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Literature DB >> 29276559

Door-to-Needle Time in Acute Stroke Treatment and the "July Effect".

Maximiliano A Hawkes¹, Federico Carpani², Mauricio F Farez^3,4, Sebastian F Ameriso².

Abstract

Intravenous thrombolysis improves outcomes in acute ischemic stroke in a time-dependent fashion. As in teaching hospitals, clinical outcomes may worsen due to the arrival of new inexperienced house staff early in the academic year (July effect, JE), we evaluated the impact of the "JE" on the door-to-needle time for intravenous thrombolysis and other stroke outcomes. In this retrospective cohort study, we assessed all acute ischemic strokes treated with intravenous thrombolysis between July 2003 and June 2016. Among 101 patients, there was no detrimental July effect on the door-to-needle time, rate of thrombolysis within 60 minutes of arrival, thrombolysis of stroke mimics, post-thrombolysis intracranial hemorrhages, National Institutes of Health Stroke Scale, and modified Rankin Scale outcomes.

Entities: Disease Species

Keywords: house staff; stroke; thrombolytic therapy

Year: 2017 PMID： 29276559 PMCID： PMC5734510 DOI： 10.1177/1941874417733108

Source DB: PubMed Journal: Neurohospitalist ISSN： 1941-8744

20 in total

1. Impact of admission month and hospital teaching status on outcomes in subarachnoid hemorrhage: evidence against the July effect.

Authors: Robert J McDonald; Harry J Cloft; David F Kallmes
Journal: J Neurosurg Date: 2011-09-23 Impact factor: 5.115

2. Timeliness of tissue-type plasminogen activator therapy in acute ischemic stroke: patient characteristics, hospital factors, and outcomes associated with door-to-needle times within 60 minutes.

Authors: Gregg C Fonarow; Eric E Smith; Jeffrey L Saver; Mathew J Reeves; Deepak L Bhatt; Maria V Grau-Sepulveda; DaiWai M Olson; Adrian F Hernandez; Eric D Peterson; Lee H Schwamm
Journal: Circulation Date: 2011-02-10 Impact factor: 29.690

3. Academic year-end changeover and stroke outcomes.

Authors: Tai Hwan Park; Donald A Redelmeier; Shudong Li; Jitphapa Pongmoragot; Gustavo Saposnik
Journal: J Stroke Cerebrovasc Dis Date: 2014-12-23 Impact factor: 2.136

4. Seasonal variation in surgical outcomes as measured by the American College of Surgeons-National Surgical Quality Improvement Program (ACS-NSQIP).

Authors: Michael J Englesbe; Shawn J Pelletier; John C Magee; Paul Gauger; Tracy Schifftner; William G Henderson; Shukri F Khuri; Darrell A Campbell
Journal: Ann Surg Date: 2007-09 Impact factor: 12.969

5. Thrombolysis with alteplase 3 to 4.5 hours after acute ischemic stroke.

Authors: Werner Hacke; Markku Kaste; Erich Bluhmki; Miroslav Brozman; Antoni Dávalos; Donata Guidetti; Vincent Larrue; Kennedy R Lees; Zakaria Medeghri; Thomas Machnig; Dietmar Schneider; Rüdiger von Kummer; Nils Wahlgren; Danilo Toni
Journal: N Engl J Med Date: 2008-09-25 Impact factor: 91.245

6. Is there a July phenomenon? The effect of July admission on intensive care mortality and length of stay in teaching hospitals.

Authors: William A Barry; Gary E Rosenthal
Journal: J Gen Intern Med Date: 2003-08 Impact factor: 5.128

Door-to-Needle Time in Acute Stroke Treatment and the "July Effect".

1. Impact of admission month and hospital teaching status on outcomes in subarachnoid hemorrhage: evidence against the July effect.

2. Timeliness of tissue-type plasminogen activator therapy in acute ischemic stroke: patient characteristics, hospital factors, and outcomes associated with door-to-needle times within 60 minutes.

3. Academic year-end changeover and stroke outcomes.

4. Seasonal variation in surgical outcomes as measured by the American College of Surgeons-National Surgical Quality Improvement Program (ACS-NSQIP).

5. Thrombolysis with alteplase 3 to 4.5 hours after acute ischemic stroke.

6. Is there a July phenomenon? The effect of July admission on intensive care mortality and length of stay in teaching hospitals.

7. Is there an obstetric July phenomenon?

8. The relationship of house staff experience to the cost and quality of inpatient care.

9. Complications and death at the start of the new academic year: is there a July phenomenon?

10. Indirect costs for medical education. Is there a July phenomenon?

1. The Rookie Goes to Bat: Is there a "July Effect" on Stroke Treatment at Teaching Hospitals?