Impact of Thrombolysis Time Metrics When Participating in National Stroke Center Construction Project
Wanchun Cheng,1 Mohammad Mofatteh,2 José Fidel Baizabal-Carvallo,3,4 Shaohuan Lu,1 Ping Su,1 Yimin Chen,5,6 Luoming Li,1 Lizhi Qin,1 Xingmei Zuo,1 Yifeng Lan,7 Yue Huang,8 Zhihui Yu,9 Zirui Luo,10,* Gang Chen10,* 1Department of Neurology and National Stroke Center, The 5th People’s H...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2023-11-01
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| Series: | Journal of Multidisciplinary Healthcare |
| Subjects: | |
| Online Access: | https://www.dovepress.com/impact-of-thrombolysis-time-metrics-when-participating-in-national-str-peer-reviewed-fulltext-article-JMDH |
| _version_ | 1797634197518548992 |
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| author | Cheng W Mofatteh M Baizabal-Carvallo JF Lu S Su P Chen Y Li L Qin L Zuo X Lan Y Huang Y Yu Z Luo Z Chen G |
| author_facet | Cheng W Mofatteh M Baizabal-Carvallo JF Lu S Su P Chen Y Li L Qin L Zuo X Lan Y Huang Y Yu Z Luo Z Chen G |
| author_sort | Cheng W |
| collection | DOAJ |
| description | Wanchun Cheng,1 Mohammad Mofatteh,2 José Fidel Baizabal-Carvallo,3,4 Shaohuan Lu,1 Ping Su,1 Yimin Chen,5,6 Luoming Li,1 Lizhi Qin,1 Xingmei Zuo,1 Yifeng Lan,7 Yue Huang,8 Zhihui Yu,9 Zirui Luo,10,* Gang Chen10,* 1Department of Neurology and National Stroke Center, The 5th People’s Hospital of Foshan City, Foshan, People’s Republic of China; 2School of Medicine, Dentistry and Biomedical Sciences, Queen’s University Belfast, Belfast, UK; 3Parkinson’s Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine, Houston, Texas, USA; 4Department of Sciences and Engineering, University of Guanajuato, León, Mexico; 5Department of Neurology and Advanced National Stroke Center, Foshan Sanshui District People’s Hospital, Foshan, People’s Republic of China; 6Neuro International Collaboration (NIC), Foshan, People’s Republic of China; 7Department of Radiology, the 5th People’s Hospital of Foshan City, Foshan, People’s Republic of China; 8Department of Emergency, the 5th People’s Hospital of Foshan City, Foshan, People’s Republic of China; 9Department of Laboratory Medicine, the 5th People’s Hospital of Foshan City, Foshan, People’s Republic of China; 10Dean’s Office, the 5th People’s Hospital of Foshan City, Foshan, People’s Republic of China*These authors contributed equally to this workCorrespondence: Zirui Luo; Gang Chen, Dean’s Office, the 5th People’s Hospital of Foshan City, Foshan, Guangdong Province, 528211, People’s Republic of China, Email ziruiluo@126.com; vikingsaga@163.comPurpose: Intravenous thrombolysis has emerged as an effective approach to improve the long-term survival and functional status of patients with ischemic stroke. The aim of this study was to assess the impact of a national stroke project on the door-to-needle-time (DNT).Patients and Methods: The patients were divided into pre-construction and construction periods. Construction Measures were performed during the construction period. The DNT and onset-to-needle time (ONT) were compared in two period groups.Results: After participating in the National Stroke Center Project and effective measurements, the thrombolysis treatment metrics were improved significantly. The DNT (IQR) was shortened from 65.0 (54.5,85.0) minutes in the Pre-Construction period to 40.0 (33.0,53.0) minutes in the Construction period (p < 0.001). Similarly, the ONT was reduced from 157.0 (IQR) (115.0,184.0) minutes to 116.0 (87.8,170.0) minutes (p = 0.035).Conclusion: The DNT time and ONT time can be shortened by National Stroke Center Construction projects. More suitable hospitals should be encouraged to participate as the National Stroke Center.Keywords: acute ischemic stroke, intravenous thrombolysis, door-to-needle time, onset-to-needle time |
| first_indexed | 2024-03-11T12:04:26Z |
| format | Article |
| id | doaj.art-1defeabe7a97448c8a7281ad0614ebcf |
| institution | Directory Open Access Journal |
| issn | 1178-2390 |
| language | English |
| last_indexed | 2024-03-11T12:04:26Z |
| publishDate | 2023-11-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Journal of Multidisciplinary Healthcare |
| spelling | doaj.art-1defeabe7a97448c8a7281ad0614ebcf2023-11-07T17:06:36ZengDove Medical PressJournal of Multidisciplinary Healthcare1178-23902023-11-01Volume 163333333887969Impact of Thrombolysis Time Metrics When Participating in National Stroke Center Construction ProjectCheng WMofatteh MBaizabal-Carvallo JFLu SSu PChen YLi LQin LZuo XLan YHuang YYu ZLuo ZChen GWanchun Cheng,1 Mohammad Mofatteh,2 José Fidel Baizabal-Carvallo,3,4 Shaohuan Lu,1 Ping Su,1 Yimin Chen,5,6 Luoming Li,1 Lizhi Qin,1 Xingmei Zuo,1 Yifeng Lan,7 Yue Huang,8 Zhihui Yu,9 Zirui Luo,10,* Gang Chen10,* 1Department of Neurology and National Stroke Center, The 5th People’s Hospital of Foshan City, Foshan, People’s Republic of China; 2School of Medicine, Dentistry and Biomedical Sciences, Queen’s University Belfast, Belfast, UK; 3Parkinson’s Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine, Houston, Texas, USA; 4Department of Sciences and Engineering, University of Guanajuato, León, Mexico; 5Department of Neurology and Advanced National Stroke Center, Foshan Sanshui District People’s Hospital, Foshan, People’s Republic of China; 6Neuro International Collaboration (NIC), Foshan, People’s Republic of China; 7Department of Radiology, the 5th People’s Hospital of Foshan City, Foshan, People’s Republic of China; 8Department of Emergency, the 5th People’s Hospital of Foshan City, Foshan, People’s Republic of China; 9Department of Laboratory Medicine, the 5th People’s Hospital of Foshan City, Foshan, People’s Republic of China; 10Dean’s Office, the 5th People’s Hospital of Foshan City, Foshan, People’s Republic of China*These authors contributed equally to this workCorrespondence: Zirui Luo; Gang Chen, Dean’s Office, the 5th People’s Hospital of Foshan City, Foshan, Guangdong Province, 528211, People’s Republic of China, Email ziruiluo@126.com; vikingsaga@163.comPurpose: Intravenous thrombolysis has emerged as an effective approach to improve the long-term survival and functional status of patients with ischemic stroke. The aim of this study was to assess the impact of a national stroke project on the door-to-needle-time (DNT).Patients and Methods: The patients were divided into pre-construction and construction periods. Construction Measures were performed during the construction period. The DNT and onset-to-needle time (ONT) were compared in two period groups.Results: After participating in the National Stroke Center Project and effective measurements, the thrombolysis treatment metrics were improved significantly. The DNT (IQR) was shortened from 65.0 (54.5,85.0) minutes in the Pre-Construction period to 40.0 (33.0,53.0) minutes in the Construction period (p < 0.001). Similarly, the ONT was reduced from 157.0 (IQR) (115.0,184.0) minutes to 116.0 (87.8,170.0) minutes (p = 0.035).Conclusion: The DNT time and ONT time can be shortened by National Stroke Center Construction projects. More suitable hospitals should be encouraged to participate as the National Stroke Center.Keywords: acute ischemic stroke, intravenous thrombolysis, door-to-needle time, onset-to-needle timehttps://www.dovepress.com/impact-of-thrombolysis-time-metrics-when-participating-in-national-str-peer-reviewed-fulltext-article-JMDHacute ischemic strokeintravenous thrombolysisdoor-to-needle timeonset-to-needle time. |
| spellingShingle | Cheng W Mofatteh M Baizabal-Carvallo JF Lu S Su P Chen Y Li L Qin L Zuo X Lan Y Huang Y Yu Z Luo Z Chen G Impact of Thrombolysis Time Metrics When Participating in National Stroke Center Construction Project Journal of Multidisciplinary Healthcare acute ischemic stroke intravenous thrombolysis door-to-needle time onset-to-needle time. |
| title | Impact of Thrombolysis Time Metrics When Participating in National Stroke Center Construction Project |
| title_full | Impact of Thrombolysis Time Metrics When Participating in National Stroke Center Construction Project |
| title_fullStr | Impact of Thrombolysis Time Metrics When Participating in National Stroke Center Construction Project |
| title_full_unstemmed | Impact of Thrombolysis Time Metrics When Participating in National Stroke Center Construction Project |
| title_short | Impact of Thrombolysis Time Metrics When Participating in National Stroke Center Construction Project |
| title_sort | impact of thrombolysis time metrics when participating in national stroke center construction project |
| topic | acute ischemic stroke intravenous thrombolysis door-to-needle time onset-to-needle time. |
| url | https://www.dovepress.com/impact-of-thrombolysis-time-metrics-when-participating-in-national-str-peer-reviewed-fulltext-article-JMDH |
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