A Dutch trial showed that performance feedback via a dashboard reduced door-to-groin and door-to-needle times in patients with ischemic stroke.
Performance feedback reduces the time to endovascular thrombectomy in patients with ischemic stroke, according to a Dutch study.The researchers conducted a stepped-wedge cluster randomized PERFEQTOS trial in the Netherlands, which included 4747 consecutive adult patients with ischemic stroke who underwent EVT between January 2020 and June 2022.
Hospitals started with usual care and were randomized in clusters to transition to the intervention every 6 months. Performance feedback via an online dashboard was provided every quarter to the hospitals, which enabled quality improvement teams to develop, implement, and evaluate targeted action plans on the basis of benchmarked indicators of care.
The primary outcome measure was the time from door to groin puncture. Secondary outcomes were door-to-needle time, neurological deficits , angiographic reperfusion , and functional outcomes .The intervention reduced the median door-to-groin puncture time from 52 to 47 minutes The NIHSS score at 24 hours, the median eTICI score after EVT, and the median mRS score at 3 months were not significantly different between the groups.
This article was created using several editorial tools, including AI, as part of the process. Human editors reviewed this content before publication.
Cerebrovascular Accident CVA Cerebrovascular Accident (CVA) Thromboembolism Ischemic Stroke Ischaemic Stroke Groin Thrombectomy Hospitals Acute Stroke Artificial Intelligence Deep Learning AI NPL Machine Learning ML Natural Language Processing Artificial Neural Networks Infarct Infarction COVID-19 2019 Novel Coronavirus 2019-Ncov Wuhan Coronavirus Human Coronavirus HKU1
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