Resumo

BAYONA O, Hernán F; MARTINEZ, Carlos Fernando; GUIO, Claudia Marcela  e  DIAZ C, Camilo Andrés. Usefulness of Stroke Coding in patients suffering from acute ischemic stroke: comparison between two time periods. Acta Neurol Colomb. [online]. 2014, vol.30, n.4, pp.256-262. ISSN 0120-8748.

Introduction: stroke coding is an alert system that mobilizes a rapid response team to treat patients with stroke and to administer treatments like fibrinolysis. Objectives: to describe by way of comparison between two periods a population of patients with acute ischemic stroke before code 2007/2008 and after code 2009/2010 considering: time for first medical attention, neurological evaluation, brain imaging performing, clinical improvement by the NIHSS, thrombolysis probability, disability, length of stay in the hospital, intra-hospital mortality. Materials and methods: starting from a database of the patients for the two periods of time (2007/8 and 2009/10), a statistical analysis with variable description was done, using descriptive statistics, measures of central tendency, dispersion and position, with an exploratory analysis of the categorical variables. Results: we found that the times of first medical attention (24 vs 24 minutes; p =0.37), neurological attention (61 vs 107 minutes, p =0.06) and the time to the brain imaging (45.9 vs 64.5 minutes, p =0.06) did not show a significant delay in the second period of time after the stroke code. The good functional outcome with a Rankin scale ≤ (64.8 % for the first period compared with 64.6 % in the second period, p = 0.98) did not show any differences. Conclusions: in our Hospital the stroke code did not affect the prognosis of patients regarding the amount of time for first medical attention, neurological attention, time to brain imaging, probability to give rt-PA, disability or mortality.

Palavras-chave : Early Warning; Stroke; Medical Record Linkage; Emergencies; Hospital registry; Mortality; Length of Stay.

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