Evidence map›Paper›PMID 39483280›Full record

ArticleNeuroSci2024

Workflow and Short-Term Functional Outcomes in Simultaneous Acute Code Stroke Activation and Stroke Reperfusion Therapy.

Robert Joseph Sarmiento, Amanda Wagner, Asif Sheriff, Colleen Taralson, Nadine Moniz, Jason Opsahl, Thomas Jeerakathil, Brian Buck, William Sevcik, Ashfaq Shuaib and 1 more

Abstract read
In one paragraph

Article in NeuroSci, 2024. 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. Review
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

11 authors.

Robert Joseph SarmientoDepartment of Medicine, University of Alberta, Edmonton, AB T6G2B7, Canada; rsarmien@ualberta.ca (R.J.S.).ORCID https://orcid.org/0000-0001-7708-1804
Amanda WagnerDepartment of Medicine, University of Alberta, Edmonton, AB T6G2B7, Canada; rsarmien@ualberta.ca (R.J.S.).
Asif SheriffCollege of Medicine, University of Saskatchewan, Regina, SK S4S 0A2, Canada.
Colleen TaralsonStroke Program, Edmonton Zone, Alberta Health Services, Edmonton, AB T6G2J3, Canada.
Nadine MonizStroke Program, Edmonton Zone, Alberta Health Services, Edmonton, AB T6G2J3, Canada.
Jason OpsahlStroke Program, Edmonton Zone, Alberta Health Services, Edmonton, AB T6G2J3, Canada.
Thomas JeerakathilDepartment of Medicine, University of Alberta, Edmonton, AB T6G2B7, Canada; rsarmien@ualberta.ca (R.J.S.).
Brian BuckDepartment of Medicine, University of Alberta, Edmonton, AB T6G2B7, Canada; rsarmien@ualberta.ca (R.J.S.).ORCID https://orcid.org/0000-0002-7984-6062
William SevcikDepartment of Emergency Medicine, University of Alberta, Edmonton, AB T6G2T4, Canada.
Ashfaq ShuaibDepartment of Medicine, University of Alberta, Edmonton, AB T6G2B7, Canada; rsarmien@ualberta.ca (R.J.S.).ORCID https://orcid.org/0000-0002-3380-7068
Mahesh KateDepartment of Medicine, University of Alberta, Edmonton, AB T6G2B7, Canada; rsarmien@ualberta.ca (R.J.S.).ORCID https://orcid.org/0000-0003-4794-2882

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The burden of simultaneous acute code stroke activation (ACSA) is not known. We aim to assess the effect of simultaneous ACSA on workflow metrics and home time at 90 days in patients undergoing reperfusion therapies in the emergency department. Simultaneous ACSA was defined as code activation within 60 min of the arrival of any patient receiving intravenous thrombolysis, within 150 min of the arrival of any patient receiving endovascular thrombectomy, within 45 min of the arrival of any patient receiving no reperfusion therapies (based on mean local door-to-needle and door-to-puncture times). Simultaneous ACSA was further graded as 1, 2 and 3. We assessed workflow metrics as door-to-CT (DTC) time, in minutes, and functional outcome as home time at 90 days. A total of 2605 patients were assessed as ACSA at a mean ± SD activations of 130.8 ± 17.1/month and 859 (33%) were simultaneous. Among all ACSA, 545 (20.9%) underwent acute reperfusion therapy with a mean age of 70.6 ± 14.2 years, 45.9% (n = 254) were female with a median (IQR) NIHSS of 13 (8-18). A total of 220 (40.4%) patients underwent simultaneous treatments. The median DTC time, in minutes, was prolonged in grade 3 simultaneous ACSA (18 (13, 28)) compared to non-simultaneous ACSA (15 (11, 21) β = 0.23,

Indexed as

acute code stroke activationsacute reperfusion treatmentacute strokepatient outcomessimultaneitytriage

Identifiers

PMID39483280
PMCPMC11469737

What OpenQuestion holds

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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.