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Updated: May 26, 2026
09:52
Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
[The stroke care system in Terres de l'Ebre, Spain, after the implementation of the Stroke Code model: Ebrictus
José Luis Clua-Espuny1, Josep Lluis Piñol-Moreso, F Vicente Gil-Guillén
1Equipo de Atención Primaria Tortosa 1-Est, Servicio de Atención Primaria Terres de l'Ebre, Institut Català de la Salut, Tarragona, España. jlclua@telefonica.net
Medicina Clinica
|December 14, 2011
Summary
The Stroke Code (SC) system improved stroke care, but primary care activation was low. This study evaluated SC
Area of Science:
- Neurology
- Public Health
- Emergency Medicine
Background:
- The Stroke Code (SC) model was implemented to improve urgent stroke assistance.
- Evaluating the SC model's impact 2 years post-implementation is crucial for optimizing stroke care pathways.
Purpose of the Study:
- To assess the characteristics and impact of the Stroke Code (SC) model on first-time stroke patients.
- To analyze specific result indicators following the SC model's implementation.
Main Methods:
- Prospective cohort study of 380 first-time stroke patients aged 15-89.
- Kaplan-Meier survival analysis and bivariate analysis of clinical indicators.
- Data collected via a community-based registry.
Main Results:
- SC was activated in 54.3% of eligible patients, primarily at hospitals (77%).
- Significant delays occurred, with 80% of the therapeutic window lost before hospital arrival.
- Thrombolysis was administered in 13.9% of cases, and immediate mortality was 9.9%.
Conclusions:
- The Stroke Code (SC) system has enhanced the stroke care chain across the territory.
- Low activation rates of the SC model in primary care settings require improvement.
- Further efforts are needed to maximize the benefits of the SC system through broader and earlier activation.
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