Oral Presentation Asia Pacific Stroke Conference 2024

Long-term effect of reorganization of in-hospital stroke code, a seven-year experience in a university hospital (106328)

Hiroyuki Kawano 1 , Ayumi Sakurai 2 , Yuuki Takizawa 2 , Risa Toyota 1 , Reona Miwa 1 , Hayate Onuki 1 , Ayane Kawatake 1 , Atsushi Yamamichi 1 , Mikito Saito 1 , Kaoru Nakanishi 1 , Eisaku Tsuji 1 , Shinya Tomari 1 , Yuko Honda 1 , Yoshiko Unno 1 , Mayumi Uchida 2 , Teruyuki Hirano 1
  1. Department of Stroke and Cerebrovascular Medicine, Kyorin University, Mitaka, Tokyo, Japan
  2. Stroke Center, Kyorin University Hospital, Mitaka, Tokyo, Japan

【Background/Aims】Reorganization of in-hospital stroke (IHS) code protocol can reduce the initial management time. However, it is unclear whether the effect continues in the long term. The aim was to examine whether the effect of reorganization IHS code protocol continued in late phase after post-implementation.
【Methods】In the pre-implementation phase, IHS patients who were referred to stroke physician were enrolled. After reorganization of IHS code, any medical personnel should directly consult a stroke physician before any diagnostic studies. Time intervals were compared between the pre- (Pre) and post-implementation (PostEearly and PostLate) periods.
【Results】A total of 303 patients were included (median age, 76-year-old, Stroke/TIA 74%). Time from recognition to stroke physician assessment (Pre 100 min, PostEarly 55 min, PostLate 32 min, p=0.001) and time from recognition to neuroimaging (Pre 138 min, PostEarly 77 min, PostLate 82 min, p=0.024) were significantly lower in the PostEarly and PostLate period. The rate of reperfusion therapy slightly increased (Pre 11%, PostEarly 15%, PostLate 19%).
【Conclusion】The effect of reorganization IHS code protocol continued even in late phase after post-implementation.