Construction and application of a time-saving mode in China for the treatment of acute ischemic stroke
ObjectiveTo explore the construction and application in the practice of green channel in No. 971 Naval Hospital of PLA (No. 971 Hospital mode) for the treatment of acute ischemic stroke (AIS).MethodsThis retrospective study involved a cohort of 694 suspected stroke patients from December 2022 to Nov...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-03-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2024.1367801/full |
| _version_ | 1797257600507576320 |
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| author | Yazhou Yan Li Du Xiu Shangguan Lujun Li Yuxiang Chi Yu Wang Shuai Cheng Qinghai Huang Yuan Pan Tao Xin |
| author_facet | Yazhou Yan Li Du Xiu Shangguan Lujun Li Yuxiang Chi Yu Wang Shuai Cheng Qinghai Huang Yuan Pan Tao Xin |
| author_sort | Yazhou Yan |
| collection | DOAJ |
| description | ObjectiveTo explore the construction and application in the practice of green channel in No. 971 Naval Hospital of PLA (No. 971 Hospital mode) for the treatment of acute ischemic stroke (AIS).MethodsThis retrospective study involved a cohort of 694 suspected stroke patients from December 2022 to November 2023 undergoing emergency treatment for stroke at our institution. Among them, 483 patients were treated with standard green channel (the control group), and 211 patients adopted the No. 971 Hospital mode for treatment (the study group). The biggest difference between the two groups was that the treatment process started before admission. We compared the effectiveness of the emergency treatment between the two groups and the thrombolysis treatment.ResultsCompared with control group, the accuracy rate of determining stroke and the rate of thrombolysis were significantly higher (p = 0.002, 0.039) and the door to doctor arrival time (DAT) and the door to CT scan time (DCT) of the study group was significantly shorter (all p < 0.001). There were 49 patients (10.1%) and 33 patients (15.6%) from the control group and study group receiving thrombolysis, respectively. The DAT, DCT, imaging to needle time (INT), and door to needle time (DNT) of patients receiving thrombolysis in the study group were significantly shorter than that in the control group (all p < 0.01). The NIHSS in the study group after the thrombolysis was lower than that in the control group (p = 0.042).ConclusionNo. 971 Hospital model can effectively shorten DAT, DCT, INT, and DNT, and improve the effectiveness of thrombolysis and prognoses of AIS patients. |
| first_indexed | 2024-04-24T22:40:13Z |
| format | Article |
| id | doaj.art-31fbab3465284c4fb11f226e40455395 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-04-24T22:40:13Z |
| publishDate | 2024-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-31fbab3465284c4fb11f226e404553952024-03-19T04:20:56ZengFrontiers Media S.A.Frontiers in Neurology1664-22952024-03-011510.3389/fneur.2024.13678011367801Construction and application of a time-saving mode in China for the treatment of acute ischemic strokeYazhou Yan0Li Du1Xiu Shangguan2Lujun Li3Yuxiang Chi4Yu Wang5Shuai Cheng6Qinghai Huang7Yuan Pan8Tao Xin9Stroke Center, No. 971 Naval Hospital of PLA, Qingdao, ChinaStroke Center, No. 971 Naval Hospital of PLA, Qingdao, ChinaStroke Center, No. 971 Naval Hospital of PLA, Qingdao, ChinaStroke Center, No. 971 Naval Hospital of PLA, Qingdao, ChinaStroke Center, No. 971 Naval Hospital of PLA, Qingdao, ChinaStroke Center, No. 971 Naval Hospital of PLA, Qingdao, ChinaStroke Center, No. 971 Naval Hospital of PLA, Qingdao, ChinaDepartment of Neurovascular Center, Changhai Hospital Affiliated to the Naval Medical University, Shanghai, ChinaStroke Center, No. 971 Naval Hospital of PLA, Qingdao, ChinaStroke Center, No. 971 Naval Hospital of PLA, Qingdao, ChinaObjectiveTo explore the construction and application in the practice of green channel in No. 971 Naval Hospital of PLA (No. 971 Hospital mode) for the treatment of acute ischemic stroke (AIS).MethodsThis retrospective study involved a cohort of 694 suspected stroke patients from December 2022 to November 2023 undergoing emergency treatment for stroke at our institution. Among them, 483 patients were treated with standard green channel (the control group), and 211 patients adopted the No. 971 Hospital mode for treatment (the study group). The biggest difference between the two groups was that the treatment process started before admission. We compared the effectiveness of the emergency treatment between the two groups and the thrombolysis treatment.ResultsCompared with control group, the accuracy rate of determining stroke and the rate of thrombolysis were significantly higher (p = 0.002, 0.039) and the door to doctor arrival time (DAT) and the door to CT scan time (DCT) of the study group was significantly shorter (all p < 0.001). There were 49 patients (10.1%) and 33 patients (15.6%) from the control group and study group receiving thrombolysis, respectively. The DAT, DCT, imaging to needle time (INT), and door to needle time (DNT) of patients receiving thrombolysis in the study group were significantly shorter than that in the control group (all p < 0.01). The NIHSS in the study group after the thrombolysis was lower than that in the control group (p = 0.042).ConclusionNo. 971 Hospital model can effectively shorten DAT, DCT, INT, and DNT, and improve the effectiveness of thrombolysis and prognoses of AIS patients.https://www.frontiersin.org/articles/10.3389/fneur.2024.1367801/fullacute ischemic strokeintravenous thrombolysisgreen channelemergency treatmenteffectiveness |
| spellingShingle | Yazhou Yan Li Du Xiu Shangguan Lujun Li Yuxiang Chi Yu Wang Shuai Cheng Qinghai Huang Yuan Pan Tao Xin Construction and application of a time-saving mode in China for the treatment of acute ischemic stroke Frontiers in Neurology acute ischemic stroke intravenous thrombolysis green channel emergency treatment effectiveness |
| title | Construction and application of a time-saving mode in China for the treatment of acute ischemic stroke |
| title_full | Construction and application of a time-saving mode in China for the treatment of acute ischemic stroke |
| title_fullStr | Construction and application of a time-saving mode in China for the treatment of acute ischemic stroke |
| title_full_unstemmed | Construction and application of a time-saving mode in China for the treatment of acute ischemic stroke |
| title_short | Construction and application of a time-saving mode in China for the treatment of acute ischemic stroke |
| title_sort | construction and application of a time saving mode in china for the treatment of acute ischemic stroke |
| topic | acute ischemic stroke intravenous thrombolysis green channel emergency treatment effectiveness |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2024.1367801/full |
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