Full metadata record
DC Field | Value | Language |
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dc.contributor.author | 김용재 | - |
dc.date.accessioned | 2016-08-28T12:08:38Z | - |
dc.date.available | 2016-08-28T12:08:38Z | - |
dc.date.issued | 2010 | - |
dc.identifier.issn | 0039-2499 | - |
dc.identifier.other | OAK-6849 | - |
dc.identifier.uri | https://dspace.ewha.ac.kr/handle/2015.oak/221013 | - |
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. © 2010 American Heart Association, Inc. | - |
dc.language | English | - |
dc.title | A computerized in-hospital alert system for thrombolysis in acute stroke | - |
dc.type | Article | - |
dc.relation.issue | 9 | - |
dc.relation.volume | 41 | - |
dc.relation.index | SCIE | - |
dc.relation.index | SCOPUS | - |
dc.relation.startpage | 1978 | - |
dc.relation.lastpage | 1983 | - |
dc.relation.journaltitle | Stroke | - |
dc.identifier.doi | 10.1161/STROKEAHA.110.583591 | - |
dc.identifier.wosid | WOS:000281503000022 | - |
dc.identifier.scopusid | 2-s2.0-77956414489 | - |
dc.author.google | Heo J.H. | - |
dc.author.google | Kim Y.D. | - |
dc.author.google | Nam H.S. | - |
dc.author.google | Hong K.-S. | - |
dc.author.google | Ahn S.H. | - |
dc.author.google | Cho H.J. | - |
dc.author.google | Choi H.-Y. | - |
dc.author.google | Han S.W. | - |
dc.author.google | Cha M.-J. | - |
dc.author.google | Hong J.M. | - |
dc.author.google | Kim G.-M. | - |
dc.author.google | Kim G.S. | - |
dc.author.google | Kim H.J. | - |
dc.author.google | Kim S.H. | - |
dc.author.google | Kim Y.-J. | - |
dc.author.google | Kwon S.U. | - |
dc.author.google | Lee B.-C. | - |
dc.author.google | Lee J.H. | - |
dc.author.google | Lee K.H. | - |
dc.author.google | Oh M.S. | - |
dc.contributor.scopusid | 김용재(36910759200) | - |
dc.date.modifydate | 20190301081000 | - |