Door-to-needle time in acute stroke treatment and the “July effect”

Maximiliano A. Hawkes; Federico Carpani; Mauricio F. Farez; Sebastian F. Ameriso

doi:10.1177/1941874417733108

Door-to-needle time in acute stroke treatment and the “July effect”

Maximiliano A. Hawkes, Federico Carpani, Mauricio F. Farez, Sebastian F. Ameriso

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

Intravenous thrombolysis improves outcomes in acute ischemic stroke in a time-dependent fashion. As in teaching hospitals, clinical outcomes may worsen due to the arrival of new inexperienced house staff early in the academic year (July effect, JE), we evaluated the impact of the “JE” on the door-to-needle time for intravenous thrombolysis and other stroke outcomes. In this retrospective cohort study, we assessed all acute ischemic strokes treated with intravenous thrombolysis between July 2003 and June 2016. Among 101 patients, there was no detrimental July effect on the door-to-needle time, rate of thrombolysis within 60 minutes of arrival, thrombolysis of stroke mimics, post-thrombolysis intracranial hemorrhages, National Institutes of Health Stroke Scale, and modified Rankin Scale outcomes.

Original language	English (US)
Pages (from-to)	24-28
Number of pages	5
Journal	The Neurohospitalist
Volume	8
Issue number	1
DOIs	https://doi.org/10.1177/1941874417733108
State	Published - Jan 2018
Externally published	Yes

Keywords

House staff
Stroke
Thrombolytic therapy

ASJC Scopus subject areas

Clinical Neurology

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10.1177/1941874417733108

Cite this

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abstract = "Intravenous thrombolysis improves outcomes in acute ischemic stroke in a time-dependent fashion. As in teaching hospitals, clinical outcomes may worsen due to the arrival of new inexperienced house staff early in the academic year (July effect, JE), we evaluated the impact of the “JE” on the door-to-needle time for intravenous thrombolysis and other stroke outcomes. In this retrospective cohort study, we assessed all acute ischemic strokes treated with intravenous thrombolysis between July 2003 and June 2016. Among 101 patients, there was no detrimental July effect on the door-to-needle time, rate of thrombolysis within 60 minutes of arrival, thrombolysis of stroke mimics, post-thrombolysis intracranial hemorrhages, National Institutes of Health Stroke Scale, and modified Rankin Scale outcomes.",

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AU - Hawkes, Maximiliano A.

AU - Carpani, Federico

AU - Farez, Mauricio F.

AU - Ameriso, Sebastian F.

N1 - Publisher Copyright: © The Author(s) 2017.

PY - 2018/1

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N2 - Intravenous thrombolysis improves outcomes in acute ischemic stroke in a time-dependent fashion. As in teaching hospitals, clinical outcomes may worsen due to the arrival of new inexperienced house staff early in the academic year (July effect, JE), we evaluated the impact of the “JE” on the door-to-needle time for intravenous thrombolysis and other stroke outcomes. In this retrospective cohort study, we assessed all acute ischemic strokes treated with intravenous thrombolysis between July 2003 and June 2016. Among 101 patients, there was no detrimental July effect on the door-to-needle time, rate of thrombolysis within 60 minutes of arrival, thrombolysis of stroke mimics, post-thrombolysis intracranial hemorrhages, National Institutes of Health Stroke Scale, and modified Rankin Scale outcomes.

AB - Intravenous thrombolysis improves outcomes in acute ischemic stroke in a time-dependent fashion. As in teaching hospitals, clinical outcomes may worsen due to the arrival of new inexperienced house staff early in the academic year (July effect, JE), we evaluated the impact of the “JE” on the door-to-needle time for intravenous thrombolysis and other stroke outcomes. In this retrospective cohort study, we assessed all acute ischemic strokes treated with intravenous thrombolysis between July 2003 and June 2016. Among 101 patients, there was no detrimental July effect on the door-to-needle time, rate of thrombolysis within 60 minutes of arrival, thrombolysis of stroke mimics, post-thrombolysis intracranial hemorrhages, National Institutes of Health Stroke Scale, and modified Rankin Scale outcomes.

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Door-to-needle time in acute stroke treatment and the “July effect”

Abstract

Keywords

ASJC Scopus subject areas

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