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Prehospital Notification Using a Mobile Application Can Improve Regional Stroke Care System in a Metropolitan Area

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Author(s)
Sang-Hun LeeHyun Wook RyooSang-Chan JinJae Yun AhnSung-Il SohnYang-Ha HwangYoungrok DoYoon-Soo LeeJung Ho Kim
Keimyung Author(s)
Lee, Sang HunJin, Sang ChanSohn, Sung Il
Department
Dept. of Emergency Medicine (응급의학)
Dept. of Neurology (신경과학)
Journal Title
J Korean Med Sci
Issued Date
2021
Volume
36
Issue
48
Keyword
StrokeThrombolytic TherapyEmergency Medical Services
Abstract
Background:
Acute ischemic stroke is a time-sensitive disease. Emergency medical service (EMS) prehospital notification of potential patients with stroke could play an important role in improving the in-hospital medical response and timely treatment of patients with acute ischemic stroke. We analyzed the effects of FASTroke, a mobile app that EMS can use to notify hospitals of patients with suspected acute ischemic stroke at the prehospital stage.

Methods:
We conducted a retrospective observational study of patients diagnosed with acute ischemic stroke at 5 major hospitals in metropolitan Daegu City, Korea, from February 2020 to January 2021. The clinical conditions and time required for managing patients were compared according to whether the EMS employed FASTroke app and further compared the factors by dividing the patients into subgroups according to the preregistration received by the hospitals when using FASTroke app.

Results:
Of the 563 patients diagnosed with acute ischemic stroke, FASTroke was activated for 200; of these, 93 were preregistered. The FASTroke prenotification showed faster door-to-computed-tomography times (19 minutes vs. 25 minutes, P < 0.001), faster door-to-intravenous-thrombolysis times (37 minutes vs. 48 minutes, P < 0.001), and faster door-to-endovascular-thrombectomy times (82 minutes vs. 119 minutes, P < 0.001). The time was further shortened when the preregistration was conducted simultaneously by the receiving hospital.

Conclusion:
The FASTroke app is an easy and useful tool for prenotification as a regional stroke care system in the metropolitan area, leading to reduced transport and acute ischemic stroke management time and more reperfusion treatment. The effect was more significant when the preregistration was performed jointly.
Keimyung Author(s)(Kor)
이상훈
진상찬
손성일
Publisher
School of Medicine (의과대학)
Citation
Sang-Hun Lee et al. (2021). Prehospital Notification Using a Mobile Application Can Improve Regional Stroke Care System in a Metropolitan Area. J Korean Med Sci, 36(48), e327. doi: 10.3346/jkms.2021.36.e327
Type
Article
ISSN
1598-6357
Source
https://jkms.org/DOIx.php?id=10.3346/jkms.2021.36.e327
DOI
10.3346/jkms.2021.36.e327
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/43859
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학)
1. School of Medicine (의과대학) > Dept. of Neurology (신경과학)
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