Impact of optimizing stroke green channel on treatment efficiency of acute ischemic stroke treatment efficiency in a county hospital
10.12025/j.issn.1008-6358.2024.20240488
- VernacularTitle:县域医院卒中绿色通道优化对急性缺血性卒中救治效率的影响
- Author:
Yao WANG
1
;
Lei SHI
1
;
Guangbu LI
1
;
Qiyun ZHU
1
;
Xiaoqiang WU
1
;
Maolin LU
2
;
Haiyang LIN
3
;
Wei QI
3
;
Wei GAO
4
;
Ruiyin ZHOU
5
;
Qifeng LU
6
;
Baodong WU
1
Author Information
1. Stroke Center, Sixian People’s Hospital, Suzhou 234300, Anhui, China.
2. Department of Emergency, Sixian People’s Hospital, Suzhou 234300, Anhui, China.
3. Department of Radiology, Sixian People’s Hospital, Suzhou 234300, Anhui, China.
4. Department of Laboratory, Sixian People’s Hospital, Suzhou 234300, Anhui, China.
5. Angiosuite room, Sixian People’s Hospital, Suzhou 234300, Anhui, China.
6. Intensive Care Unit, Sixian People’s Hospital, Suzhou 234300, Anhui, China.
- Publication Type:Shortarticle
- Keywords:
ischemic stroke;
green channel;
optimization;
intravenous thrombolysis;
mechanical thrombectomy
- From:
Chinese Journal of Clinical Medicine
2024;31(6):971-976
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the impact of optimizing the stroke green channel on the efficiency of acute ischemic stroke management in a county hospital. Methods A retrospective analysis of the emergency stroke green channel treatment data from Sixian People’s Hospital from May 2020 to April 2021 (before optimization of the green channel) and from May 2021 to April 2022 (after optimization of the green channel) was conducted. The rates of intravenous thrombolysis (IVT) and mechanical thrombectomy (MT) patients, as well as door-to-needle time (DNT), door-to-puncture time (DPT), and the modified Rankin scale (mRS) scores of patients three months post-treatment before and after the optimization of the stroke green channel were compared. Results Within one year before and after optimization of the green channel, the number of acute visits for ischemic stroke was 3 143 and 2 623, respectively. Before optimization, 84 and 51 underwent IVT and MT, respectively. After optimization of the green channel, the ratios of patients underwent IVT (n＝215) and MT (n＝103) significantly increased, and both DNT and DPT were significantly shortened (P＜0.000 1); the proportion of MT patients with an mRS score of 0-2 at 3 months post-discharge significantly increased (46/99 vs 13/46, P＝0.038). Conclusion After optimizing the green channel at Sixian People’s Hospital, the efficiency of stroke treatment has significantly improved, and the patients’ prognosis improved.
