Efforts to shorten time from patient presentation to thrombectomy in acute ischemic stroke

August 29, 2019NosotchuOpen Access

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Key Points

To evaluate the impact of institutional workflow improvements on reducing the time from hospital arrival to mechanical thrombectomy and on patient outcomes in acute ischemic stroke.
Retrospective comparative analysis of 86 patients treated between January 2015 and December 2017 at a single hospital.
Patients were categorized into an early cohort (N=30, January–December 2015) and a late cohort after workflow enhancement (N=56, January 2016–December 2017) to evaluate procedural time intervals and outcomes.
Time from hospital presentation to the initiation of thrombectomy was significantly shortened following workflow optimization.
Rates of successful recanalization (TICI 2b/3) showed no significant difference between the early and late cohorts.
The proportion of recanalized patients achieving functional independence (discharge modified Rankin Scale 0–2) showed no significant difference between groups.

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Retrospective study shows workflow enhancements shorten door-to-procedure time in acute ischemic stroke, indicating a need for further optimization.

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Sato et al. (2019) studied this question.

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