Real-time feedback on mobile application use for emergency management affects the door-to-needle time and functional outcomes in acute ischemic stroke

Reziya, Hailili; Sayifujiamali, Kadeer; Han, Hai-Ji; Wang, Ximing; Nuerbiya, Tusun; Nuerdong, Damaola; Sang, Qiang; Wu, Yanfeng

doi:10.1016/j.jstrokecerebrovasdis.2023.107055

Journal of Stroke and Cerebrovascular Diseases

2023

DOI: 10.1016/j.jstrokecerebrovasdis.2023.107055

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Real-time feedback on mobile application use for emergency management affects the door-to-needle time and functional outcomes in acute ischemic stroke

Hailili Reziya¹,

Kadeer Sayifujiamali²,

Hai-Ji Han³

et al.

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“…For example, a previous study demonstrated that real-time feedback on mobile application use for emergency management reduced the DNT and improved the patient prognosis. 18 In addition, another study in Norway used simulation and a revision of their protocol to provide training for the staff, which resulted in a shortened DNT. 19 In our study, we demonstrated that DNT and ONT can be shortened by national projects by multidisciplinary health care and cooperation with resource allocation.…”

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confidence: 99%

Impact of Thrombolysis Time Metrics When Participating in National Stroke Center Construction Project

Cheng,

Mofatteh,

Baizabal-Carvallo

et al. 2023

JMDH

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Intravenous thrombolysis has emerged as an effective approach to improve the long-term survival and functional status of patients with ischemic stroke. The aim of this study was to assess the impact of a national stroke project on the door-to-needle-time (DNT). Patients and Methods: The patients were divided into pre-construction and construction periods. Construction Measures were performed during the construction period. The DNT and onset-to-needle time (ONT) were compared in two period groups. Results: After participating in the National Stroke Center Project and effective measurements, the thrombolysis treatment metrics were improved significantly. The DNT (IQR) was shortened from 65.0 (54.5,85.0) minutes in the Pre-Construction period to 40.0 (33.0,53.0) minutes in the Construction period (p < 0.001). Similarly, the ONT was reduced from 157.0 (IQR) (115.0,184.0) minutes to 116.0 (87.8,170.0) minutes (p = 0.035). Conclusion:The DNT time and ONT time can be shortened by National Stroke Center Construction projects. More suitable hospitals should be encouraged to participate as the National Stroke Center.

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confidence: 99%

Impact of Thrombolysis Time Metrics When Participating in National Stroke Center Construction Project

Cheng,

Mofatteh,

Baizabal-Carvallo

et al. 2023

JMDH

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An algorithm for the National Institute of Health Stroke Scale assessment: A multicenter, two-arm and cluster randomized study

de Andrade,

Pacheco,

Camilo

et al. 2024

Journal of Stroke and Cerebrovascular Diseases

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Real-time feedback on mobile application use for emergency management affects the door-to-needle time and functional outcomes in acute ischemic stroke

Cited by 2 publications

References 23 publications

Impact of Thrombolysis Time Metrics When Participating in National Stroke Center Construction Project

Impact of Thrombolysis Time Metrics When Participating in National Stroke Center Construction Project

An algorithm for the National Institute of Health Stroke Scale assessment: A multicenter, two-arm and cluster randomized study

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