加拿大新斯科舍省城乡医院急性缺血性卒中溶栓过程分析数据表1

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• 源站标题：Data_Sheet_1_Analysis of Thrombolysis Process for Acute Ischemic Stroke in Urban and Rural Hospitals in Nova Scotia Canada.PDF
• DOI：10.3389/fneur.2021.645228.s001
• 发布日期：2021-03-15
• 文件数：1 个
• 文件总体积：137.38 KB
• 源站页面：https://frontiersin.figshare.com/articles/dataset/Data_Sheet_1_Analysis_of_Thrombolysis_Process_for_Acute_Ischemic_Stroke_in_Urban_and_Rural_Hospitals_in_Nova_Scotia_Canada_PDF/14214803

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• Data_Sheet_1_Analysis of Thrombolysis Process for Acute Ischemic Stroke in Urban and Rural Hospitals in Nova Scotia Canada.PDF（137.38 KB）

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Background: Stroke is a devastating disease, but it is treatable with alteplase or tissue plasminogen activator (tPA). The effectiveness of tPA is highly time-dependent, meaning rapid treatment is critical. Fast treatment with tPA has been reported in many urban hospitals, but hospitals in rural locations struggle to reduce treatment times. This qualitative study examines current thrombolysis processes in one urban and two rural hospitals in Nova Scotia, Canada, by mapping and comparing the treatment process in these settings for acute ischemic stroke (AIS) patients, and by analyzing the healthcare professionals views on various treatment topics.
Methods: Structured interviews were conducted with healthcare professionals involved in stroke treatment across the three sites. The interviews focused on the various activities in the thrombolysis treatment at each site. Additionally, participants were asked about the following 10 topics: comfort treating acute ischemic stroke patients; perceptions about tPA; appropriate tPA treatment window; stroke patient priority; tPA availability; patient consent; urban-rural treatment differences; efficiency of their treatment process; treatment delays; and suggested process improvements. Results were analyzed using the Framework Method, as well as through the development of process maps.
Results: Twenty three healthcare professionals were interviewed at 2 rural hospitals and 1 urban hospital. Acute ischemic stroke patients are triaged as the highest or urgent priority at each included site. Physicians are more hesitant to treat with tPA in rural settings. A total of 11 urban-rural treatment differences were noted by the rural sites. Additionally, 11 patient-related and 29 system treatment delays were described. A process map was developed for each site, representing the arrival by ambulance and by private vehicle pathways.
Conclusions: Guidelines and clear protocols are critical in reducing treatment times and ensuring consistent access to treatment. The majority of treatment delays encountered are system delays, which can be appropriately planned for to reduce delays within the care pathway. There is a general consensus that the

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CC BY 4.0

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学术使用请引用 DOI 10.3389/fneur.2021.645228.s001（source: https://frontiersin.figshare.com/articles/dataset/Data_Sheet_1_Analysis_of_Thrombolysis_Process_for_Acute_Ischemic_Stroke_in_Urban_and_Rural_Hospitals_in_Nova_Scotia_Canada_PDF/14214803）。