Application and Effectiveness Evaluation of a Time Node Oriented Quality Control Scheme in the Green Channel for Thrombectomy in Acute Ischemic Stroke
Objectives To develop a quality control scheme related to the green channel for thrombectomy in acute ischemic stroke using a time node oriented approach,and evaluate its effectiveness in clinical application,in order to improve the efficiency of green channel thrombectomy,and the prognosis of stroke thrombectomy.Methods 154 patients with acute ischemic stroke who received thrombectomy treatment at a certain hospital from January 1st,2021 to December 31st,2022 were selected.Among them,82 patients who used the original green channel quality control plan from January 1st,2021 to December 31st,2022 were selected as the control group,and 72 patients who used a time node oriented quality control plan from January 1st,2021 to December 31st,2022 were selected as the observation group.Compare the time from hospitalization to successful femoral artery puncture between two groups of patients,as well as the time spent on other key time points in the green channel process,and evaluate the mRS score 90 days after surgery.Results The time from hospital admission to successful femoral artery puncture in the observation group(94.9±27.6)was significantly lower than that in the control group(114.6±36.7).The time from completion of CT examination to entry into the catheter room in the observation group(47.3±20.3)was significantly shorter than that in the control group(63.3±34.6).The time from physician reception to start of CT examination in the observation group(18.2±6.9)was significantly shorter than that in the control group(22.3±10.4).The mRS 90 scale score in the observation group(2.2±2.1)was significantly smaller than that in the control group(3.0±2.4).Conclusions The use of a time node oriented quality control scheme could reduce the DPT and partial time node usage in patients with acute ischemic stroke thrombectomy,lower the postoperative mRS score at 90 days,improve patient prognosis,and enhance quality of life.
Acute ischemic strokeThrombectomyTime nodesQuality control
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