Evidence map›Paper›PMID 28533683›Full record

ArticleNeuropsychiatric disease and treatment2017

New standardized nursing cooperation workflow to reduce stroke thrombolysis delays in patients with acute ischemic stroke.

Yan Zhou, Zhuojun Xu, Jiali Liao, Fangming Feng, Lai Men, Li Xu, Yanan He, Gang Li

Abstract read
In one paragraph

Article in Neuropsychiatric disease and treatment, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Yan ZhouNursing Department, Shanghai East Hospital, Tongji University School of Medicine, Shanghai.
Zhuojun XuDepartment of Neurology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, People's Republic of China.
Jiali LiaoNursing Department, Shanghai East Hospital, Tongji University School of Medicine, Shanghai.
Fangming FengNursing Department, Shanghai East Hospital, Tongji University School of Medicine, Shanghai.
Lai MenPaddington Dental Practice, London, UK.
Li XuDepartment of Neurology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, People's Republic of China.
Yanan HeDepartment of Neurology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, People's Republic of China.
Gang LiDepartment of Neurology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe assessed the effectiveness of a new standardized nursing cooperation workflow in patients with acute ischemic stroke (AIS) to reduce stroke thrombolysis delays. PATIENTS AND

methodsAIS patients receiving conventional thrombolysis treatment from March to September 2015 were included in the control group, referred to as T0. The intervention group, referred to as T1 group, consisted of AIS patients receiving a new standardized nursing cooperation workflow for intravenous thrombolysis (IVT) at the emergency department of Shanghai East Hospital (Shanghai, People's Republic of China) from October 2015 to March 2016. Information was collected on the following therapeutic techniques used: application or not of thrombolysis, computed tomography (CT) time, and door-to-needle (DTN) time. A nursing coordinator who helped patients fulfill the medical examinations and diagnosis was appointed to T1 group. In addition, a nurse was sent immediately from the stroke unit to the emergency department to aid the thrombolysis treatment.

resultsThe average value of the door-to-CT initiation time was 38.67±5.21 min in the T0 group, whereas it was 14.39±4.35 min in the T1 group; the average values of CT completion-to-needle time were 55.06±4.82 and 30.26±3.66 min; the average values of DTN time were 100.43±6.05 and 55.68±3.62 min, respectively; thrombolysis time was improved from 12.8% (88/689) in the T0 group to 32.5% (231/712) in the T1 group (all

conclusionThe new standardized nursing cooperation workflow reduced stroke thrombolysis delays in patients with AIS.

Indexed as

door-to-needle timeintravenous thrombolysisnursingstandardizationstroke thrombolysis delay

Identifiers

PMID28533683
PMCPMC5431707

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.