Das Mannheimer Schlaganfallprojekt

Ellinger, K.; Koch, Christian; Daffertshofer, Michael; Behrens, Stephan; Luiz, T.

doi:10.1007/s100490050172

Cited by 6 publications

(2 citation statements)

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“…This was managed by a remarkable decrease in latency between symptom onset and arrival in the emergency room of nearly 2 h. This clear improvement supports the key position of the dispatcher, who is responsible for the priority of stroke patients in transportation. In addition, it demonstrates the importance of changing biased 'knowledge' among those members of the EMS who often believed that stroke could not be treated in an environment characterised by apparent therapeutic nihilism [16]. The EP not only increased the total number of patients suitable for specific acute stroke therapies, but also significantly shortened the latencies from symptom onset until the start of therapy in the whole sample.…”

Section: Discussionmentioning

confidence: 98%

“…The EP and the interdisciplinary link between the departments involved was based on an idealistic cooperation aimed at an improvement in the patients' benefit and supported by the local authorities in a public initiative (Mannheimer Schlaganfall Projekt -Mannheim Stroke Project) [16]. This programme was developed and adapted to the local conditions in our area, but may be implemented in other areas and hospitals.…”

Section: Discussionmentioning

confidence: 99%

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Improvement in Stroke Quality Management by an Educational Programme

Behrens¹,

Daffertshofer²,

Interthal³

et al. 2002

Cerebrovasc Dis

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Time after symptom onset in ischaemic stroke has to be as short as possible to increase success of treatment. We prospectively analysed latencies from symptom onset until the start of therapy and the rate of thrombolysis in 196 patients with suspected stroke sequentially admitted to the hospital before (6 weeks prior, n = 83) and after (n = 113) initiating an educational stroke programme (EP). A total of 345 dispatchers, paramedics, and emergency staff were trained, each person for at least 2 h. The mean pre-hospital time interval from symptom onset until admission was significantly decreased by nearly 2 h (p < 0.05). Thrombolytic therapy frequencies increased from 2 to 10.5% (p < 0.01) because the overall mean time interval from admission to the start of therapy significantly decreased (p < 0.01) by 69 min after the EP, with increasing numbers of patients suitable for acute stroke therapies within a 0- to 3-hour treatment window.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%