Efforts to reduce the door-to-needle time of thrombolysis in acute ischemic stroke: Video-assisted therapeutic risk communication

Cheng Yang Hsieh, Wei Fen Chen, Chih-Hung Chen, Chih Yuan Wang, Chien Jung Chen, Edward Lai, Tsang Shan Chen

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Background/Purpose: Explaining the risks and benefits of recombinant tissue-plasminogen activator (rtPA) to eligible patients with acute ischemic stroke (AIS) within a few minutes is important but difficult. We examined whether a new thrombolysis program can decrease the door-to-needle (DTN) time when treating patients with AIS. Methods: A new rtPA thrombolysis program with video assistance was adapted for patients with AIS and their families. We retrospectively compared outcome quality before (2009-2011) and after (2012) the program began. Outcomes included DTN time, the percentage of rtPA thrombolysis within 3 hours of onset in all hospitalized patients with AIS who presented within 2 hours of onset (2hr%) and the percentage of rtPA thrombolysis in all hospitalized patients with AIS (AIS%). Results: We recruited patients with AIS who had undergone thrombolytic therapy before (. n=18) and after (. n=14) the initiation of the new program. DTN time decreased (93±24 minutes to 57±14 minutes, p<0.001) and the AIS% increased (2% to 5%, p=0.010) after the program. The 2hr% marginally significantly increased (18% to 33%, p=0.080). Conclusion: A thrombolysis program with video-assisted therapeutic risk communication decreased DTN time and increased the treatment rate of patients with AIS.

Original languageEnglish
Pages (from-to)929-933
Number of pages5
JournalJournal of the Formosan Medical Association
Volume113
Issue number12
DOIs
Publication statusPublished - 2014 Dec 1

Fingerprint

Needles
Stroke
Communication
Tissue Plasminogen Activator
Therapeutics
Thrombolytic Therapy

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Hsieh, Cheng Yang ; Chen, Wei Fen ; Chen, Chih-Hung ; Wang, Chih Yuan ; Chen, Chien Jung ; Lai, Edward ; Chen, Tsang Shan. / Efforts to reduce the door-to-needle time of thrombolysis in acute ischemic stroke : Video-assisted therapeutic risk communication. In: Journal of the Formosan Medical Association. 2014 ; Vol. 113, No. 12. pp. 929-933.
@article{9d7105a0099f46bc9b79fd014ac2a477,
title = "Efforts to reduce the door-to-needle time of thrombolysis in acute ischemic stroke: Video-assisted therapeutic risk communication",
abstract = "Background/Purpose: Explaining the risks and benefits of recombinant tissue-plasminogen activator (rtPA) to eligible patients with acute ischemic stroke (AIS) within a few minutes is important but difficult. We examined whether a new thrombolysis program can decrease the door-to-needle (DTN) time when treating patients with AIS. Methods: A new rtPA thrombolysis program with video assistance was adapted for patients with AIS and their families. We retrospectively compared outcome quality before (2009-2011) and after (2012) the program began. Outcomes included DTN time, the percentage of rtPA thrombolysis within 3 hours of onset in all hospitalized patients with AIS who presented within 2 hours of onset (2hr{\%}) and the percentage of rtPA thrombolysis in all hospitalized patients with AIS (AIS{\%}). Results: We recruited patients with AIS who had undergone thrombolytic therapy before (. n=18) and after (. n=14) the initiation of the new program. DTN time decreased (93±24 minutes to 57±14 minutes, p<0.001) and the AIS{\%} increased (2{\%} to 5{\%}, p=0.010) after the program. The 2hr{\%} marginally significantly increased (18{\%} to 33{\%}, p=0.080). Conclusion: A thrombolysis program with video-assisted therapeutic risk communication decreased DTN time and increased the treatment rate of patients with AIS.",
author = "Hsieh, {Cheng Yang} and Chen, {Wei Fen} and Chih-Hung Chen and Wang, {Chih Yuan} and Chen, {Chien Jung} and Edward Lai and Chen, {Tsang Shan}",
year = "2014",
month = "12",
day = "1",
doi = "10.1016/j.jfma.2013.11.012",
language = "English",
volume = "113",
pages = "929--933",
journal = "Journal of the Formosan Medical Association",
issn = "0929-6646",
publisher = "Excerpta Medica Asia Ltd.",
number = "12",

}

Efforts to reduce the door-to-needle time of thrombolysis in acute ischemic stroke : Video-assisted therapeutic risk communication. / Hsieh, Cheng Yang; Chen, Wei Fen; Chen, Chih-Hung; Wang, Chih Yuan; Chen, Chien Jung; Lai, Edward; Chen, Tsang Shan.

In: Journal of the Formosan Medical Association, Vol. 113, No. 12, 01.12.2014, p. 929-933.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Efforts to reduce the door-to-needle time of thrombolysis in acute ischemic stroke

T2 - Video-assisted therapeutic risk communication

AU - Hsieh, Cheng Yang

AU - Chen, Wei Fen

AU - Chen, Chih-Hung

AU - Wang, Chih Yuan

AU - Chen, Chien Jung

AU - Lai, Edward

AU - Chen, Tsang Shan

PY - 2014/12/1

Y1 - 2014/12/1

N2 - Background/Purpose: Explaining the risks and benefits of recombinant tissue-plasminogen activator (rtPA) to eligible patients with acute ischemic stroke (AIS) within a few minutes is important but difficult. We examined whether a new thrombolysis program can decrease the door-to-needle (DTN) time when treating patients with AIS. Methods: A new rtPA thrombolysis program with video assistance was adapted for patients with AIS and their families. We retrospectively compared outcome quality before (2009-2011) and after (2012) the program began. Outcomes included DTN time, the percentage of rtPA thrombolysis within 3 hours of onset in all hospitalized patients with AIS who presented within 2 hours of onset (2hr%) and the percentage of rtPA thrombolysis in all hospitalized patients with AIS (AIS%). Results: We recruited patients with AIS who had undergone thrombolytic therapy before (. n=18) and after (. n=14) the initiation of the new program. DTN time decreased (93±24 minutes to 57±14 minutes, p<0.001) and the AIS% increased (2% to 5%, p=0.010) after the program. The 2hr% marginally significantly increased (18% to 33%, p=0.080). Conclusion: A thrombolysis program with video-assisted therapeutic risk communication decreased DTN time and increased the treatment rate of patients with AIS.

AB - Background/Purpose: Explaining the risks and benefits of recombinant tissue-plasminogen activator (rtPA) to eligible patients with acute ischemic stroke (AIS) within a few minutes is important but difficult. We examined whether a new thrombolysis program can decrease the door-to-needle (DTN) time when treating patients with AIS. Methods: A new rtPA thrombolysis program with video assistance was adapted for patients with AIS and their families. We retrospectively compared outcome quality before (2009-2011) and after (2012) the program began. Outcomes included DTN time, the percentage of rtPA thrombolysis within 3 hours of onset in all hospitalized patients with AIS who presented within 2 hours of onset (2hr%) and the percentage of rtPA thrombolysis in all hospitalized patients with AIS (AIS%). Results: We recruited patients with AIS who had undergone thrombolytic therapy before (. n=18) and after (. n=14) the initiation of the new program. DTN time decreased (93±24 minutes to 57±14 minutes, p<0.001) and the AIS% increased (2% to 5%, p=0.010) after the program. The 2hr% marginally significantly increased (18% to 33%, p=0.080). Conclusion: A thrombolysis program with video-assisted therapeutic risk communication decreased DTN time and increased the treatment rate of patients with AIS.

UR - http://www.scopus.com/inward/record.url?scp=84918780152&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84918780152&partnerID=8YFLogxK

U2 - 10.1016/j.jfma.2013.11.012

DO - 10.1016/j.jfma.2013.11.012

M3 - Article

C2 - 24412584

AN - SCOPUS:84918780152

VL - 113

SP - 929

EP - 933

JO - Journal of the Formosan Medical Association

JF - Journal of the Formosan Medical Association

SN - 0929-6646

IS - 12

ER -