Abstract Details

Title Factors Contributing to Door to Telestroke Request Times

Topic Cerebrovascular Disease and Interventional Neurology

Presentation(s) P7 - Poster Session 7 (5:30 PM-6:30 PM)

Poster/Presentation
Number 4-007

Objective We aimed to examine which factors contributed to delays in requesting telestroke from arrival in the Emergency Department (ED).

Background Delays in telestroke notification significantly contribute to delays in door-to-needle time. Previous studies have suggested a goal of ED arrival to telestroke request within 10 minutes. There is scant data regarding which factors contribute to delays in requesting telestroke.

Design/Methods Data was prospectively collected and retrospectively analyzed as part of our telestroke quality program. We reviewed consecutive telestroke consults from 1/1/2017–8/31/2019. A forward stepwise logistic regression examined which variables were associated with door to telestroke requests within 10 minutes. We considered several variables including age, sex, NIHSS, EMS arrival, whether the patient exhibited posterior stroke symptoms, the average monthly number of telestroke requests, and whether or not the site was a certified stroke center.

Results 3246 telestroke consults were requested from 1/1/2017–8/31/2019. After excluding inpatient telestroke requests and missing data, 2,176 telestroke patients were included in our study. Of the 2,176 telestroke consults, 351 (16%) were requested within 10 minutes of ED arrival. A logistic regression suggested that three factors were associated with door to telestroke request within 10 minutes. Telestroke request within 10 minutes was less likely to occur in patients with posterior stroke symptoms, p=0.007, OR=0.50(95%CI 0.30–0.83). Telestroke request within 10 minutes was more likely to occur in patients arriving by EMS (p< 0.0001, OR=6.59 95%CI 4.33–10.03) and patients at busier telestroke sites (p<0.0001, OR=1.07 95%CI 1.05–1.09). The following variables were not significantly associated with door to telestroke request; age (p=0.55), sex (p=0.56), NIHSS (p=0.11) and stroke center designation (p=0.33).

Conclusions We found delays in requesting telestroke when patients arrived with posterior stroke symptoms. Door to telestroke request was quicker in patients arriving by EMS and patients arriving at higher volume telestroke sites.

Authors/Disclosures
PRESENTER	No disclosure on file
Chris Hackett, MA	Mr. Hackett has nothing to disclose.
Robert Fishman, MD (Butler Hospital)	Dr. Fishman has nothing to disclose.
David G. Wright, MD	Dr. Wright has nothing to disclose.
Sandeep S. Rana, MD, F�鶹��ýӳ�� (Allegheny Health Network)	Dr. Rana has received personal compensation in the range of $500-$4,999 for serving as a Consultant for CSI. Dr. Rana has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Pharmawrite. Dr. Rana has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Biohaven. Dr. Rana has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Argenx. Dr. Rana has received personal compensation in the range of $500-$4,999 for serving as a Consultant for amylyx. Dr. Rana has received personal compensation in the range of $500-$4,999 for serving on a Speakers Bureau for Alexion.
Russell M. Cerejo, MD (Allegheny health Network)	Dr. Cerejo has received personal compensation in the range of $0-$499 for serving on a Scientific Advisory or Data Safety Monitoring board for Ischemaview.
Konark Malhotra, MD (Allegheny Health Network)	Dr. Malhotra has nothing to disclose.
Ashis H. Tayal, MD	Dr. Tayal has nothing to disclose.

�鶹��ýӳ��

�鶹��ýӳ��