In patients with acute ischemic stroke: the sooner the thrombolysis treatment is administered after symptom onset - the better the outcome. This delay can be dissected into onset-to-door time and door-to-needle time (DNT). SITS-WATCH aims to reduce median DNT in participating centres.
In patients with acute ischemic stroke: the sooner the thrombolysis treatment is administered after symptom onset - the better the outcome. This delay can be dissected into onset-to-door time and door-to-needle time (DNT). Of the two, DNT can be directly influenced within the hospital by stream-lining of acute stroke care. The aim of our study is to reduce in-hospital delays (DNT) in self-selecting centers recruiting patients into the the Safe Implementation of Treatments in Stroke-International Stroke Thrombolysis Register (SITS-ISTR) , comprising currently more than 80 000 patients from 1338 centers. Current median of DNT in all SITS centers is 65 minutes (compared with 20 minutes in Helsinki Univer-sity Central Hospital). An itemized detailed questionnaire, including all factors known to influence DNT, has been sent to all SITS centers to identify the reasons for long in-hospital delays. Based on the replies, we have prepared a list of interventions that can be considered by individual SITS centers in order to reduce DNT with interventions that are in line with national legislation.
- Reduction of DTN Other
Intervention Desc: 15-item list of suggested interventions aiming to reduce DNT sent to SITS-WATCH centers. ARM 1: Kind: Experimental Label: Intervention group (SITS-WATCH centers) Description: 15-item list of suggested interventions aiming to reduce DNT sent to SITS-WATCH centers.
- Allocation: Non-Randomized
- Masking: Open Label
- Purpose: Health Services Research
- Intervention: Single Group Assignment
|Type||Measure||Time Frame||Safety Issue|
|Primary||Absolute DNT reduction of at least 20 minutes or at least 20% change in SITS-WATCH centers that completed the whole study period||January 2013-December 2014||Yes|
|Secondary||Significantly larger reduction of DNT in SITS-WATCH centers compared with non-SITS-WATCH centers in SITS.||2014-2015||Yes|
- SITS International Lead