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dc.contributor.authorChoi, Philip MC
dc.contributor.authorTsoi, Andrew H
dc.contributor.authorPope, Alun L
dc.contributor.authorLeung, Shelton
dc.contributor.authorFrost, Tanya
dc.contributor.authorLoh, Poh-Sien
dc.contributor.authorChandra, Ronil V
dc.contributor.authorMa, Henry
dc.contributor.authorParsons, Mark
dc.contributor.authorMitchell, Peter
dc.contributor.authorDewey, Helen M
dc.date.accessioned2020-09-15T01:29:56Z
dc.date.available2020-09-15T01:29:56Z
dc.date.issued2019
dc.identifier.issn0039-2499en_US
dc.identifier.doi10.1161/STROKEAHA.119.025838en_US
dc.identifier.urihttp://hdl.handle.net/10072/397498
dc.description.abstractBackground and Purpose: Rapid reperfusion with mechanical thrombectomy in ischemic strokes with emergent large vessel occlusions leads to significant reduction in morbidity and mortality. The door-in-door-out (DIDO) time is an important metric for stroke centers without an on-site mechanical thrombectomy service. We report the outcome of a continuous quality improvement program to improve the DIDO time since 2015. Methods: Retrospective analysis of consecutive patients transferred out from a metropolitan primary stroke center for consideration of mechanical thrombectomy between January 1, 2015, and October 31, 2018. Clinical records were interrogated for eligible patients with DIDO times and reasons for treatment delays extracted. Results: One hundred thirty-three patients were transferred over the 46-month period. Median DIDO time reduced by 14% per year, from 111 minutes interquartile range (IQR, 98– 142) in 2015 to 67 minutes (IQR, 55–94) in 2018. A median DIDO time of 59 minutes (IQR, 51–80) was achieved in 2018 during working hours (0800–1700 hours). Overall, 65 patients had no documented delays (49%) with a median DIDO time of 75 minutes (IQR, 54–93) and 103 minutes (IQR, 75–143) in those with at least one delay factor documented. Conclusions: A median DIDO time of <60 minutes can be achieved in a primary stroke center.en_US
dc.description.peerreviewedYesen_US
dc.languageEnglishen_US
dc.language.isoeng
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofpagefrom2829en_US
dc.relation.ispartofpageto2834en_US
dc.relation.ispartofissue10en_US
dc.relation.ispartofjournalStrokeen_US
dc.relation.ispartofvolume50en_US
dc.subject.fieldofresearchCardiorespiratory Medicine and Haematologyen_US
dc.subject.fieldofresearchClinical Sciencesen_US
dc.subject.fieldofresearchNeurosciencesen_US
dc.subject.fieldofresearchcode1102en_US
dc.subject.fieldofresearchcode1103en_US
dc.subject.fieldofresearchcode1109en_US
dc.subject.keywordsScience & Technologyen_US
dc.subject.keywordsLife Sciences & Biomedicineen_US
dc.subject.keywordsClinical Neurologyen_US
dc.subject.keywordsPeripheral Vascular Diseaseen_US
dc.subject.keywordsNeurosciences & Neurologyen_US
dc.titleDoor-in-Door-Out Time of 60 Minutes for Stroke With Emergent Large Vessel Occlusion at a Primary Stroke Centeren_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Articlesen_US
dcterms.bibliographicCitationChoi, PMC; Tsoi, AH; Pope, AL; Leung, S; Frost, T; Loh, P-S; Chandra, RV; Ma, H; Parsons, M; Mitchell, P; Dewey, HM, Door-in-Door-Out Time of 60 Minutes for Stroke With Emergent Large Vessel Occlusion at a Primary Stroke Center, Stroke, 2019, 50 (10), pp. 2829-2834en_US
dc.date.updated2020-09-15T01:28:29Z
gro.hasfulltextNo Full Text
gro.griffith.authorTsoi, Andrew H.


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