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[Why is reperfusion therapy delayed in stroke code patients? A qualitative analysis]
B Palazón-Cabanes1, J J López-Picazo-Ferrer2, A Morales-Ortiz1
1Servicio de Neurología, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España.
Summary
Identifying delays in reperfusion therapy for acute ischemic stroke is crucial for timely treatment. This study pinpoints modifiable causes of delay, essential for improving stroke care quality and patient outcomes.
Area of Science:
- Neurology
- Emergency Medicine
- Healthcare Quality Improvement
Background:
- Reperfusion therapy for acute ischemic stroke is time-sensitive, with a narrow therapeutic window.
- Timely administration of treatment is critical for patient outcomes.
- Quality improvement initiatives are needed to reduce delays in stroke care.
Purpose of the Study:
- To identify and classify potential causes of delay in reperfusion therapy administration.
- To analyze delays within a tertiary hospital setting for acute ischemic stroke management.
Main Methods:
- Qualitative analysis involving 337 acute ischemic stroke patients treated with reperfusion.
- Formation of advocacy and multidisciplinary working groups.
- Utilized flowcharts and cause-effect diagrams for data collection and analysis.
Main Results:
- Identified and classified causes of delay into structural and modifiable categories.
- Highlighted modifiable causes, such as protocol variability and procedural gaps, as key targets for intervention.
- Emphasized the importance of addressing modifiable delays for future stroke care improvements.
Conclusions:
- Understanding current delays is the first step toward implementing quality improvement programs.
- The study provides a foundation for designing interventions to shorten in-hospital stroke code times.
- Focusing on modifiable causes of delay can significantly enhance the efficiency of acute ischemic stroke treatment.
