Abstract
Abstract P174: Reducing Door to Telestroke Request Time in a Telestroke Network Reduces Door to Needle Time
Stroke (1970), v 52(Suppl_1), AP174
Mar 2021
Abstract
Abstract only
Introduction:
Prior studies have demonstrated the importance of measuring and monitoring telestroke sub-events of door-to-needle time (DTN) such as door-to-telestroke request, but there is limited data on educational efforts to reduce sub-events contributing to DTN. We educated spoke coordinators, nurses and physicians at our telestroke sites on tips to reduce sub-events of DTN, developed a reference pocket card and reviewed sub-event metrics during monthly telestroke quality meetings with spoke sites. We aimed to evaluate if our educational activities and monthly data review affected door-to-telestroke request within 10 minutes of arrival, completion-of-video to needle within 1 minute and DTN within 60 minutes.
Methods:
Prospectively collected data was analyzed retrospectively from a hub-and-spoke model telestroke network. Education of the spokes was completed between January 2019 and April 2019. We compared data for one year prior to education (January 2018 - December 2018) and one year after education (May 2019 - April 2020). Logistic regression analyses were performed to determine the odds of achieving a door-to-telestroke request within 10 minutes, DTN within 60 minutes and completion-of-video to needle within 1 minute in treated patients. We entered possible confounding variables (EMS arrival; NIHSS; posterior symptoms) in the first block followed by the pre/post education groups in the second block.
Results:
Overall, telestroke was requested 2574 times during the study (1338 pre-education; 1236 post-education). A Chi square test suggested a trend towards more thrombolytic and thrombectomy treatments occurred after education compared to before education (14.6% vs. 12%), OR = 1.25 (95%CI 0.99 - 1.56), p=0.06. Door-to-telestroke request <10 minutes was more likely after education of the spokes, OR=2.15 (95%CI 1.27 - 3.66), p=0.005. DTN with 60 minutes was also more likely after education on telestroke sub-events OR = 1.83 (95%CI 1.04 - 3.20), p=0.035. Completion-of-video to needle with 1 minute was not significantly different after education, OR=0.76 (95%CI 0.37 - 1.59), p=0.47.
Conclusions:
Education and regular review of sub-events data reduced door-to-telestroke request and door-to-needle time in our telestroke network.
Metrics
1 Record Views
Details
- Title
- Abstract P174: Reducing Door to Telestroke Request Time in a Telestroke Network Reduces Door to Needle Time
- Creators
- Christopher T Hackett - Allegheny Health NetworkRussell Cerejo - Allegheny Health NetworkKonark Malhotra - Allegheny Health NetworkSandeep Rana - Allegheny Health NetworkDavid G Wright - Allegheny Health NetworkRichard Williamson - Allegheny Health NetworkRobert Fishman - Allegheny Health NetworkAshis H Tayal - Allegheny Health Network
- Publication Details
- Stroke (1970), v 52(Suppl_1), AP174
- Publisher
- LIPPINCOTT WILLIAMS & WILKINS
- Number of pages
- 2
- Resource Type
- Abstract
- Language
- English
- Academic Unit
- Neurology
- Web of Science ID
- WOS:000670883500293
- Other Identifier
- 991022054305504721
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Clinical Neurology
- Peripheral Vascular Disease