Evidence map›Paper›PMID 35221825›Full record

ArticleInternational journal of integrated care

Improving Thrombolysis for Acute Ischemic Stroke: The Implementation and Evaluation of a Theory-Based Resource Integration Project in China.

Qian Fu, Xiaojun Wang, Donglan Zhang, Lu Shi, Wei Wang, Zhangbao Guo, Ping Shan, Guohua Chen, Zhanchun Feng

Abstract readCase Reports
In one paragraph

Article in International journal of integrated care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

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

1 citing paper in PubMed.

  1. 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

9 authors.

Qian FuSchool of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, CN.ORCID https://orcid.org/0000-0001-6385-0502
Xiaojun WangWuhan Pulmonary Hospital, Wuhan Institute for Tuberculosis Control, Wuhan, CN.ORCID https://orcid.org/0000-0001-5770-1893
Donglan ZhangDepartment of Health Policy and Management, College of Public Health, University of Georgia, US.ORCID https://orcid.org/0000-0001-5225-4721
Lu ShiDepartment of Public Health Sciences, Clemson University, US.ORCID https://orcid.org/0000-0001-8352-2813
Wei WangWuhan No. 1 Hospital, Wuhan, Hubei, CN.
Zhangbao GuoSchool of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, CN.
Ping ShanWuhan No. 1 Hospital, Wuhan, Hubei, CN.ORCID https://orcid.org/0000-0003-3155-7867
Guohua ChenWuhan No. 1 Hospital, Wuhan, Hubei, CN.
Zhanchun FengSchool of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, CN.ORCID https://orcid.org/0000-0001-6021-0016

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIntravenous thrombolysis for acute ischemic stroke remains underused in the developing countries. In 2016, a theory-based resource integration project was initiated at a major stroke center in China. This report describes the implementation process and results of the quality improvement project. DESCRIPTION: Eighteen environment-tailored interventions were implemented, including stroke code activation, electronic wristband bundling, structured information sharing, etc. The project was implemented from July 2016 to June 2017. A total of 519 acute ischemic stroke patients were included. After the intervention, median DNT decreased from 62 min to 37 min ( DISCUSSION: Adequate pre-intervention activities are important conditions for the smooth implementation of the complex service integration initiative. The new treatment pathway has undergone a process of destruction, remodeling and solidification before stable and effective operation. In order to realize the full effect of service integration, whole society efforts are also required.

conclusionsIntroduction of the theory-based resource integration project was associated with increased thrombolysis administrations, shorter DNT, and no statistically significant change in adverse outcomes. The basic principles of this project might be applicable to various resource settings.

Indexed as

door-to-needle timeemergency medical servicesischemic strokethrombolysis

Identifiers

PMID35221825
PMCPMC8833266

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.