Developing Acute Ischemic Stroke Fast Track to Minimize the Time Required to Perform CT Brain in Chao Phya Abhaibhubejhr Hospital, Prachin Buri Province
Keywords:
door to rtPA, door to CT brain, acute ischemic strokeAbstract
Background: Nowadays we use rtPA to treat the patients who presented to ER with acute ischemic stroke within 4.5 hours, but these patients have to perform a brain CT scan prior to administration of rtPA. According to the record from Emergency department of Chao Phya Abhaibhubejhr Hospital, we found that the time required to perform a brain CT scan was longer than 25 minutes.
Objective: Testing the efficiency of fast track acute ischemic stroke to minimize the time required to perform a CT brain in acute ischemic stroke who presented to ER of Chao Phya Abhaibhubejhr Hospital.
Methods: This research and development study collected the data from 1 October 2016 to 30 September 2017, the study focused on a group of patients with acute ischemic stroke who presented to ER within 4.5 hours from last onset. This study was separated into 3 phases. The first phase was collected data in regular system. The second phase emphasized on quality improvement system and process. The third phase was collected data in fast track. We collected the outcome data such as the time to CT brain, treatment, and complications.
Results: Routine time to CT scan is 83.62 ± 26.97 minutes and time to CT scan in this study is 24.81±11.97 Minutes while using fast track process (p-value<0.001)
Conclusion: Developing stroke fast track implementation for an acute ischemic stroke patient can reduce the time to brain CT scan significantly in statistics.
Keywords: door to rtPA, door to CT brain, acute ischemic stroke
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