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Related Experiment Video

Updated: Jan 28, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
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Reduced Workflow Times for Reperfusion Therapy After Acute Ischemic Stroke Using a Visual Task Management

Shoji Matsumoto1, Ichiro Nakahara1, Ayuko Yasuda2

  • 1Department of Comprehensive Strokology Fujita Health University School of Medicine Toyoake Japan.

Stroke (Hoboken, N.J.)
|January 26, 2026
PubMed
Summary

Task Calculation Stroke (TCS) significantly reduced treatment times for acute ischemic stroke patients. This visual task management application improved workflow efficiency and clinical outcomes in stroke care.

Keywords:
acute ischemic strokereperfusion therapyvisual task management application

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Area of Science:

  • Neurology
  • Medical Informatics
  • Health Services Research

Background:

  • Acute ischemic stroke treatment efficacy is time-sensitive, necessitating efficient hospital workflows.
  • Stroke centers aim to minimize delays from patient arrival to reperfusion therapy.
  • Delays in treatment can negatively impact patient outcomes.

Purpose of the Study:

  • To evaluate the impact of a visual task management application, Task Calculation Stroke (TCS), on reducing delays in reperfusion therapy for acute ischemic stroke.
  • To assess the effect of TCS implementation on clinical outcomes in patients with acute ischemic stroke.

Main Methods:

  • A multicenter cohort study involving 4 Japanese comprehensive stroke centers from June 2018 to December 2020.
  • Implementation of TCS with staff training, comparing outcomes across original, training, and TCS stages.
  • Analysis of door-to-needle time (IV tPA), door-to-puncture time (mechanical thrombectomy), and modified Rankin Scale scores at discharge.

Main Results:

  • Mean door-to-needle time decreased significantly from 58.0 min (original) to 47.8 min (TCS stage).
  • Mean door-to-puncture time significantly reduced from 93.8 min (original) to 88.5 min (TCS stage).
  • Favorable shifts in modified Rankin Scale scores at discharge were observed in the TCS stage (P=0.003).

Conclusions:

  • The TCS application effectively reduced workflow times for acute ischemic stroke reperfusion therapy.
  • Implementation of TCS may contribute to improved clinical outcomes for stroke patients.
  • Visual task management tools show promise in optimizing acute stroke care pathways.