Abstract 190: Improvements In Door To Needle Time Among Acute Ischemic Stroke Patients, 2008-2016

Abstract only Introduction: The clinical benefit of intravenous thrombolysis (IV tPA) in acute ischemic stroke (AIS) is time dependent. Achieving a door-to-needle time (DTN) ≤60 minutes for IV tPA is a quality care measure endorsed by the National Quality Forum. Methods: A total of 433,410 AIS admis...

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Bibliographic Details
Published in:Stroke (1970) 2018-01, Vol.49 (Suppl_1)
Main Authors: Tong, Xin, Wiltz, Jennifer L, George, Mary G, Odom, Erika, Coleman King, Sallyann, Yin, Xiaoping, Merritt, Robert
Format: Article
Language:English
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Summary:Abstract only Introduction: The clinical benefit of intravenous thrombolysis (IV tPA) in acute ischemic stroke (AIS) is time dependent. Achieving a door-to-needle time (DTN) ≤60 minutes for IV tPA is a quality care measure endorsed by the National Quality Forum. Methods: A total of 433,410 AIS admissions from 520 participated hospitals were identified in the Paul Coverdell National Acute Stroke Program (PCNASP) from 2008-2016. We assessed the overall temporal changes in DTN time and examined the factors associated with DTN ≤60 minutes by performing generalized estimating equations (GEE) modeling. The adjusted odds ratio (AOR) and 95% confidence interval (CI) were obtained. Results: There were total of 33,456 (8%) patients who received IV tPA (transfers excluded) with available door to needle times. The percentage of AIS patients who received IV tPA increased from 4.8% in 2008 to 9.8% in 2016, and significant increases were also observed among those with DTN ≤45 minutes (11.6% in 2008 to 35.1% in 2016, p
ISSN:0039-2499
1524-4628
DOI:10.1161/str.49.suppl_1.190