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       J+Stroke 2017 ; 19 (2): 196-204 Nephropedia Template TP {{tp|p=28592785|t=2017. Multidisciplinary Approach to Decrease In-Hospital Delay for Stroke Thrombolysis |pdf=|usr=}}{{28592785}} gab.com Text Multidisciplinary Approach to Decrease In-Hospital Delay for Stroke Thrombolysis JO: J Stroke http://www.kidney.de/pget.php?&tw=1&pmid=28592785 #FOAvip Background and Purpose: Decreasing the time delay for thrombolysis, including intravenous thrombolysis (IVT) with tissue plasminogen activator and intra-arterial thrombectomy (IAT), is critical for decreasing the morbidity and mortality of patients experiencing acute stroke. We aimed to decrease the in-hospital delay for both IVT and IAT through a multidisciplinary approach that is feasible 24 h/day. Methods: We implemented the Stroke Alert Team (SAT) on May 2, 2016, which introduced hospital-initiated ambulance prenotification and reorganized in-hospital processes. We compared the patient characteristics, time for each step of the evaluation and thrombolysis, thrombolysis rate, and post-thrombolysis intracranial hemorrhage from January 2014 to August 2016. Results: A total of 245 patients received thrombolysis (198 before SAT; 47 after SAT). The median door-to-CT, door-to-MRI, and door-to-laboratory times decreased to 13 min, 37.5 min, and 8 min, respectively, after SAT implementation (P<0.001). The median door-to-IVT time decreased from 46 min (interquartile range [IQR] 36?57 min) to 20.5 min (IQR 15.8?32.5 min; P<0.001). The median door-to-IAT time decreased from 156 min (IQR 124.5?212.5 min) to 86.5 min (IQR 67.5?102.3 min; P<0.001). The thrombolysis rate increased from 9.8% (198/2,012) to 15.8% (47/297; P=0.002), and the post-thrombolysis radiological intracranial hemorrhage rate decreased from 12.6% (25/198) to 2.1% (1/47; P=0.035). Conclusions: SAT significantly decreased the in-hospital delay for thrombolysis, increased thrombolysis rate, and decreased post-thrombolysis intracranial hemorrhage. Time benefits of SAT were observed for both IVT and IAT and during office hours and after-hours. Twit Text FOAVip Multidisciplinary Approach to Decrease In-Hospital Delay for Stroke Thrombolysis ????J Stroke http://www.kidney.de/pget.php?&tw=1&pmid=28592785 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=28592785 #FOAvip English Wikipedia <ref>{{Cite pmid|28592785}}</ref> Multidisciplinary Approach to Decrease In-Hospital Delay for Stroke Thrombolysis #MMPMID28592785 Jeon SB; Ryoo SM; Lee DH; Kwon SU; Jang S; Lee EJ; Lee SH; Han JH; Yoon MJ; Jeong S; Cho YU; Jo S; Lim SB; Kim JG; Lee HB; Jung SC; Park KW; Lee MH; Kang DW; Suh DC; Kim JS J Stroke 2017[May]; 19 (2): 196-204 PMID28592785show ga Background and Purpose: Decreasing the time delay for thrombolysis, including intravenous thrombolysis (IVT) with tissue plasminogen activator and intra-arterial thrombectomy (IAT), is critical for decreasing the morbidity and mortality of patients experiencing acute stroke. We aimed to decrease the in-hospital delay for both IVT and IAT through a multidisciplinary approach that is feasible 24 h/day. Methods: We implemented the Stroke Alert Team (SAT) on May 2, 2016, which introduced hospital-initiated ambulance prenotification and reorganized in-hospital processes. We compared the patient characteristics, time for each step of the evaluation and thrombolysis, thrombolysis rate, and post-thrombolysis intracranial hemorrhage from January 2014 to August 2016. Results: A total of 245 patients received thrombolysis (198 before SAT; 47 after SAT). The median door-to-CT, door-to-MRI, and door-to-laboratory times decreased to 13 min, 37.5 min, and 8 min, respectively, after SAT implementation (P<0.001). The median door-to-IVT time decreased from 46 min (interquartile range [IQR] 36?57 min) to 20.5 min (IQR 15.8?32.5 min; P<0.001). The median door-to-IAT time decreased from 156 min (IQR 124.5?212.5 min) to 86.5 min (IQR 67.5?102.3 min; P<0.001). The thrombolysis rate increased from 9.8% (198/2,012) to 15.8% (47/297; P=0.002), and the post-thrombolysis radiological intracranial hemorrhage rate decreased from 12.6% (25/198) to 2.1% (1/47; P=0.035). Conclusions: SAT significantly decreased the in-hospital delay for thrombolysis, increased thrombolysis rate, and decreased post-thrombolysis intracranial hemorrhage. Time benefits of SAT were observed for both IVT and IAT and during office hours and after-hours. äMultidisciplinary Approach to Decrease In-Hospital Delay for Stroke Th(epmc).pdf DeepDyve Pubget Overpricing