Evidence map›Paper›PMID 29743763›Full record

ArticleIndian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine2018

Impact of "Stroke Code"-Rapid Response Team: An Attempt to Improve Intravenous Thrombolysis Rate and to Shorten Door-to-Needle Time in Acute Ischemic Stroke.

Sushma K Gurav, Kapil G Zirpe, R S Wadia, Avinash Naniwadekar, Prajakta U Pote, Amit Tungenwar, Abhijeet M Deshmukh, Srikanta Mohopatra, Balakrishna Nimavat, Prasad Surywanshi

Open access · diamondAbstract read
In one paragraph

Article in Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 8% of its field
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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Stroke Thrombolysis: Beating the Clock.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2023
    Article
  7. Rapid Thrombolysis Protocol: Results from a Before-and-after Study.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2022
    Article
  8. "No Time to Die" - Saving the Neurons.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2022
    Article
  9. Article
  10. Article
  11. Article
  12. Risk Factors Associated With Exclusion of Obese Patients Ischemic Stroke With a History of Smoking From Thrombolysis Therapy.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Article
  13. Article
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

10 authors at 1 institution in 1 country.

Sushma K GuravNeuro Trauma Unit, Ruby Hall Clinic, Pune, Maharashtra, India.
Kapil G ZirpeNeuro Trauma Unit, Ruby Hall Clinic, Pune, Maharashtra, India.
R S WadiaDepartment of Neurology, Ruby Hall Clinic, Pune, Maharashtra, India.
Avinash NaniwadekarDepartment of Radiology, Ruby Hall Clinic, Pune, Maharashtra, India.
Prajakta U PoteNeuro Trauma Unit, Ruby Hall Clinic, Pune, Maharashtra, India.
Amit TungenwarResident General Medicine, Ruby Hall Clinic, Pune, Maharashtra, India.
Abhijeet M DeshmukhNeuro Trauma Unit, Ruby Hall Clinic, Pune, Maharashtra, India.
Srikanta MohopatraDepartment of Accident and Emergency, Ruby Hall Clinic, Pune, Maharashtra, India.
Balakrishna NimavatNeuro Trauma Unit, Ruby Hall Clinic, Pune, Maharashtra, India.
Prasad SurywanshiNeuro Trauma Unit, Ruby Hall Clinic, Pune, Maharashtra, India.
Ruby Hall Clinic · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objective"Stroke code" (SC) implementation in hospitals can improve the rate of thrombolysis and the timeline in care of stroke patient. MATERIALS AND

methodsA prospective data of patients treated for acute ischemic stroke (AIS) after implementation of "SC" (post-SC era) were analyzed (2015-2016) and compared with the retrospective data of patients treated in the "pre-SC era." Parameters such as symptom-to-door, door-to-physician, door-to-imaging, door-to-needle (DTN), and symptom-to-needle time were calculated. The severity of stroke was calculated using the National Institutes of Health Stroke Score (NIHSS) before and after treatment.

resultsPatients presented with stroke symptoms in pre- and post-SC era (695 vs. 610) and, out of these, patients who came in window period constituted 148 (21%) and 210 (34%), respectively. Patients thrombolyzed in pre- and post-SC era were 44 (29.7%) and 65 (44.52%), respectively. Average DTN time was 104.95 min in pre-SC era and reduced to 67.28 min (

conclusionImplementation of SC helped us to increase thrombolysis rate in AIS and decrease DTN time.

Indexed as

Acute ischemic strokedoor to needle timestroke code

Identifiers

PMID29743763
PMCPMC5930528
OpenAlexW2800656809

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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Registered trials

None linked

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.