Abstract P822: In-Hospital Stroke Treated With IV tPA at a Comprehensive Stroke Center Compared to Primary Stroke Centers Pre and Post Telestroke Implementation
| العنوان: | Abstract P822: In-Hospital Stroke Treated With IV tPA at a Comprehensive Stroke Center Compared to Primary Stroke Centers Pre and Post Telestroke Implementation |
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| المؤلفون: | Howard J Rho, Navdeep Sangha, Duy Le, Zahra Ajani, Jiaxiao M Shi, Pamela Cheng, An Ly, Denise Gaffney, Manya Khrlobyan |
| المصدر: | Stroke. 52 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Advanced and Specialized Nursing, medicine.medical_specialty, business.industry, Geriatric assessment, medicine.disease, Delayed recognition, Emergency medicine, medicine, Neurology (clinical), In hospital stroke, Cardiology and Cardiovascular Medicine, business, Pre and post, Stroke |
| الوصف: | Introduction: In-hospital strokes (IHS) often have delayed recognition time and a delay in physician assessment, playing a role in unfavorable outcomes. Telestroke (TS) participation is linked to lower odds of hospital mortality and is safe and effective in treating acute ischemic stroke. We implemented a TS program for IHS patients at primary stroke centers (PSC) and assessed tPA time metrics, complications and 90-day functional outcomes as compared to a robust in hospital stroke system of care at a comprehensive stroke center (CSC). Methods: Using a network database, data for all in-hospital code strokes were retrospectively abstracted between 2010-2020 at a CSC and 11 PSC’s. The CSC was compared to PSC’s pre and post implementation of a TS program. Data were analyzed using Wilcoxon rank-sum test, chi-square and exact tests. Results: We identified 193 patients, 77 at the CSC, 71 at pre-tele PSC’s, and 45 at post-tele PSC’s. Symptom-recognition-time (SRT) to neurology evaluation (median 15min {IQR 10-27} vs 75min {IQR 45-126, p= Conclusions: Implementation of a TS program for IHS at PSC’s may improve tPA time metrics and 90 functional outcomes to the standards of CSC’s without increasing complication rates. Our study was limited by retrospective design and small sample size. |
| تدمد: | 1524-4628 0039-2499 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::88a124e9bfe28df24f972b810876b939 https://doi.org/10.1161/str.52.suppl_1.p822 |
| رقم الأكسشن: | edsair.doi...........88a124e9bfe28df24f972b810876b939 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15244628 00392499 |
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