Evidence map›Paper›PMID 40226009›Full record

ArticleAmerican journal of translational research2025

Construction of a stroke green channel process based on the PDCA cycle management model and its impact on stroke prognosis.

Yingjing Yang, Shuqin Long, Yong Xu

Abstract read
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Article in American journal of translational research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Yingjing YangDepartment of Neurology, The Second Affiliated Hospital of Guizhou Medical University Kaili 556000, Guizhou, China.
Shuqin LongDepartment of Gastroenterology, The Second Affiliated Hospital of Guizhou Medical University Kaili 556000, Guizhou, China.
Yong XuDepartment of Orthopaedics, The Second Affiliated Hospital of Guizhou Medical University Kaili 556000, Guizhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the impact of implementing a stroke green channel process (GCP) based on the PDCA (Plan-Do-Check-Act) cycle on stroke prognosis.

methodsA retrospective analysis was conducted at the Second Affiliated Hospital of Guizhou Medical University by reviewing data of 259 stroke patients from January 2021 to December 2023. Patients were divided into two cohorts: 114 patients managed by the PDCA-based GCP and 145 patients receiving standard care (non-green channel process, NGCP). Key metrics assessed included demographic data, rescue indicators, and prognostic outcomes - neurological function, life ability, and quality of life.

resultsThe GCP group demonstrated significantly reduced triage (P = 0.009) and computed tomography (CT) scan completion times (P = 0.042), leading to shorter hospital stay durations (P = 0.022) and fewer transfer incidents (P = 0.001). Neurological and cognitive functions improved in the GCP group, evidenced by lower National Institute of Health stroke scale (NIHSS) scores (P = 0.011) and higher Mini-Mental State Examination (MMSE) (P = 0.008) and Montreal Cognitive Assessment (MoCA) scores (P = 0.032). Functional abilities and independence also improved, with higher Activities of Daily Living (ADL) (P = 0.007) and Barthel scores (P = 0.003), alongside lower Modified Rankin Scale (mRS) scores (P < 0.001). Adverse reactions were less frequent in the GCP group (total incidence rate P < 0.001).

conclusionImplementing a stroke GCP managed with the PDCA cycle significantly improves stroke prognosis, enhancing clinical outcomes.

Indexed as

emergency care optimizationgreen channel processneurological outcomesPDCA cycleStroke

Identifiers

PMID40226009
PMCPMC11982833

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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.