Abstract TP354: Inpatient Code Stroke Team Improves IV-tPA Treatment Rates and Decreases Time to IV-tPA
Background and Purpose: It is thought that with an in-hospital stroke the care would be better and quicker than if not in-hospital. Cumbler et al, suggests that in-hospital strokes are under recognized or under reported and that the evaluation times are twice that of the recommended 25 mins.(1) . The purpose of the present study was to assess whether this observation was valid with a defined care protocol for inpatient ischemic stroke.
Methods: Retrospective analysis comparing 12 months of in-hospital stroke care as compared to 12 months following initiation of Inpatient Code Stroke Team of inpatient Code Strokes at a University teaching hospital. 2010-2011 had 31 activations with 10 diagnosed strokes. 17 diagnosed strokes. 2011-2012 had 72 activations. Areas of analysis were; number of Code Stroke activations, activation of Code Stroke to CT times, rates of IV-tPA administration and time of activation of Code Stroke to time of IV-tPA.
Results: There was a 132 % increase in Code Stroke activations. Administration of IV-tPA increased by 5%. The median time of activation to CT increased by 5 minutes and the median time of activation to IV-tPA decreased by 7.5 minutes.
Conclusions: Utilizing a multidisciplinary, multimodal approach. increased the rate of IV-tPA and decreased the median time to IV-tPA administration. Through continuous assessment and follow-up we continue to fine tune the Inpatient Code Stroke Team. Larger prospective studies are needed to assess patient outcome as well as decreasing time to Thrombolysis. l 1. Cumber et al Stroke. 2011 Jan;42(1):207-10. Epub 2010 Dec 2.
- © 2012 by American Heart Association, Inc.