3042 To the scanner ASAP
Timely assessment and intervention are critical in the management of acute ischemic stroke. The ASAP (Assessment of Stroke in the Emergency Department) tool has emerged as a promising adjunct for streamlining the evaluation process in stroke patients presenting to the emergency department (ED). This...
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| Published in: | BMJ neurology open Vol. 6; no. Suppl 1; pp. A23 - A24 |
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| Main Authors: | , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
London
BMJ Publishing Group Ltd
01-08-2024
BMJ Publishing Group LTD BMJ Publishing Group |
| Subjects: | |
| Online Access: | Get full text |
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| Summary: | Timely assessment and intervention are critical in the management of acute ischemic stroke. The ASAP (Assessment of Stroke in the Emergency Department) tool has emerged as a promising adjunct for streamlining the evaluation process in stroke patients presenting to the emergency department (ED). This retrospective analysis aims to evaluate the impact of implementing the ASAP tool on door to CT and door to thrombolysis time in acute stroke patients in conjunction with gold standard assessments including the FAST tool.A retrospective analysis was conducted on a total of 560 patients sequentially (280 patients before and after) to assess the implementation of the ASAP tool in the ED. Data on door to CT and door to thrombolysis time were collected and compared between the two groups. Statistical analysis was performed to assess the significance of any observed differences.Implementation of the ASAP tool resulted in a reduction in both door to CT and door to thrombolysis time compared to the pre-implementation period. The median door to CT time decreased from 81 minutes (pre-implementation) to 35 minutes (post-implementation), while the median door to thrombolysis time decreased from 116 minutes to 86 minutes, respectively.ConclusionThe introduction of the ASAP tool led to notable improvements in door to CT and thrombolysis time for acute stroke patients. These findings underscore the importance of implementing structured assessment tools to expedite the evaluation and treatment of stroke patients in the emergency setting. Further research and implementation strategies may be warranted to optimize the process further. |
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| Bibliography: | ANZAN Annual Scientific Meeting 2024 Abstracts |
| ISSN: | 2632-6140 |
| DOI: | 10.1136/bmjno-2024-ANZAN.63 |