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Workflow optimization in acute stroke therapy using a mobile application - a pilot study.

Frieso Geerd Stevens1, Hans Worthmann1, Clara Zoe Fricke2

  • 1Department of Neurology, Hannover Medical School, Hannover, Germany.

Therapeutic Advances in Neurological Disorders
|October 24, 2025
PubMed
Summary
This summary is machine-generated.

A mobile app improved documentation in acute stroke care but did not reduce treatment times. Effective use requires systematic training for the stroke care team to enhance communication and patient outcomes.

Keywords:
digitalizationdoor-to-needle timeischaemic strokemobile applicationprocess optimizationstroke

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Area of Science:

  • Neurology
  • Health Informatics
  • Medical Technology

Background:

  • Efficient multiprofessional team communication is crucial for timely ischaemic stroke treatment with intravenous thrombolysis (IVT) and endovascular treatment (EVT).
  • Mobile applications offer potential solutions for streamlining communication and documentation in acute stroke care settings.

Purpose of the Study:

  • To implement and evaluate a mobile application for digital documentation and communication in acute stroke care.
  • To assess the app's impact on documentation rates and treatment times (door-to-needle and door-to-groin).
  • To gather user experience data on the app's utility in an acute medical workflow.

Main Methods:

  • An observational, post-market clinical follow-up cohort study was conducted.
  • The 'Join' mobile app was implemented in a tertiary stroke care center.
  • Documentation rates and process times (DNT, DGT) were monitored for 6 months pre- and 3 months post-implementation, with user experience surveyed.

Main Results:

  • A total of 504 stroke patients were analyzed (334 pre-app, 170 post-app).
  • Door-to-needle time (DNT) and door-to-groin time (DGT) showed no significant improvement post-implementation.
  • Documentation rates tripled overall and increased 1.5-fold for patients receiving recanalization therapy; app features for documentation and information retrieval were most utilized.

Conclusions:

  • Mobile app implementation facilitated real-time digital documentation for the stroke care team.
  • The app did not expedite treatment times for patients undergoing acute recanalizing therapies.
  • Systematic training is recommended to improve user acceptance and maximize the app's effectiveness.