Performance of door-to-CT time of code stroke in Indonesian tertiary referral center hospital

The Egyptian Journal of Neurology, Psychiatry and Neurosurgery

Research

Beny Rilianto¹  Rakhmad Hidayat¹  Taufik Mesiano¹  Al Rasyid¹  Salim Harris¹  Mohammad Kurniawan¹ 

[1] Department of Neurology, Faculty of Medicine, Cipto Mangunkusumo Hospital, Universitas Indonesia, 10430, Jakarta, Indonesia;

关键词: Stroke;    Ischemic stroke;    Emergency treatment;    Computed tomography;   

DOI  :  10.1186/s41983-022-00583-6

 received in 2022-08-22, accepted in 2022-11-12,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundThis study was aimed to analyze the performance of door-to-CT scan (DTC) time of code stroke at the central referral hospital in Indonesia. Data from 310 patients were obtained in this cross-sectional study. Inclusion criteria were: notified with code stroke within the period between November 2016 and April 2019. Bivariate and multivariate analyses were carried out to find which factors affecting DTC time.ResultsA tendency of decreasing DTC time was reported from November 2016 until April 2019. The median DTC time at study endpoint was 19.5 (1–210) minutes. Chi-square analysis showed that CT scan location was the factor associated with DTC (OR: 12.6, 95% CI 6.8–23.35, p < 0.001). Logistic regressions analysis also showed significant relationship of CT scan location and DTC (OR: 24.27, 95% CI 17.71–30.81, p < 0.05).ConclusionsRefinement of the code stroke implementation and CT scan placement in the Emergency Department (ED) are effective in reduction of DTC time, and as a result, improving acute stroke management.

【 授权许可】

CC BY   
© The Author(s) 2022

【 图 表 】

Fig. 2