The Benefit of a Triage System to Expedite Acute Stroke Head Computed Tomography Interpretations.
J Stroke Cerebrovasc Dis
; 27(5): 1190-1193, 2018 May.
Article
em En
| MEDLINE
| ID: mdl-29306593
ABSTRACT
BACKGROUND AND PURPOSE:
We developed and tested a triage system to accelerate the interpretation of stroke head computed tomographies (CTs), with the goal of optimizing the time available for acute stroke therapy. MATERIALS ANDMETHODS:
In our practice, acute stroke protocol head CTs have been given the highest reading priority. We implemented a technologically enabled prioritization infrastructure to consistently present these critical cases to our radiologists so they are evaluated before other examinations. In our 1-year retrospective multicenter study of 350,495 head CT examinations, we compared the reading time of stroke protocol head CTs to our next highest priority head CT.RESULTS:
Our average acute stroke head CT reading turnaround time was 6.5 minutes. This represented a 17.3-minute improvement over the next highest priority head CT in our practice (confidence interval 17.2-17.4 minutes, P < .001).CONCLUSIONS:
A technologically enabled acute stroke protocol CT triage system consistently improves the reading times of critically time-dependent head CT examinations. As a result, this system has the potential to improve treatment times, treatment eligibility, and clinical outcomes.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Serviço Hospitalar de Radiologia
/
Tomografia Computadorizada por Raios X
/
Triagem
/
Prestação Integrada de Cuidados de Saúde
/
Acidente Vascular Cerebral
/
Radiologistas
Tipo de estudo:
Evaluation_studies
/
Guideline
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
País/Região como assunto:
America do norte
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article