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| Content Provider | Springer Nature : BioMed Central |
|---|---|
| Author | Weiss, Daniel Rubbert, Christian Kaschner, Marius Greiner, Gregory Gordon Kairies-Schwarz, Nadja Vomhof, Markus Icks, Andrea Weitz, Linea Hollenberg, Hanna Jansen, Robin Menge, Til Seitz, Rüdiger J. Jander, Sebastian Bernhard, Michael Lee, John-Ih Ruck, Tobias Meuth, Sven Guenther Turowski, Bernd Caspers, Julian Gliem, Michael |
| Abstract | Background The reduction of processing times in the treatment of acute ischemic stroke is of outstanding importance. Our objective is to analyze the acute stroke care chain from onset to treatment in a city in Germany comprising three stroke units. Additionally, we discuss solutions for detected treatment delays. Methods We conducted an in-depth analysis of acute stroke care processing times across three local stroke centers in Düsseldorf among all emergency services transportations for suspected stroke. Isochrone mapping was performed to identify areas with prolonged transportation times. Results Among the 1,714 transportations, 943 patients had confirmed strokes. Prehospital care constituted 58% of total emergency care time until imaging. Patients with confirmed stroke had reduced in-hospital times while patients receiving treatment experienced faster in-hospital times. Isochrone mapping revealed disparities in transportation times within the city. Conclusions In conclusion, we identified confirmation of stroke symptoms as pre- and in-hospital and treatment eligibility as in-hospital process accelerators in stroke care. We propose the introduction of an in-ambulance video consulting model to accelerate contact to stroke-experts and accelerate processing times for patients eligible for treatment. Furthermore, we discuss the combination of in-ambulance video consulting with imaging and starting treatment outside traditional stroke centers, followed by transportation to a stroke center during thrombolysis, which might further accelerate treatment in specific cases. |
| Related Links | https://bmcemergmed.biomedcentral.com/counter/pdf/10.1186/s12873-024-01142-3.pdf |
| Ending Page | 10 |
| Page Count | 10 |
| Starting Page | 1 |
| File Format | HTM / HTML |
| DOI | 10.1186/s12873-024-01142-3 |
| Journal | BMC Emergency Medicine |
| Issue Number | 1 |
| Volume Number | 24 |
| Language | English |
| Publisher | BioMed Central |
| Publisher Date | 2024-11-27 |
| Access Restriction | Open |
| Subject Keyword | Emergency Medicine Medicine Public Health Stroke Models of care Outcome Cost efficiency Medicine/Public Health |
| Content Type | Text |
| Resource Type | Article |
| Subject | Emergency Medicine |
| Journal Impact Factor | 2.3/2023 |
| 5-Year Journal Impact Factor | 2.5/2023 |
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