Analysis of real-time data gathered using a mobile application from patients treated after code stroke activation in Alicante
Introduction: Management of code stroke (CS) is complex, and the collection of information for subsequent evaluation is crucial. We present data obtained using a mobile application on the management of CS between 2020 and 2021 at the Hospital General Universitario Dr. Balmis (HGUB), a tertiary-level...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-04-01
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| Series: | Neurology Perspectives |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667049624000127 |
| _version_ | 1797247682320793600 |
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| author | P. Ros Arlanzón C. Aledo Sala R. Hernández Lorido I. Beltrán Blasco N. López Hernández |
| author_facet | P. Ros Arlanzón C. Aledo Sala R. Hernández Lorido I. Beltrán Blasco N. López Hernández |
| author_sort | P. Ros Arlanzón |
| collection | DOAJ |
| description | Introduction: Management of code stroke (CS) is complex, and the collection of information for subsequent evaluation is crucial. We present data obtained using a mobile application on the management of CS between 2020 and 2021 at the Hospital General Universitario Dr. Balmis (HGUB), a tertiary-level hospital that is the reference centre for endovascular treatment (EVT) in the province of Alicante. Material and methods: We conducted a prospective, observational study of all patients attended after CS activation at the HGUB in 1 year. Data were collected using a specifically designed mobile application (CODICT). We present a descriptive analysis of patients' baseline characteristics, call flow, acute phase care, treatment rates, and mortality and functional outcomes at discharge and at 3 months in patients receiving EVT. Results: A total of 1018 CS activations were recorded. Revascularisation treatment (intravenous fibrinolytic treatment [IVT], EVT, or EVT+IVT) was performed in 252 patients (24.75%), of whom 177 (17.38%) received EVT, amounting to a mean rate of 9.43 per 100 000 population. By healthcare district, the lowest rate was 3.16 and the highest was 16.40. A total of 49.32% of patients receiving EVT presented favourable functional status (mRS≤2) at 90 days. Conclusion: The data collected during IC care can be traced in real time through mobile applications. The potential of this approach is demonstrated by the volume of data collected during 1 year. These data show considerable disparities in access to EVT in the province of Alicante, which could be suggested as an area for improvement. Resumen: Introducción: La atención al Código Ictus (CI) es compleja y resulta crucial recopilar información para su posterior evaluación. Exponemos los datos obtenidos mediante aplicación móvil, del manejo del CI durante 2020–2021 en el Hospital General Universitario Dr.Balmis (HGUB), hospital terciario referencia para tratamiento endovascular (TEV) de la provincia de Alicante. Material y métodos: Estudio observacional prospectivo de todos los sujetos atendidos por activación de CI en el HGUB en un año. Recogida de variables mediante aplicación móvil (CODICT) desarrollada para tal fin. Análisis descriptivo de las características basales de los pacientes, flujo de llamadas, atención en fase aguda, tasas de tratamiento y resultados funcionales y de mortalidad al alta y a los tres meses en los casos sometidos a TEV. Resultados: Se recibieron 1018 activaciones de CI. 252 pacientes (24,75%) recibieron tratamiento revascularizador (Fibrinólisis intravenosa (FIV), TEV o TEV + FIV), de ellos, 177 (17,38%) recibieron TEV lo que supuso una tasa media de 9,43 por 100.000 habitantes. Por departamentos de salud la tasa más baja fue de 3,16 y la máxima de 16,40. Un 49,32% de los pacientes sometidos a TEV alcanzaron situación funcional favourable (mRS ≤ 2) a los 90 días. Conclusión: La trazabilidad de los datos recopilados durante la atención al CI es susceptible de realizarse a tiempo real mediante aplicaciones móviles. Su potencial queda patente en el volumen de datos recogidos durante un año. Se ha manifestado una fuerte disparidad en el acceso a TEV en la provincia de Alicante, susceptible de proponerse como área de mejora. |
| first_indexed | 2024-04-24T20:02:34Z |
| format | Article |
| id | doaj.art-72186f1e4d8d499bab865731b0b9b9dd |
| institution | Directory Open Access Journal |
| issn | 2667-0496 |
| language | English |
| last_indexed | 2024-04-24T20:02:34Z |
| publishDate | 2024-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Neurology Perspectives |
| spelling | doaj.art-72186f1e4d8d499bab865731b0b9b9dd2024-03-24T07:02:10ZengElsevierNeurology Perspectives2667-04962024-04-0142100156Analysis of real-time data gathered using a mobile application from patients treated after code stroke activation in AlicanteP. Ros Arlanzón0C. Aledo Sala1R. Hernández Lorido2I. Beltrán Blasco3N. López Hernández4Corresponding author.; Neurology Department, Dr. Balmis General University Hospital, Alicante Institute for Health and Biomedical Research (ISABIAL), Alicante, SpainNeurology Department, Dr. Balmis General University Hospital, Alicante Institute for Health and Biomedical Research (ISABIAL), Alicante, SpainNeurology Department, Dr. Balmis General University Hospital, Alicante Institute for Health and Biomedical Research (ISABIAL), Alicante, SpainNeurology Department, Dr. Balmis General University Hospital, Alicante Institute for Health and Biomedical Research (ISABIAL), Alicante, SpainNeurology Department, Dr. Balmis General University Hospital, Alicante Institute for Health and Biomedical Research (ISABIAL), Alicante, SpainIntroduction: Management of code stroke (CS) is complex, and the collection of information for subsequent evaluation is crucial. We present data obtained using a mobile application on the management of CS between 2020 and 2021 at the Hospital General Universitario Dr. Balmis (HGUB), a tertiary-level hospital that is the reference centre for endovascular treatment (EVT) in the province of Alicante. Material and methods: We conducted a prospective, observational study of all patients attended after CS activation at the HGUB in 1 year. Data were collected using a specifically designed mobile application (CODICT). We present a descriptive analysis of patients' baseline characteristics, call flow, acute phase care, treatment rates, and mortality and functional outcomes at discharge and at 3 months in patients receiving EVT. Results: A total of 1018 CS activations were recorded. Revascularisation treatment (intravenous fibrinolytic treatment [IVT], EVT, or EVT+IVT) was performed in 252 patients (24.75%), of whom 177 (17.38%) received EVT, amounting to a mean rate of 9.43 per 100 000 population. By healthcare district, the lowest rate was 3.16 and the highest was 16.40. A total of 49.32% of patients receiving EVT presented favourable functional status (mRS≤2) at 90 days. Conclusion: The data collected during IC care can be traced in real time through mobile applications. The potential of this approach is demonstrated by the volume of data collected during 1 year. These data show considerable disparities in access to EVT in the province of Alicante, which could be suggested as an area for improvement. Resumen: Introducción: La atención al Código Ictus (CI) es compleja y resulta crucial recopilar información para su posterior evaluación. Exponemos los datos obtenidos mediante aplicación móvil, del manejo del CI durante 2020–2021 en el Hospital General Universitario Dr.Balmis (HGUB), hospital terciario referencia para tratamiento endovascular (TEV) de la provincia de Alicante. Material y métodos: Estudio observacional prospectivo de todos los sujetos atendidos por activación de CI en el HGUB en un año. Recogida de variables mediante aplicación móvil (CODICT) desarrollada para tal fin. Análisis descriptivo de las características basales de los pacientes, flujo de llamadas, atención en fase aguda, tasas de tratamiento y resultados funcionales y de mortalidad al alta y a los tres meses en los casos sometidos a TEV. Resultados: Se recibieron 1018 activaciones de CI. 252 pacientes (24,75%) recibieron tratamiento revascularizador (Fibrinólisis intravenosa (FIV), TEV o TEV + FIV), de ellos, 177 (17,38%) recibieron TEV lo que supuso una tasa media de 9,43 por 100.000 habitantes. Por departamentos de salud la tasa más baja fue de 3,16 y la máxima de 16,40. Un 49,32% de los pacientes sometidos a TEV alcanzaron situación funcional favourable (mRS ≤ 2) a los 90 días. Conclusión: La trazabilidad de los datos recopilados durante la atención al CI es susceptible de realizarse a tiempo real mediante aplicaciones móviles. Su potencial queda patente en el volumen de datos recogidos durante un año. Se ha manifestado una fuerte disparidad en el acceso a TEV en la provincia de Alicante, susceptible de proponerse como área de mejora.http://www.sciencedirect.com/science/article/pii/S2667049624000127IctusCódigo IctusAplicación MóvilTratamiento endovascularInequidades en Salud |
| spellingShingle | P. Ros Arlanzón C. Aledo Sala R. Hernández Lorido I. Beltrán Blasco N. López Hernández Analysis of real-time data gathered using a mobile application from patients treated after code stroke activation in Alicante Neurology Perspectives Ictus Código Ictus Aplicación Móvil Tratamiento endovascular Inequidades en Salud |
| title | Analysis of real-time data gathered using a mobile application from patients treated after code stroke activation in Alicante |
| title_full | Analysis of real-time data gathered using a mobile application from patients treated after code stroke activation in Alicante |
| title_fullStr | Analysis of real-time data gathered using a mobile application from patients treated after code stroke activation in Alicante |
| title_full_unstemmed | Analysis of real-time data gathered using a mobile application from patients treated after code stroke activation in Alicante |
| title_short | Analysis of real-time data gathered using a mobile application from patients treated after code stroke activation in Alicante |
| title_sort | analysis of real time data gathered using a mobile application from patients treated after code stroke activation in alicante |
| topic | Ictus Código Ictus Aplicación Móvil Tratamiento endovascular Inequidades en Salud |
| url | http://www.sciencedirect.com/science/article/pii/S2667049624000127 |
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