Evidence map›Paper›PMID 37482386›Full record

ArticleNeurosciences (Riyadh, Saudi Arabia)2023

Impact of implementing a stroke code on the door to needle time during Hajj at a tertiary center in Makkah, Saudi Arabia.

Waleed M Alzahrani, Afnan A Sulaiman, Mohammed M Babakkor, Ziad E Aljundi, Hamad M Alhilabi, Rawan A Aldhahwani

Open access · diamondAbstract read
In one paragraph

Article in Neurosciences (Riyadh, Saudi Arabia), 2023. 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
0.2field-weighted citation impact, top 42% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  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

6 authors at 1 institution in 1 country.

Waleed M AlzahraniFrom the Department of Neurology (Alzahrani, Babakkor, Aljundi), King Abdullah Medical City, the Department of Neurology (Alhilabi), Al Noor Specialist Hospital, Umm Al-Qura University (Aldhahwani), Makkah, and from the Department of Emergency (Sulaiman), King Abdelaziz Medical City, Ministry of National Guard, Health Affairs, Riyadh, Kingdom of Saudi Arabia.
Afnan A SulaimanFrom the Department of Neurology (Alzahrani, Babakkor, Aljundi), King Abdullah Medical City, the Department of Neurology (Alhilabi), Al Noor Specialist Hospital, Umm Al-Qura University (Aldhahwani), Makkah, and from the Department of Emergency (Sulaiman), King Abdelaziz Medical City, Ministry of National Guard, Health Affairs, Riyadh, Kingdom of Saudi Arabia.ORCID https://orcid.org/0000-0001-7477-391X
Mohammed M BabakkorFrom the Department of Neurology (Alzahrani, Babakkor, Aljundi), King Abdullah Medical City, the Department of Neurology (Alhilabi), Al Noor Specialist Hospital, Umm Al-Qura University (Aldhahwani), Makkah, and from the Department of Emergency (Sulaiman), King Abdelaziz Medical City, Ministry of National Guard, Health Affairs, Riyadh, Kingdom of Saudi Arabia.
Ziad E AljundiFrom the Department of Neurology (Alzahrani, Babakkor, Aljundi), King Abdullah Medical City, the Department of Neurology (Alhilabi), Al Noor Specialist Hospital, Umm Al-Qura University (Aldhahwani), Makkah, and from the Department of Emergency (Sulaiman), King Abdelaziz Medical City, Ministry of National Guard, Health Affairs, Riyadh, Kingdom of Saudi Arabia.
Hamad M AlhilabiFrom the Department of Neurology (Alzahrani, Babakkor, Aljundi), King Abdullah Medical City, the Department of Neurology (Alhilabi), Al Noor Specialist Hospital, Umm Al-Qura University (Aldhahwani), Makkah, and from the Department of Emergency (Sulaiman), King Abdelaziz Medical City, Ministry of National Guard, Health Affairs, Riyadh, Kingdom of Saudi Arabia.
Rawan A AldhahwaniFrom the Department of Neurology (Alzahrani, Babakkor, Aljundi), King Abdullah Medical City, the Department of Neurology (Alhilabi), Al Noor Specialist Hospital, Umm Al-Qura University (Aldhahwani), Makkah, and from the Department of Emergency (Sulaiman), King Abdelaziz Medical City, Ministry of National Guard, Health Affairs, Riyadh, Kingdom of Saudi Arabia.
King Abdullah Medical City · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the impact of a stroke code on the door to needle time during Hajj at a tertiary center in Makkah, Saudi Arabia. Stroke is one of the most common medical problems globally. Tissue plasminogen activator is an effective treatment in patients with acute ischemic stroke. However, its efficacy is time-dependent.

methodsWe conducted a retrospective study on acute ischemic stroke patients who presented within the study window and were eligible for intravenous thrombolysis therapy at King Abdullah Medical City in Makkah between September 1, 2015 and July 2020.

resultsSixty-nine patients received intravenous tissue plasminogen activator and enrolled in this study, 28 patients of which presented during the Hajj period. We found a statistically significant reduction in both the door to needle time and the door to computed tomography time during the Hajj period. In addition, the length of hospital stay reduced significantly in the same period

conclusionWe observed a 44% reduction in the door to needle time during the implementation of the stroke code. However, we did not observe a significant difference in clinical outcomes. This study is limited by its small sample size and it lacks a long follow-up for clinical conditions.

Indexed as

Ischemic StrokeStrokeFibrinolytic AgentsHumansRetrospective StudiesSaudi ArabiaThrombolytic TherapyTime-to-TreatmentTissue Plasminogen ActivatorTreatment OutcomeFibrinolytic AgentsTissue Plasminogen Activator

Identifiers

PMID37482386
PMCPMC10519653
OpenAlexW4385174832

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.