Item type |
学術雑誌論文 / Journal Article(1) |
公開日 |
2024-02-08 |
タイトル |
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タイトル |
Streamlined workflow including nurse recognition of conjugate gaze deviation for reduced door-to-puncture time in endovascular thrombectomy: A retrospective study |
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言語 |
en |
言語 |
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言語 |
eng |
キーワード |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
Acute ischemic stroke |
キーワード |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
Conjugate gaze deviation |
キーワード |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
Large vessel occlusion |
キーワード |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
Endovascular thrombectomy |
キーワード |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
Workflow |
キーワード |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
Nurse |
資源タイプ |
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資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
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資源タイプ |
journal article |
著者 |
Tateishi, Yohei
Yamashita, Kairi
Furuta, Kanako
Nagai, Saeko
Tsujino, Kohei
Torimura, Daiji
Otsuka, Hiroaki
Tomita, Yuki
Hirayama, Takuro
Shima, Tomoaki
Yoshimura, Shunsuke
Miyazaki, Teiichiro
Morofuji, Yoichi
Izumo, Tsuyoshi
Tsujino, Akira
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抄録 |
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内容記述タイプ |
Abstract |
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内容記述 |
Background: Endovascular thrombectomy is recognized as a pivotal treatment for acute ischemic stroke due to large vessel occlusion. Prolonged door-to-puncture time correlates with decreased patient independence after acute ischemic stroke. This study aimed to assess whether a streamlined workflow, including nurse recognition of conjugate gaze deviation, could reduce door-to-puncture time in endovascular thrombectomy. Methods: This study retrospectively reviewed patients with acute ischemic stroke who underwent endovascular thrombectomy between March 2017 and March 2022 and compared a previous workflow with a streamlined workflow implemented in April 2019. In the streamlined workflow, nurses recognized conjugate gaze deviation to identify patients with large vessel occlusions and played a more active role in reducing the door-to-puncture time. We compared time metrics and outcomes, including recanalization status, parenchymal hemorrhage type 2, and favorable outcomes (modified Rankin Scale score 0–2) at three months between the previous and streamlined workflow groups. Results: After the application of the streamlined workflow, the door-to-puncture time was reduced from 76 min to 68 min (p = 0.014), and the number of patients with a door-to-puncture time of less than 60 min increased (15% vs. 36%, p = 0.002). Outcomes including modified thrombolysis in cerebral infarction ≥ 2b (73% vs. 71%, p = 1.000), parenchymal hemorrhage type 2 (7% vs. 2%, p = 0.281), and favorable outcome (33% vs. 34%, p = 1.000) were comparable between the two groups. Conclusion: Nurse recognition of conjugate gaze deviation contributed to an 8-minute reduction in the door-topuncture time, demonstrating the potential benefits of an organized workflow in acute ischemic stroke. |
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言語 |
en |
書誌情報 |
en : Clinical Neurology and Neurosurgery
巻 236,
p. art. no. 108115,
発行日 2024-01-20
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出版者 |
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出版者 |
Elsevier B.V. |
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言語 |
en |
ISSN |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
03038467 |
DOI |
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関連タイプ |
isIdenticalTo |
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識別子タイプ |
DOI |
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関連識別子 |
10.1016/j.clineuro.2024.108115 |
権利 |
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言語 |
en |
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権利情報 |
© 2024 Elsevier B.V. This manuscript version is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/. |
著者版フラグ |
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出版タイプ |
AM |
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出版タイプResource |
http://purl.org/coar/version/c_ab4af688f83e57aa |
引用 |
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内容記述タイプ |
Other |
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内容記述 |
Clinical Neurology and Neurosurgery, 236, art. no. 108115; 2024 |
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言語 |
en |