Short door-in-door-out time of stroke patients in need of thrombectomy in a primary stroke centre

Markku Grönroos; Ville Hällberg; Tuukka Tomminen; Ari Palomäki

doi:10.22514/sv.2021.039

Short door-in-door-out time of stroke patients in need of thrombectomy in a primary stroke centre

Markku Grönroos^*
, Ville Hällberg
, Tuukka Tomminen
, Ari Palomäki

^*Corresponding author for this work

Research output: Contribution to journal › Article › Scientific

1 Citation (Scopus)

Abstract

COVID-19 epidemic has had a negative effect on the resources of emergency departments. While the number of acute ischaemic stroke (AIS) patients eligible for reperfusion therapies has decreased in the emergency departments (EDs), times to thrombolytic and endovascular treatments of AIS patients have become longer. In this paper, we report an ultra-fast diagnostic protocol in the settings of AIS in the ED of a primary stroke centre. Experiences using case studies of three patients have also been provided. Patients treated in accordance with the protocol received primary diagnoses and endovascular treatment with door-in-door-out times of 15 to 21 minutes.

Original language	English
Pages (from-to)	242-245
Number of pages	4
Journal	Signa Vitae
Volume	17
Issue number	3
DOIs	https://doi.org/10.22514/sv.2021.039
Publication status	Published - May 2021
Publication type	B1 Journal article

Funding

The authors gratefully acknowledge the professional linguistic aid of Mrs. Virginia Mattila as well as the co-operation of the personnel of the EMS and ED in Kanta-H?me Hospital District. FUNDING This study was supported by grants from the Ministry of Health and Social Welfare in Finland through the Medical Research Fund of Kanta-H?me Central Hospital and Pirkanmaa Hospital District. This study was supported by grants from the Ministry of Health and Social Welfare in Finland through the Medical Research Fund of Kanta-Häme Central Hospital and Pirkanmaa Hospital District.

Keywords

Acute ischemic stroke
Door-in-door-out-time
Endovascular treatment
Tissue plasminogen activator

ASJC Scopus subject areas

Emergency Medicine
Critical Care and Intensive Care Medicine

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10.22514/sv.2021.039

Cite this

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title = "Short door-in-door-out time of stroke patients in need of thrombectomy in a primary stroke centre",

abstract = "COVID-19 epidemic has had a negative effect on the resources of emergency departments. While the number of acute ischaemic stroke (AIS) patients eligible for reperfusion therapies has decreased in the emergency departments (EDs), times to thrombolytic and endovascular treatments of AIS patients have become longer. In this paper, we report an ultra-fast diagnostic protocol in the settings of AIS in the ED of a primary stroke centre. Experiences using case studies of three patients have also been provided. Patients treated in accordance with the protocol received primary diagnoses and endovascular treatment with door-in-door-out times of 15 to 21 minutes.",

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author = "Markku Gr{\"o}nroos and Ville H{\"a}llberg and Tuukka Tomminen and Ari Palom{\"a}ki",

note = "Funding Information: The authors gratefully acknowledge the professional linguistic aid of Mrs. Virginia Mattila as well as the co-operation of the personnel of the EMS and ED in Kanta-H?me Hospital District. FUNDING This study was supported by grants from the Ministry of Health and Social Welfare in Finland through the Medical Research Fund of Kanta-H?me Central Hospital and Pirkanmaa Hospital District. Funding Information: This study was supported by grants from the Ministry of Health and Social Welfare in Finland through the Medical Research Fund of Kanta-H{\"a}me Central Hospital and Pirkanmaa Hospital District. Publisher Copyright: {\textcopyright} 2021 The Authors. Published by MRE Press.",

year = "2021",

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doi = "10.22514/sv.2021.039",

language = "English",

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AU - Grönroos, Markku

AU - Hällberg, Ville

AU - Tomminen, Tuukka

AU - Palomäki, Ari

N1 - Funding Information: The authors gratefully acknowledge the professional linguistic aid of Mrs. Virginia Mattila as well as the co-operation of the personnel of the EMS and ED in Kanta-H?me Hospital District. FUNDING This study was supported by grants from the Ministry of Health and Social Welfare in Finland through the Medical Research Fund of Kanta-H?me Central Hospital and Pirkanmaa Hospital District. Funding Information: This study was supported by grants from the Ministry of Health and Social Welfare in Finland through the Medical Research Fund of Kanta-Häme Central Hospital and Pirkanmaa Hospital District. Publisher Copyright: © 2021 The Authors. Published by MRE Press.

PY - 2021/5

Y1 - 2021/5

N2 - COVID-19 epidemic has had a negative effect on the resources of emergency departments. While the number of acute ischaemic stroke (AIS) patients eligible for reperfusion therapies has decreased in the emergency departments (EDs), times to thrombolytic and endovascular treatments of AIS patients have become longer. In this paper, we report an ultra-fast diagnostic protocol in the settings of AIS in the ED of a primary stroke centre. Experiences using case studies of three patients have also been provided. Patients treated in accordance with the protocol received primary diagnoses and endovascular treatment with door-in-door-out times of 15 to 21 minutes.

AB - COVID-19 epidemic has had a negative effect on the resources of emergency departments. While the number of acute ischaemic stroke (AIS) patients eligible for reperfusion therapies has decreased in the emergency departments (EDs), times to thrombolytic and endovascular treatments of AIS patients have become longer. In this paper, we report an ultra-fast diagnostic protocol in the settings of AIS in the ED of a primary stroke centre. Experiences using case studies of three patients have also been provided. Patients treated in accordance with the protocol received primary diagnoses and endovascular treatment with door-in-door-out times of 15 to 21 minutes.

KW - Acute ischemic stroke

KW - Door-in-door-out-time

KW - Endovascular treatment

KW - Tissue plasminogen activator

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DO - 10.22514/sv.2021.039

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VL - 17

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JO - Signa Vitae

JF - Signa Vitae

IS - 3

ER -

Short door-in-door-out time of stroke patients in need of thrombectomy in a primary stroke centre

Abstract

Funding

Keywords

ASJC Scopus subject areas

Access to Document

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