Effectiveness of modified stroke scale in reducing door to CT scan time in patients presenting with acute ischemic stroke
DOI:
https://doi.org/10.52442/jrmi.v9i1.329Keywords:
cute ischemic stroke; , Mean, Median, stroke codeAbstract
Introduction: Timely intervention in acute ischemic stroke (AIS) can significantly improve the mortality and morbidity. In our resource deficient system, we have to introduce the practical and economic stroke code that can reduce the door to brain imaging time in patients presenting with AIS.This intervention is an obligatory step towards IV thrombolysis in AIS, in turn reducing morbidity and mortality.
The aim is to determine the effect of modified stroke scale in reducing door to CT time in patients with AIS.
Methods:
This Interventional study was carried out in Rehman Medical Institute over the period of 3 months. 50 Pre-interventional group data was retrieved from the hospital record system. In Post interventional 50 patients of AIS underwent modified stroke code activation process. Door to CT time was presented as median and interquartile range in each group. Both groups were compared for demographics, clinical features and door to CT time. P value < 0.05 was considered statistically significant.
Results:
The mean age of patients was 60.60±13.389 and 62.90±10.835 in pre and post interventional group. Male patients accounted for 50% (n=25 in pre and 56.0%(n=28) in post interventional groups. The mean door to CT time was 147.86±225.424 minutes in pre and 76.34±47.886 was in post interventional group. (P value 0.03). 24% of patients in postinterventional group achived Door to CT time <25% that was significantly improved as compared to pre interventional group ie 4%. (P value 0.001)
Conclusion:
Mean door to CT time was decreased significantly in post interventional group by applying simplified stroke code according to our limited facilities. However, we could achieve a benchmark of <25 min in only 24% of the patients. The improvement in form of proper documentation, stroke coordinator, frequent reminders, audits and feedback to representative team can help in achieving the target.
