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Good is not Good Enough: The Benchmark Stroke Door-to-Needle Time Should be 30 Minutes

  • Noreen Kamal (a1), Oscar Benavente (a2), Karl Boyle (a3) (a4), Brian Buck (a5), Ken Butcher (a5), Leanne K. Casaubon (a6) (a7), Robert Côté (a8), Andrew M Demchuk (a1), Yan Deschaintre (a9), Dar Dowlatshahi (a10), Gordon J Gubitz (a11), Gary Hunter (a12), Tom Jeerakathil (a5), Albert Jin (a13), Eddy Lang (a14) (a15), Sylvain Lanthier (a16), Patrice Lindsay (a17), Nancy Newcommon (a18), Jennifer Mandzia (a19), Colleen M. Norris (a20) (a21), Wes Oczkowski (a22), Céline Odier (a9), Stephen Phillips (a11) (a23), Alexandre Y Poppe (a9), Gustavo Saposnik (a24), Daniel Selchen (a25), Ashfaq Shuaib (a5), Frank Silver (a26), Eric E Smith (a1), Grant Stotts (a3) (a27), Michael Suddes (a18), Richard H. Swartz (a28), Philip Teal (a2), Tim Watson (a1) and Michael D. Hill (a1)...
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Abstract

Copyright

Corresponding author

Correspondence to: Noreen Kamal, Department of Clinical Neurosciences, Faculty of Medicine, University of Calgary, 1242A, 1403 29th Avenue NW, Calgary, Alberta, T2N 2T9 Canada. E-mail: nrkamal@ucalgary.ca

References

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10. Casaubon, LK, Suddes, M, on behalf of the Acute Stroke Care Writing Group. Chapter 3: Hyperacute Stroke Care. In Lindsay MP, Gubitz G, Bayley M, Phillips S (Editors) on behalf of the Canadian Stroke Best Practices and Standards Advisory Committee Canadian Best Practice Recommendations for Stroke Care. 2013. Ottawa, Ontario Canada:Canadian Stroke Network and Heart and Stroke Foundation of Canada.
11. Parkinson, NC. Parkinson's law. Economist. 1955.
12. Christou, I, Alexandrov, AV, Burgin, WS, et al. Timing of recanalization after tissue plasminogen activator therapy determined by transcranial Doppler correlates with clinical recovery from ischemic stroke. Stroke. 2000;3:1812-1816.
13. Saver, JL, Fonarow, GC, Smith, EE, et al. Time to treatment with intravenous tissue plasminogen activator and outcome from acute ischemic stroke. JAMA. 2013;309(23):2480-2488.
14. Rawles, J.. Magnitude of benefit from earlier thrombolytic treatment in acute myocardial infarction: new evidence from Grampian region early anistreplase trial (GREAT). BMJ. 1996;312(7025):212-215.
15. Lerner, EB, Moscati, RM. The golden hour: scientific fact or medical “urban legend”? Acad Emerg Med. 2001;8(7):758-760.
16. Lees, KR, Bluhmki, E, Von Kummer, R, et al. Time to treatment with intravenous alteplase and outcome in stroke: an updated pooled analysis of ECASS, ATLANTIS, NINDS, and EPITHET trials. Lancet. 2010;375(9729):1695-1703.
17. Lindsberg, PJ, Häppölä, O, Kallela, M, Valanne, L, Kuisma, M, Kaste, M. Door to thrombolysis: ER reorganization and reduced delays to acute stroke treatment. Neurology. 2006;67(2):334-336.
18. Meretoja, A, Strbian, D, Mustanoja, S, Tatlisumak, T, Lindsberg, PJ, Kaste, M. Reducing in-hospital delay to 20 minutes in stroke thrombolysis. Neurology. 2012;79(4):306-313.
19. Meretoja, A, Weir, L, Ugalde, M, et al. Helsinki model cut stroke thrombolysis delays to 25 minutes in Melbourne in only 4 months. Neurology. 2013;81(12):1071-1076.
20. Fonarow, GC, Smith, EE, Saver, JL, et al. Improving door-to-needle times in acute ischemic stroke: The design and rationale for the american heart association/american stroke association's target: Stroke initiative. Stroke. 2011;42:2983-2989.
21. Fonarow, GC, Zhao, X, Smith, EE, et al. Door-to-needle times for tissue plasminogen activator administration and clinical outcomes in acute ischemic stroke before and after initiation of a quality improvement initiative. JAMA. 2014;311(16):1632-1640.
22. Fonarow, GC, Smith, EE, Saver, JL, et al. Improving door-to-needle times in acute ischemic stroke the design and rationale for the American Heart Association/American Stroke Association's target: stroke initiative. Stroke. 2011;42(10):2983-2989.
23. Canadian Stroke Network. The Quality of Stroke Care in Canada. 2011. http://www.canadianstrokenetwork.ca/wp-content/uploads/2011/06/QoSC-EN1.pdf.
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25. Schwamm, LH, Holloway, RG, Amarenco, P, et al. A review of the evidence for the use of telemedicine within stroke systems of care. A scientific statement from the American Heart Association/ American Stroke Association. Stroke. 2009;40:2616-2634.

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