Antunes Raquel, Costeira Cristina, Pereira Sousa Joana, Santos Cátia
Local Health Unit of Castelo Branco, 6000-085 Castelo Branco, Portugal.
School of Health Sciences, Polytechnic of Leiria, Center for Innovative Care and Health Technology-ciTechCare, 2411-901 Leiria, Portugal.
Nurs Rep. 2024 Jul 17;14(3):1769-1780. doi: 10.3390/nursrep14030131.
A stroke is a time-sensitive emergency, so diagnosing and treating the victim promptly is extremely important. Therefore, the purpose of this study was to identify the influence of the Stroke Code Protocol's activation on the door-to-computed-tomography (door-to-CT) time and determine whether factors such as previous Modified Rankin Scale (mRS), age, and gender influence its activation. A retrospective study was conducted in a Medical-Surgical Emergency Department in the centre of Portugal from 1 January 2021 to 31 December 2022. The sample was selected according to the diagnosis assigned at the time of clinical discharge from the Emergency Department and the Stroke Code Protocol activation criteria. It was observed that 113 (50%) suspected stroke victims who met the activation criteria for the Stroke Code Protocol did not have the protocol activated, which had a highly significant influence ( < 0.001) on door-to-CT time. It was determined that activation at triage has an average door-to-CT time of 35 ± 18 min, post-triage activation has an average door-to-CT time of 38 ± 26 min, and non-activation has an average door-to-CT time of 1 h 04 ± 45 min. The need to implement an institutional protocol for activating the Stroke Code Protocol and provide specialised training for the multidisciplinary team is reiterated.
中风是一种对时间敏感的急症，因此迅速诊断和治疗患者极为重要。因此，本研究的目的是确定中风代码协议的启动对从入院到计算机断层扫描（入院到CT）时间的影响，并确定诸如先前的改良Rankin量表（mRS）、年龄和性别等因素是否会影响其启动。2021年1月1日至2022年12月31日在葡萄牙中部的一家内科-外科急诊科进行了一项回顾性研究。样本根据急诊科临床出院时指定的诊断和中风代码协议启动标准进行选择。结果发现，113名（50%）符合中风代码协议启动标准的疑似中风患者并未启动该协议，这对入院到CT时间有高度显著影响（<0.001）。确定分诊时启动的平均入院到CT时间为35±18分钟，分诊后启动的平均入院到CT时间为38±26分钟，未启动的平均入院到CT时间为1小时04±45分钟。重申了实施机构中风代码协议启动方案并为多学科团队提供专门培训的必要性。
