Addressing inequity in acute stroke care requires attention to each component of regional workflow

Watson, Tayler; Tiu, Jeigh; Clissold, Benjamin

doi:10.5694/mja2.50440

Cited by 4 publications

(2 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Furthermore, the effect of geographical location outcomes of such campaigns has not yet been delineated, hampering the delivery of effective interventional campaigns for regional communities. A more targeted, outcome‐focussed approach to increasing stroke awareness in this vulnerable population is required 11 …”

Section: Discussionmentioning

confidence: 99%

Mechanical thrombectomy for emergent large vessel occlusion: an Australian primary stroke centre workflow analysis

Tiu

Watson

Clissold

2021

Internal Medicine Journal

Self Cite

View full text Add to dashboard Cite

Background Time to successful reperfusion is a critical prognostic factor for acute ischaemic stroke. Mechanical thrombectomy has become the gold standard treatment for emergent large vessel occlusion stroke. The timely delivery of this highly specialised procedure to patients outside of metropolitan centres presents a dilemma of inequity, with limited workflow data hindering benchmarking and service optimisation. Aims To analyse key stroke treatment time parameters from a primary stroke centre existing in a regional centre within a hub‐and‐spoke delivery model in Victoria, Australia. Methods Retrospective cohort study of patients transferred from a regional primary stroke centre to a metropolitan comprehensive stroke centre for mechanical thrombectomy between July 2016 and December 2018. Time workflow analysis was conducted from symptom onset to primary stroke centre departure. Results A total of 55 patients was included in this study with an average age of 70.2 years. Median National Institutes of Health Stroke Scale score on admission was 13 (interquartile range (IQR) 7–17). Median pre‐hospital time was 68 min (IQR 56–137) and median door‐in‐door‐out time was 120.5 min (IQR 98–150), constituting 36.1% and 63.9% of total median time from symptom onset to primary stroke centre departure (188.5 min) respectively. There were no significant differences across observed cohort characteristics under linear regression analysis. Conclusion Protracted pre‐hospital and primary stroke centre workflow times can delay effective treatment for patients with acute ischaemic stroke in regional areas. A systems‐level approach to streamlining processes in these key areas is required to bridge this inequity in best practice care.

show abstract

Section: Discussionmentioning

confidence: 99%

Mechanical thrombectomy for emergent large vessel occlusion: an Australian primary stroke centre workflow analysis

Tiu

Watson

Clissold

2021

Internal Medicine Journal

Self Cite

View full text Add to dashboard Cite

show abstract

“…The works [6-7, 10, 14] explain the presence of teamwork, although only [10] and [14] contemplate collaborative activities. In contrast, [6,[9][10][11][12][14][15] perform data treatment with statistical analysis, meta-analysis, and results graphs, but only [8][9][13][14][15] have defined a workflow. Therefore, it is reflected that there is little attention to collaborative activities.…”

Section: State Of the Artmentioning

confidence: 99%

Software Architecture for the Development of a Collaborative Medical Activities System in the Rehabilitation of Strokes

Fernández Gregorio,

Montané-Jiménez,

Mezura Godoy

et al. 2024

Proceedings of ISP RAS

View full text Add to dashboard Cite

A person who has had a stroke needs rehabilitation to recover from the effects of the incident. A multidisciplinary team of experts performs rehabilitation, offering treatment from many fields, including neurology, nutrition, psychology, and physiotherapy. In the rehabilitation process, physicians interact with medical computing software and devices. The interactions represent medical activities that follow rehabilitation. Nevertheless, how specialists collaborate to do medical tasks is poorly understood using technologies since no particular means of communication enable interdisciplinary cooperation for integral rehabilitation of strokes. Therefore, we present a collaborative software architecture to assist and enable the monitoring of medical activities through multimodal human-computer interactions. The architecture has three layers: the first is to perceive interactions and monitor activities, the second is to manage information sharing and interdisciplinary access, and the third is to assess how well multidisciplinary activities were carried out. The physicians are assisted in their decision-making on the execution of the treatment plan by evaluating how the activities are carried out, which are recollected through the architecture proposed. As a result, we provide a prototype with a user-centered design that understands how the architecture supports human-computer interactions.

show abstract

Weekend / holiday effect on stroke mortality in regional Australia: A ten-year retrospective study

He,

Mnatzaganian,

Rutherford

et al. 2024

Journal of Stroke and Cerebrovascular Diseases

View full text Add to dashboard Cite

Addressing inequity in acute stroke care requires attention to each component of regional workflow

Cited by 4 publications

References 12 publications

Mechanical thrombectomy for emergent large vessel occlusion: an Australian primary stroke centre workflow analysis

Mechanical thrombectomy for emergent large vessel occlusion: an Australian primary stroke centre workflow analysis

Software Architecture for the Development of a Collaborative Medical Activities System in the Rehabilitation of Strokes

Weekend / holiday effect on stroke mortality in regional Australia: A ten-year retrospective study

Contact Info

Product

Resources

About