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The authors reorganized the emergency room (ER) by moving CT to the ER and streamlining triage by prenotification by emergency medical services (EMS), which reduced in-hospital delays and enhanced access to stroke thombolysis. CT delay dropped from 1 hour 3 minutes 14 minutes in 1999 to 7 2 minutes in 2004 (p < 0.0001). Door-to-needle time dropped from 1 hour 28 minutes 7 minutes to 50 3 minutes (p < 0.001), while symptom-to-needle time dropped from 2 hours 44 minutes 6 minutes to 2 hours 5 minutes 4 minutes (p < 0.0001). From 23 patients in 1999, thrombolysis access was increased to 100 patients in 2004 and 183 patients in 2005. |
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