Related Experiment Video
Updated: Jun 13, 2026
05:52
Prehospital Thrombolysis: A Manual from Berlin
Published on: November 26, 2013
22.3K
The Effect of Smartphone Pre-Notification System on Regional Acute Ischemic Stroke Management Time Delay: Multicenter
Haewon Jung1, Hyun Wook Ryoo1, Jae Yun Ahn1
1Department of Emergency Medicine, School of Medicine, Kyungpook National University, Daegu, Korea.
Prehospital Emergency Care
|December 19, 2025
Summary
Smartphone prenotification systems like FASTroke significantly reduce treatment times for acute ischemic stroke (AIS) patients. This mobile application improved door-to-CT scan, door-to-thrombolysis, and door-to-thrombectomy times, especially with preregistration.
Area of Science:
- Neurology
- Emergency Medicine
- Health Informatics
Background:
- Prehospital notification is vital for reducing door-to-reperfusion time in acute ischemic stroke (AIS) patients.
- Real-world effectiveness of smartphone prenotification systems for AIS needs further investigation.
- A mobile application-based prenotification system (FASTroke) was implemented in Daegu, South Korea, to optimize acute stroke care.
Purpose of the Study:
- To analyze the impact of the FASTroke prehospital notification system on reducing treatment time delays in acute ischemic stroke (AIS) patients.
- To evaluate the effectiveness of smartphone application utilization in streamlining acute stroke care pathways.
- To assess the influence of the pre-notification system on key time metrics in AIS management.
Main Methods:
- A retrospective observational before-and-after study design was employed in Daegu, South Korea.
- Patients with AIS arriving via emergency medical services were categorized based on FASTroke system usage (before and after implementation).
- Key time variables including Door-to-CT scan time (DTC), Door-to-intravenous thrombolysis time (DTI), and Door-to-endovascular thrombectomy time (DTE) were analyzed using multivariable logistic regression.
Main Results:
- The FASTroke system significantly reduced DTC (23.0 to 20.0 min), DTI (42.5 to 36.0 min), and DTE (95.5 to 87.0 min) compared to the pre-implementation period.
- The preregistration feature within FASTroke further enhanced time reductions: DTC by 14.0 min, DTI by 33.0 min, and DTE by 66.5 min.
- FASTroke use significantly increased the odds of achieving DTC < 20 min (aOR 1.971) and DTE < 90 min (aOR 2.010), with greater odds in the preregistration subgroup.
Conclusions:
- The FASTroke mobile application significantly improved in-hospital treatment timelines for acute ischemic stroke patients.
- The preregistration feature of the FASTroke system demonstrated a substantial positive impact on reducing critical treatment times.
- Smartphone-based prehospital notification systems are effective tools for optimizing acute stroke care delivery.
Related Concept Videos
01:25Errors occurring during blood pressure monitoring
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
01:14SBAR II: Application of SBAR
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
01:15Chronopharmacokinetics: Circadian Rhythms and Influence on Drug Response
Circadian rhythms are cyclic changes that are crucial in plasma drug concentrations. Various standard circadian parameters, including core body temperature, heart rate, and other cardiovascular factors, directly impact disease states and the therapeutic response to drug therapy.
The time of drug administration is an important factor to consider, as it can influence the toxic dose of a drug. For example, a study conducted by Prins et al. in 1997 examined the effects of the timing of...
The time of drug administration is an important factor to consider, as it can influence the toxic dose of a drug. For example, a study conducted by Prins et al. in 1997 examined the effects of the timing of...