Resultados alcanzados con la puesta en marcha del circuito “Código Ictus” en un gran hospital: papel de urgencias y análisis de la curva de aprendizaje / Stroke code implementation in a large hospital: outcomes, the role of the emergency department, and analysis of the learning curve

RESUMEN

Objetivo: Analizar el desarrollo y los resultados obtenidos con la puesta en marcha del circuito “Código Ictus” (CI), tanto en su fase de implementación intrahospitalaria, en un primer periodo, como en la fase de implementación intra y extrahospitalaria, en un segundo periodo. Método: Se definieron 2 periodos un primer periodo A de 8 meses con circuito CI intrahospitalario y un segundo periodo B de 12 meses con circuito CI intra y extrahospitalario. De cada periodo se contabilizaron el número de ictus con criterio de CI, los CI activados, los CI con estudio completado y aquéllos que acabaron recibiendo tratamiento fibrinolítico. Finalmente se compararon los 2 periodos descritos (..) (AU)

ABSTRACT

Objective: To analyze the implementation of a stroke code protocol and the results obtained in an initial phase inside a hospital and in a second phase during which the stroke code was also used for attending emergencies outside thehospital. Methods: Retrospective analysis of 20 months' application of the stroke code protocol. Two periods were defined for analysis. During the first period of 8 months, the code was used inside the hospital. In a second period of 12 months the code was used both inside and outside the hospital. Data collected for analysis of each period were the numbers of strokes diagnosed according to the stroke code criteria, the number of times the protocol was activated, the number of code procedures finalized, and the number of patients who received fibrinolytic therapy. The results obtained during the2 periods were compared (..) (AU)