Cited 50 times in
A computerized in-hospital alert system for thrombolysis in acute stroke
DC Field | Value | Language |
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dc.contributor.author | 김영대 | - |
dc.contributor.author | 남효석 | - |
dc.contributor.author | 조현지 | - |
dc.contributor.author | 차명진 | - |
dc.contributor.author | 최혜연 | - |
dc.contributor.author | 허지회 | - |
dc.date.accessioned | 2015-04-23T16:57:54Z | - |
dc.date.available | 2015-04-23T16:57:54Z | - |
dc.date.issued | 2010 | - |
dc.identifier.issn | 0039-2499 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/101567 | - |
dc.description.abstract | BACKGROUND AND PURPOSE: An effective stroke code system that can expedite rapid thrombolytic treatment requires effective notification/communication and an organized team approach. We developed a stroke code program based on the computerized physician order entry (CPOE) system and investigated whether implementation of this CPOE-based program is useful for reducing the time from arrival at emergency departments (ED) to evaluation steps and the initiation of thrombolytic treatment in various hospital settings. METHODS: The CPOE-based program was implemented by 10 hospitals. Time intervals from arrival at the ED to blood tests, computed tomography scanning, and thrombolytic treatment during the 1-year period before and the 1-year period after the program implementation were compared. RESULTS: Time intervals from ED arrival to evaluation steps were significantly reduced after implementation of the CPOE-based program. Times from ED arrival to CT scan, complete blood counts, and prothrombin time testing were reduced by 7.7 minutes, 5.6 minutes, and 26.8 minutes, respectively (P<0.001). The time from ED arrival to intravenous thrombolysis was reduced from 71.7+/-33.6 minutes to 56.6+/-26.9 minutes (P<0.001). The number of patients who were treated with thrombolysis increased from 3.4% (199/5798 patients) before the CPOE-based program to 5.8% (312/5405 patients) afterward (P<0.001). The CPOE implementation also improved the inverse relationship between onset-to-door time and door-to-needle time. CONCLUSIONS: The CPOE-based stroke code could be successfully implemented to reduce in-hospital time delay in thrombolytic therapy in various hospital settings. CPOE may be used as an efficient tool to facilitate in-hospital notification/communication and an organized team approach | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 1978~1983 | - |
dc.relation.isPartOf | STROKE | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Blood Cell Count | - |
dc.subject.MESH | Emergency Service, Hospital | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Fibrinolytic Agents/therapeutic use | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Medical Order Entry Systems* | - |
dc.subject.MESH | Outcome Assessment (Health Care) | - |
dc.subject.MESH | Prospective Studies | - |
dc.subject.MESH | Prothrombin Time | - |
dc.subject.MESH | Regression Analysis | - |
dc.subject.MESH | Stroke/drug therapy* | - |
dc.subject.MESH | Thrombolytic Therapy/methods* | - |
dc.subject.MESH | Time Factors | - |
dc.subject.MESH | Triage | - |
dc.title | A computerized in-hospital alert system for thrombolysis in acute stroke | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Neurology (신경과학) | - |
dc.contributor.googleauthor | Ji Hoe Heo | - |
dc.contributor.googleauthor | Young Dae Kim | - |
dc.contributor.googleauthor | Hyo Suk Nam | - |
dc.contributor.googleauthor | Keun-sik Hong | - |
dc.contributor.googleauthor | Seong Hwan Ahn | - |
dc.contributor.googleauthor | Hyun Ji Cho | - |
dc.contributor.googleauthor | Hye-Yeon Choi | - |
dc.contributor.googleauthor | Sang Won Han | - |
dc.contributor.googleauthor | Myoung-Jin Cha | - |
dc.contributor.googleauthor | Ji Man Hong | - |
dc.contributor.googleauthor | Gyeong-Moon Kim | - |
dc.contributor.googleauthor | Gyu Sik Kim | - |
dc.contributor.googleauthor | Hye Jin Kim | - |
dc.contributor.googleauthor | Seo Hyun Kim | - |
dc.contributor.googleauthor | Yong-Jae Kim | - |
dc.contributor.googleauthor | Sun Uck Kwon | - |
dc.contributor.googleauthor | Byung-Chul Lee | - |
dc.contributor.googleauthor | Jun Hong Lee | - |
dc.contributor.googleauthor | Kwang Ho Lee | - |
dc.contributor.googleauthor | Mi Sun Oh | - |
dc.identifier.doi | 10.1161/STROKEAHA.110.583591 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A00702 | - |
dc.contributor.localId | A01273 | - |
dc.contributor.localId | A03932 | - |
dc.contributor.localId | A03993 | - |
dc.contributor.localId | A04217 | - |
dc.contributor.localId | A04369 | - |
dc.relation.journalcode | J02690 | - |
dc.identifier.eissn | 1524-4628 | - |
dc.identifier.pmid | 20651269 | - |
dc.subject.keyword | acute stroke | - |
dc.subject.keyword | computerized physician order entry | - |
dc.subject.keyword | stroke | - |
dc.subject.keyword | thrombolysis | - |
dc.contributor.alternativeName | Kim, Young Dae | - |
dc.contributor.alternativeName | Nam, Hyo Suk | - |
dc.contributor.alternativeName | Cho, Hyun Ji | - |
dc.contributor.alternativeName | Cha, Myoung Jin | - |
dc.contributor.alternativeName | Choi, Hye Yoen | - |
dc.contributor.alternativeName | Heo, Ji Hoe | - |
dc.contributor.affiliatedAuthor | Kim, Young Dae | - |
dc.contributor.affiliatedAuthor | Nam, Hyo Suk | - |
dc.contributor.affiliatedAuthor | Cho, Hyun Ji | - |
dc.contributor.affiliatedAuthor | Cha, Myoung Jin | - |
dc.contributor.affiliatedAuthor | Choi, Hye Yoen | - |
dc.contributor.affiliatedAuthor | Heo, Ji Hoe | - |
dc.citation.volume | 41 | - |
dc.citation.number | 9 | - |
dc.citation.startPage | 1978 | - |
dc.citation.endPage | 1983 | - |
dc.identifier.bibliographicCitation | STROKE, Vol.41(9) : 1978-1983, 2010 | - |
dc.identifier.rimsid | 40094 | - |
dc.type.rims | ART | - |
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