Impact of CT scanner location on door to imaging time for emergency department stroke evaluation.
Am J Emerg Med
; 38(2): 309-310, 2020 02.
Article
em En
| MEDLINE
| ID: mdl-31488337
ABSTRACT
BACKGROUND AND OBJECTIVES:
Stroke is a potentially serious condition commonly diagnosed in the ED. Time to diagnosis can be crucial to maximizing outcome in a majority of ischemic stroke cases amenable to thrombolytic therapy.METHODS:
An analysis of 148 consecutive adults transported by EMS to an urban emergency department with a diagnosis of cerebro-vascular accident during a 12â¯month period was performed to determine the impact of CT scanner location on door-to-head CT [DTCT] scan time. The CT scanner was relocated from an upper floor of the hospital to within the ER department midway through the study period.RESULTS:
The rate of DTCT scan time ≤20â¯min increased significantly from 47% [pre-relocation] to 74% [post-relocation]; and the rate of DTCT ultra-rapid scan time ≤10â¯min more than doubled.CONCLUSIONS:
Hospitals providing ED care for stroke patients can expedite management by ensuring CT scanner location is in closest possible proximity to the ED.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Tomografia Computadorizada por Raios X
/
Acidente Vascular Cerebral
/
Serviço Hospitalar de Emergência
/
Tempo para o Tratamento
Limite:
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Am J Emerg Med
Ano de publicação:
2020
Tipo de documento:
Article