Ontology type: schema:ScholarlyArticle
2017-06-30
AUTHORSPaolo Candelaresi, P. Lattuada, C. Uggetti, R. Daccò, G. Fontana, F. Frediani
ABSTRACTTimely treatment is essential in acute ischemic stroke as the chances of recovery diminish over time, so efforts are necessary to streamline in-hospital pathways and reduce delays. Here, we analyse the interventions to reduce door-to-needle time in stroke patients suitable for intravenous thrombolysis at the Emergency Department of San Carlo Borromeo Hospital, Milan, Italy. All stroke patients consecutively treated with intravenous thrombolysis at our centre from January 1, 2013 to December 31, 2015 were included in this analysis. The main interventions adopted were (1) continuous education of personnel, (2) reconsideration of blood tests and identify the ones really affecting treatment decision, (3) approval of a new high-urgency Stroke Code activated as soon as the triage nurse comes to know of a potential thrombolysis candidate. Median door-to-needle time progressively decreased from 103 min (iqr 78–120) in 2013, to 92 min (iqr 72–112) in 2014, and to 37 min (iqr 27–58) with the new Stroke Code (p < 0.001) in 2015. Simultaneously, median onset-to-treatment time decreased from 177 min (iqr 142–188) in 2013, to 155 min (iqr 141–198) in 2014, and to 114 min (iqr 86–160) with the new Stroke Code (p < 0.001 and p 0.005, respectively). We did not observe any significant difference in bleeding risks or deaths, whereas the likelihood of favourable outcome (mRS 0–2) increased. Streamlining in-hospital pathways with progressive interventions significantly decreases door-to-needle time and onset-to-treatment time and may contribute to improve stroke outcomes. More... »
PAGES1671-1676
http://scigraph.springernature.com/pub.10.1007/s10072-017-3046-y
DOIhttp://dx.doi.org/10.1007/s10072-017-3046-y
DIMENSIONShttps://app.dimensions.ai/details/publication/pub.1090312623
PUBMEDhttps://www.ncbi.nlm.nih.gov/pubmed/28667365
JSON-LD is the canonical representation for SciGraph data.
TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT
[
{
"@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json",
"about": [
{
"id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11",
"inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/",
"name": "Medical and Health Sciences",
"type": "DefinedTerm"
},
{
"id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1109",
"inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/",
"name": "Neurosciences",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Aged",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Brain Ischemia",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Emergency Medical Services",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Health Personnel",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Humans",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Prospective Studies",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Quality Improvement",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Stroke",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Thrombolytic Therapy",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Time-to-Treatment",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Triage",
"type": "DefinedTerm"
}
],
"author": [
{
"affiliation": {
"alternateName": "Division of Neurology and Stroke Unit, San Carlo Borromeo Hospital, Milan, Italy",
"id": "http://www.grid.ac/institutes/grid.414126.4",
"name": [
"Department of Emergency Medicine, San Carlo Borromeo Hospital, via Pio II 3, 20147, Milan, Italy",
"Division of Neurology and Stroke Unit, San Carlo Borromeo Hospital, Milan, Italy"
],
"type": "Organization"
},
"familyName": "Candelaresi",
"givenName": "Paolo",
"type": "Person"
},
{
"affiliation": {
"alternateName": "Division of Neurology and Stroke Unit, San Carlo Borromeo Hospital, Milan, Italy",
"id": "http://www.grid.ac/institutes/grid.414126.4",
"name": [
"Division of Neurology and Stroke Unit, San Carlo Borromeo Hospital, Milan, Italy"
],
"type": "Organization"
},
"familyName": "Lattuada",
"givenName": "P.",
"id": "sg:person.01023024636.24",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01023024636.24"
],
"type": "Person"
},
{
"affiliation": {
"alternateName": "Department of Radiology, Unit of Neuroradiology, San Carlo Borromeo Hospital, Milan, Italy",
"id": "http://www.grid.ac/institutes/grid.414126.4",
"name": [
"Department of Radiology, Unit of Neuroradiology, San Carlo Borromeo Hospital, Milan, Italy"
],
"type": "Organization"
},
"familyName": "Uggetti",
"givenName": "C.",
"id": "sg:person.0616243212.26",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0616243212.26"
],
"type": "Person"
},
{
"affiliation": {
"alternateName": "Department of Emergency Medicine, San Carlo Borromeo Hospital, via Pio II 3, 20147, Milan, Italy",
"id": "http://www.grid.ac/institutes/grid.414126.4",
"name": [
"Department of Emergency Medicine, San Carlo Borromeo Hospital, via Pio II 3, 20147, Milan, Italy"
],
"type": "Organization"
},
"familyName": "Dacc\u00f2",
"givenName": "R.",
"id": "sg:person.0756675053.05",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0756675053.05"
],
"type": "Person"
},
{
"affiliation": {
"alternateName": "Department of Emergency Medicine, San Carlo Borromeo Hospital, via Pio II 3, 20147, Milan, Italy",
"id": "http://www.grid.ac/institutes/grid.414126.4",
"name": [
"Department of Emergency Medicine, San Carlo Borromeo Hospital, via Pio II 3, 20147, Milan, Italy"
],
"type": "Organization"
},
"familyName": "Fontana",
"givenName": "G.",
"type": "Person"
},
{
"affiliation": {
"alternateName": "Division of Neurology and Stroke Unit, San Carlo Borromeo Hospital, Milan, Italy",
"id": "http://www.grid.ac/institutes/grid.414126.4",
"name": [
"Division of Neurology and Stroke Unit, San Carlo Borromeo Hospital, Milan, Italy"
],
"type": "Organization"
},
"familyName": "Frediani",
"givenName": "F.",
"id": "sg:person.01305730443.55",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01305730443.55"
],
"type": "Person"
}
],
"citation": [
{
"id": "sg:pub.10.1007/s10072-014-1964-5",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1023845295",
"https://doi.org/10.1007/s10072-014-1964-5"
],
"type": "CreativeWork"
}
],
"datePublished": "2017-06-30",
"datePublishedReg": "2017-06-30",
"description": "Timely treatment is essential in acute ischemic stroke as the chances of recovery diminish over time, so efforts are necessary to streamline in-hospital pathways and reduce delays. Here, we analyse the interventions to reduce door-to-needle time in stroke patients suitable for intravenous thrombolysis at the Emergency Department of San Carlo Borromeo Hospital, Milan, Italy. All stroke patients consecutively treated with intravenous thrombolysis at our centre from January 1, 2013 to December 31, 2015 were included in this analysis. The main interventions adopted were (1) continuous education of personnel, (2) reconsideration of blood tests and identify the ones really affecting treatment decision, (3) approval of a new high-urgency Stroke Code activated as soon as the triage nurse comes to know of a potential thrombolysis candidate. Median door-to-needle time progressively decreased from 103\u00a0min (iqr 78\u2013120) in 2013, to 92\u00a0min (iqr 72\u2013112) in 2014, and to 37\u00a0min (iqr 27\u201358) with the new Stroke Code (p\u00a0<\u00a00.001) in 2015. Simultaneously, median onset-to-treatment time decreased from 177\u00a0min (iqr 142\u2013188) in 2013, to 155\u00a0min (iqr 141\u2013198) in 2014, and to 114\u00a0min (iqr 86\u2013160) with the new Stroke Code (p\u00a0<\u00a00.001 and p 0.005, respectively). We did not observe any significant difference in bleeding risks or deaths, whereas the likelihood of favourable outcome (mRS 0\u20132) increased. Streamlining in-hospital pathways with progressive interventions significantly decreases door-to-needle time and onset-to-treatment time and may contribute to improve stroke outcomes.",
"genre": "article",
"id": "sg:pub.10.1007/s10072-017-3046-y",
"inLanguage": "en",
"isAccessibleForFree": false,
"isPartOf": [
{
"id": "sg:journal.1294956",
"issn": [
"1590-1874",
"1126-5442"
],
"name": "Neurological Sciences",
"publisher": "Springer Nature",
"type": "Periodical"
},
{
"issueNumber": "9",
"type": "PublicationIssue"
},
{
"type": "PublicationVolume",
"volumeNumber": "38"
}
],
"keywords": [
"acute ischemic stroke",
"stroke code",
"needle time",
"intravenous thrombolysis",
"ischemic stroke",
"stroke patients",
"hospital pathways",
"potential thrombolysis candidates",
"single-center experience",
"hospital delay",
"median door",
"median onset",
"stroke outcome",
"blood tests",
"thrombolysis candidates",
"emergency department",
"favorable outcome",
"treatment decisions",
"timely treatment",
"triage nurses",
"main intervention",
"treatment time",
"thrombolysis",
"significant differences",
"patients",
"intervention",
"stroke",
"outcomes",
"progressive interventions",
"continuous education",
"min",
"onset",
"hospital",
"pathway",
"nurses",
"death",
"treatment",
"risk",
"approval",
"Department",
"time",
"differences",
"likelihood",
"center",
"personnel",
"delay",
"chance",
"test",
"Milan",
"experience",
"candidates",
"door",
"education",
"Italy",
"analysis",
"diminishes",
"efforts",
"decisions",
"reconsideration",
"one",
"code"
],
"name": "A high-urgency stroke code reduces in-hospital delays in acute ischemic stroke: a single-centre experience",
"pagination": "1671-1676",
"productId": [
{
"name": "dimensions_id",
"type": "PropertyValue",
"value": [
"pub.1090312623"
]
},
{
"name": "doi",
"type": "PropertyValue",
"value": [
"10.1007/s10072-017-3046-y"
]
},
{
"name": "pubmed_id",
"type": "PropertyValue",
"value": [
"28667365"
]
}
],
"sameAs": [
"https://doi.org/10.1007/s10072-017-3046-y",
"https://app.dimensions.ai/details/publication/pub.1090312623"
],
"sdDataset": "articles",
"sdDatePublished": "2022-05-10T10:17",
"sdLicense": "https://scigraph.springernature.com/explorer/license/",
"sdPublisher": {
"name": "Springer Nature - SN SciGraph project",
"type": "Organization"
},
"sdSource": "s3://com-springernature-scigraph/baseset/20220509/entities/gbq_results/article/article_750.jsonl",
"type": "ScholarlyArticle",
"url": "https://doi.org/10.1007/s10072-017-3046-y"
}
]Download the RDF metadata as: json-ld nt turtle xml License info
JSON-LD is a popular format for linked data which is fully compatible with JSON.
curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s10072-017-3046-y'
N-Triples is a line-based linked data format ideal for batch operations.
curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s10072-017-3046-y'
Turtle is a human-readable linked data format.
curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s10072-017-3046-y'
RDF/XML is a standard XML format for linked data.
curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s10072-017-3046-y'
This table displays all metadata directly associated to this object as RDF triples.
208 TRIPLES
22 PREDICATES
99 URIs
90 LITERALS
18 BLANK NODES