Abstract TP242: Optimization of In-hospital Workflow of Acute Stroke Patients
Introduction: Time from symptom onset to recanalization and especially from admission to recanalization are important factors in the treatment of acute stroke patients with large vessel occlusion.
Hypothesis: Frequent team meetings between neurologists, neuroradiologists and anesthesiologists as well as a new interdisciplinary standard operating procedure (SOP) would lead to a significant reduction of time from admission to recanalization in treating acute stroke patients. A shift to better clinical outcomes would be documented after implementation of the new SOP.
Methods: Data were extracted from a prospectively documented university hospital stroke database. 315 patients were divided into a) 242 patients treated with mechanical thrombectomy prior to the new SOP from 2007 until 2013 and b) 73 patients treated with mechanical thrombectomy after implementation of the new SOP from 2014 to now.
Results: Symptom onset to admission time was not statistically significant between the two groups. Time from admission to groin puncture was massively reduced from 120 to 65 minutes after implementation of the new SOP (P < 0,0001). Groin to recanalization time was also significantly reduced (P=0,0011). The use of a stent retriever was not a significant factor in reducing times from groin puncture to recanalization. Implementation of the new SOP led to a significant shift of clinical outcomes after mechanical thrombectomy.
Conclusions: Interdisciplinary team work and implementation of a new SOP led to a significant reduction of in-hospital examination, transportation, imaging and treatment times in our stroke center. Better clinical outcomes were reported with faster treatment times.
Author Disclosures: K. Schregel: None. I. Tsogkas: None. D. Behme: None. M. Knauth: None. J. Hinz: None. J. Liman: None. M. Psychogios: None.
- © 2016 by American Heart Association, Inc.