Does a 'code stroke' rapid access protocol decrease door-to-needle time for thrombolysis?

Internal Medicine Journal

Volumn 42, Issue 12, 2012, Pages 1316-1324

  Tai, Y J ^a   Weir, L ^a   Hand, P ^a   Davis, S ^a   Yan, B ^a  

^a ROYAL MELBOURNE HOSPITAL   (Australia)

Author keywords

Emergency; Ischaemic stroke; IV tPA

Indexed keywords

TISSUE PLASMINOGEN ACTIVATOR;

ADULT; AGED; ARTICLE; BLOOD CLOT LYSIS; BRAIN HEMORRHAGE; BRAIN ISCHEMIA; CLINICAL PROTOCOL; CODE STROKE RAPID ACCESS PROTOCOL; COMPUTER ASSISTED TOMOGRAPHY; EMERGENCY WARD; FEMALE; HOSPITAL DISCHARGE; HUMAN; MAJOR CLINICAL STUDY; MALE; NEUROIMAGING; PRIORITY JOURNAL; RANKIN SCALE; RETROSPECTIVE STUDY;

AGED; CLINICAL PROTOCOLS; FEMALE; FIBRINOLYTIC AGENTS; HUMANS; LOGISTIC MODELS; MALE; MIDDLE AGED; THROMBOLYTIC THERAPY; TIME-TO-TREATMENT; TISSUE PLASMINOGEN ACTIVATOR; TRIAGE;

EID: 84871399778     PISSN: 14440903     EISSN: 14455994     Source Type: Journal    
DOI: 10.1111/j.1445-5994.2011.02709.x     Document Type: Article

References (21)

1. Marler J, Tilley B, Lu M, Brott T, Lyden P, Kwiatkowski T etal. Early stroke treatment associated with better outcome: the NINDS rt-PA stroke study. Neurology 2000; 55: 1649-1655.
2. Hacke W, Kaste M, Bluhmki E, Brozman M, Dávalos A, Guidetti D etal. Thrombolysis with alteplase 3 to 4.5 hours after acute ischemic stroke. N Engl J Med 2008; 359: 1317-1329.
3. Lees KR, Bluhmki E, von Kummer R, Brott TG, Toni D, Grotta JC etal. Time to treatment with intravenous alteplase and outcome in stroke: an updated pooled analysis of ECASS, ATLANTIS, NINDS, and EPITHET trials. Lancet 2010; 375: 1695-1703.
4. Qureshi A, Kirmani J, Sayed M, Safdar A, Ahmed S, Qazi K etal. Time to hospital arrival, use of thrombolytics, and in-hospital outcomes in ischemic stroke. Neurology 2005; 64: 2115-2120.
5. Kwan J, Hand P, Sandercock P. A systematic review of barriers to delivery of thrombolysis for acute stroke. Age Ageing 2004; 33: 116-121.
6. Hill M, Buchan A. Thrombolysis for acute ischemic stroke: results of the Canadian Alteplase for Stroke Effectiveness Study. Can Med Assoc J 2005; 172: 1307.
7. de la Ossa NP, Sanchez-Ojanguren J, Palomeras E, Millan M, Arenillas JF, Dorado L etal. Influence of the stroke code activation source on the outcome of acute ischemic stroke patients. Neurology 2008; 70: 1238-1243.
8. Nazir FS, Petre I, Dewey HM. Introduction of an Acute Stroke Team: an effective approach to hasten assessment and management of stroke in the emergency department. J Clin Neurosci 2009; 16: 21-25.
9. Hamidon BB, Dewey HM. Impact of acute stroke team emergency calls on in-hospital delays in acute stroke care. J Clin Neurosci 2007; 14: 831-834.
10. Brott T, Adams JHP, Olinger CP, Marler JR, Barsan WG, Biller J etal. Measurements of acute cerebral infarction: a clinical examination scale. Stroke 1989; 20: 864-870.
11. Sattin JA, Olson SE, Liu L, Raman R, Lyden PD. An expedited code stroke protocol is feasible and safe. Stroke 2006; 37: 2935-2939.
12. van Swieten JC, Koudstaal PJ, Visser MC, Schouten HJ, van Gijn J. Interobserver agreement for the assessment of handicap in stroke patients. Stroke 1988; 19: 604-607.
13. Bamford J, Sandercock P. Classification and natural history of clinically identifiable subtypes of cerebral infarction. Lancet 1991; 337: 1521-1526.
14. Szoeke C, Parsons M, Butcher K, Baird T, Mitchell P, Davis S etal. Acute stroke thrombolysis with intravenous tissue plasminogen activator in an Australian tertiary hospital. Med J Aust 2003; 178: 324-328.
15. Bluhmki E, Chamorro A, Davalos A, Machnig T, Sauce C, Hacke W etal. Stroke treatment with alteplase given 3.0-4.5h after onset of acute ischaemic stroke (ECASS III): additional outcomes and subgroup analysis of a randomised controlled trial. Lancet Neurol 2009; 8: 1095-1102.
16. Jauss M, Schutz HJ, Tanislav C, Misselwitz B, Rosenow F. Effect of daytime, weekday and year of admission on outcome in acute ischaemic stroke patients treated with thrombolytic therapy. Eur J Neurol 2010; 17: 555-561.
17. Janszky I, Ahnve S, Ljung R. Weekend versus weekday admission and stroke outcome in Sweden from 1968 to 2005. Stroke 2007; 38: 1211-1215.
18. Rose K, Rosamond W, Huston S, Murphy C, Tegeler C. Predictors of time from hospital arrival to initial brain-imaging among suspected stroke patients: the North Carolina Collaborative Stroke Registry. Stroke 2008; 39: 3262-3267.
19. Ad Hoc Committee representing the National Stroke Foundation and the Stroke Society of Australasia. The implementation of intravenous tissue plasminogen activator in acute ischaemic stroke a scientific position statement from the National Stroke Foundation and the Stroke Society of Australasia. Intern Med J 2009; 39: 317-324.
20. Huybrechts K, Caro J, Xenakis J, Vemmos K. The prognostic value of the modified Rankin Scale score for long-term survival after first-ever stroke. Results from the Athens Stroke Registry. Cerebrovasc Dis 2008; 26: 381-387.
21. Kim S, Lee S, Bae H. Pre-hospital notification reduced the door-to-needle time for iv t-PA in acute ischaemic stroke. Eur J Neurol 2009; 16: 1331-1335.