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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Long-Term Impact of Implementation of a Stroke Protocol on Door-to-Needle Time in the Administration of Intravenous Tissue Plasminogen Activator
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Long-Term Impact of Implementation of a Stroke Protocol on Door-to-Needle Time in the Administration of Intravenous Tissue Plasminogen Activator

机译：静脉内组织纤溶酶原激活剂施用中风方案对门对针时间的长期影响

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Background: This study aims to evaluate the effectiveness of implementing a stroke protocol (SP) in improving door-to-needle time (DTNT) and door-to-computed tomography (DTCT) time from 2010 to 2014. Published data from the Get With The Guidelines-Stroke (GWTGS) participating hospitals showed that median DTNT = 75 minutes with 26.6% of the patients achieving the recommended DTNT of 60 minutes or less. Implementation of an SP, which specifies the role of nurses, physicians, and technicians during acute stroke evaluation, can improve DTNT. Methods: This longitudinal quality assurance study was designed to compare the DTNT and the DTCT time pre- and post implementation of an SP in our hospital. Patients' data before (2009-2010) and after (2010-2014) the implementation of an SP were collected each year during the same 6-month period and compared using statistical software SPSS 20.0 for Windows (SPSS Inc., Chicago, IL). Results: Although our DTNT did not significantly improve over the years, the median DTNT (59 minutes) was much less than the reported 75 minutes of GWTGS hospitals. Our DTCT time diminished from 20.6 minutes in 2009 to 15.9 minutes in 2014. The percentage of patients with a DTNT of 1 hour or less did not differ among all years (P = .296) and was 55.8%. Conclusions: Our study suggests that our performance in evaluating acute ischemic stroke patients within the American Heart Association/American Stroke Association suggested time window is reachable for prolonged periods of time.
机译：背景：本研究旨在评估从2010年到2014年改善门对针时间（DTNT）和门对上计算的断层扫描（DTCT）时间来实现行程协议（SP）的有效性。来自GET的公布数据参与医院的准则 - 中风（GWTGS）显示中位数DTNT = 75分钟，26.6％的患者达到60分钟或更短的推荐DTNT。实施SP，它规定了护士，医师和技术人员在急性中风评估期间的作用，可以改善DTNT。方法：该纵向质量保证研究旨在比较DTNT和DTCT时间在我们院内SP的实施。患者（2009-2010）之前的数据和（2010-2014）在同一6个月期间每年收集SP的实施，并使用统计软件SPSS 20.0 for Windows（SPSS Inc.，Chicago，IL）进行比较。结果：虽然多年来我们的DTNT没有显着改善，但中位数DTNT（59分钟）远低于报告的GWTGS医院75分钟。我们的DTCT时间从2009年的20.6分钟减少到2014年的15.9分钟。DTNT为1小时或更短时间的患者的百分比在全年内没有差异（P = .296），55.8％。结论：我们的研究表明，我们在评估美国心脏关联/美国中风关联建议的时间窗口中评估急性缺血性脑卒中患者的表现可延长。

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