Observational studyAJNR. American journal of neuroradiology2025
Radiologist, Trainee, and Logistical Factors Impacting the Timeliness of CTA Head and Neck Reporting in Stroke Code Activations.
Observational study in AJNR. American journal of neuroradiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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7 authors.
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Abstract
background and purposeTimely reporting of CTA examinations impacts management of acute vascular pathology such as large vessel occlusions, arterial dissection, and ruptured aneurysms, as well as a variety of acute nonvascular pathologies. In this study, we examine potential modifiable factors impacting the timeliness of CTA reporting performed in stroke code activations. MATERIALS AND
methodsThis is an observational study of stroke code CTA head and neck examinations performed at a single health system (3 emergency departments, 1550 inpatient beds) during 4 years (January 1, 2019, to December 31, 2023). Patient age, patient sex, care setting, time of year, shift type, trainee/attending radiologist characteristics, report factors, and number of CTAs performed within the preceding hour were considered potential factors impacting the turnaround time (TAT) of stroke code CTAs. Descriptive statistics, univariate regression, and multivariate regression were used to estimate the impact on reporting TAT.
resultsWe performed 8422 stroke code CTA examinations. Median TAT was 29 minutes (interquartile range [IQR] 18-48). Median TAT by individual attending radiologists varied from 15 to 40 minutes (median of medians, 29 minutes [IQR 26-34.5]). Univariate regression analyses found younger patient age, emergency department setting, time later in the academic year, nonbusiness hours, specific individual radiologists/trainees, solo reporting by attending radiologists, use of preliminary reports, and fewer stroke codes within the preceding hour to all be associated with shorter TATs (all
conclusionsRadiologist and trainee-level timeliness in stroke CTA reporting varies widely. Interventions aimed at improving workflow efficiency for both trainees and attending radiologists could improve timeliness of reporting.
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