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- Title
One-stop stroke management platform reduces workflow times in patients receiving mechanical thrombectomy.
- Authors
Tengfei Zhou; Tianxiao Li; Liangfu Zhu; Zhaoshuo Li; Qiang Li; Ziliang Wang; Liheng Wu; Yingkun He; Yucheng Li; Zhilong Zhou; Min Guan; Zhenkai Ma; Xiaoxi pei; Shuhui Meng; Yingpu Feng; Guifang Zhang; Wenli Zhao; Xiao Liu; Meiyun Wang
- Abstract
Background and purpose: Clinical outcome in patients who received thrombectomy treatment is time-dependent. The purpose of this study was to evaluate the efficacy of the one-stop stroke management (OSSM) platform in reducing in-hospital workflow times in patients receiving thrombectomy compared with the traditional model. Methods: The data of patients who received thrombectomy treatment through the OSSM platform and traditional protocol transshipment pathway were retrospectively analyzed and compared. The treatment-related time interval and the clinical outcome of the two groups were also assessed and compared. The primary efficacy endpoint was the time from door to groin puncture (DPT). Results: There were 196 patients in the OSSM group and 210 patients in the control group, in which they were treated by the traditional approach. The mean DPT was significantly shorter in the OSSM group than in the control group (76 vs. 122min; P < 0.001). The percentages of good clinical outcomes at the 90-day time point of the two groups were comparable (P = 0.110). A total of 121 patients in the OSSM group and 124 patients in the control group arrived at the hospital within 360min fromsymptomonset. Themean DPT and time fromsymptomonset to recanalization (ORT) were significantly shorter in the OSSM group than in the control group. Finally, a higher rate of good functional outcomes was achieved in the OSSM group than in the control group (53.71 vs. 40.32%; P = 0.036). Conclusion: Compared to the traditional transfer model, the OSSM transfer model significantly reduced the in-hospital delay in patients with acute stroke receiving thrombectomy treatment. This novel model significantly improved the clinical outcomes of patients presenting within the first 6 h after symptom onset.
- Subjects
THROMBECTOMY; WORKFLOW; CONTROL groups; TRANSSHIPMENT; TREATMENT effectiveness
- Publication
Frontiers in Neurology, 2023, Vol 14, p1
- ISSN
1664-2295
- Publication type
Article
- DOI
10.3389/fneur.2022.1044347