Outcome of Stroke Fast-Track Patients Arrival by Emergency Medical Services
Weerasak Phongphuttha1, Somsak Tiamkao2,3
Affiliation : 1 Department of Emergency Medicine, Khon Kaen Hospital, Khon Kaen, Thailand, 2 Division of Neurology, Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand, 3 Integrated Epilepsy Research Group, Khon Kaen University, Khon Kaen, Thailand
Objective: To compare duration of door to needle time (DTN) of
stroke patients between patients delivered to hospital by a stroke
fast-track emergency medical system (SEFT) and those who came to
hospital by a non-stroke EMS fast-track service (SNEFT) or, by
themselves.
Materials and Methods: Retrospective descriptive study to compare the outcomes of stroke fast track patients.
Results: The
present study retrieved medical records of 177 stroke fast track
patients came to Khon Kaen hospital between October, 2018 and August,
2020. Over half the patients were male (60.5%). Ninety-nine (55.90%)
came to hospital by Stroke EMS Fast Track (SEFT) and 78 (44.10%) by
themselves or via Stroke Non-EMS Fast Track (SNEFT). The mean age of the
SEFT and SNEFT groups was 62.11+13.63 and 59.37+15.39 years,
respectively. Results showed the SEFT group had mean times door to CT,
door to laboratory, door to physician, and door to needle of 16.53+4.63,
30.57+9.87, 33.99+15.16 and 45.37+7.91 minutes, respectively. Duration
to treatment for all of the four treatment phases was statistically
significantly shorter in the SEFT group than in the SNEFT group
(p<0.001).
Conclusion: The SEFT group had significantly shorter door to CT, door to lab, door to physician, and door to needle time than SNEFT group.
doi.org/10.35755/jmedassocthai.2021.S01.12299
Keywords : Stroke fast track, Emergency medical service system, Duration to treatment
