Please use this identifier to cite or link to this item: http://hdl.handle.net/11054/1257
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dc.contributorBagot, K.en_US
dc.contributorCadilhac, D.en_US
dc.contributorSmith, K.en_US
dc.contributorBernard, S.en_US
dc.contributorKim, J.en_US
dc.contributorCoupland, T.en_US
dc.contributorPearce, Debraen_US
dc.contributorPutland, Men_US
dc.contributorBudge, M.en_US
dc.contributorNaduratu, V.en_US
dc.contributorPearce, W.en_US
dc.contributorHall, H.en_US
dc.contributorKelly, Benen_US
dc.contributorSpencer, Angieen_US
dc.contributorOqueli, Ernestoen_US
dc.contributorSahathevan, Rameshen_US
dc.contributorKraemer, Thomasen_US
dc.contributorHocking, Granten_US
dc.contributorStub, Dionen_US
dc.contributorBladin, C.en_US
dc.date.accessioned2019-02-21T02:00:20Z-
dc.date.available2019-02-21T02:00:20Z-
dc.date.issued2018-
dc.identifier.govdoc01257en_US
dc.identifier.urihttp://hdl.handle.net/11054/1257-
dc.description.abstractBackground: Rapid delivery of acute stroke care relies on interdisciplinary communication including between in-field paramedics and multiple hospital clinicians (emergency, medical, neurology, radiology). Assessment, diagnosis and treatment delays may occur with various communication systems and clinical information repeated between the different organisations/hospital departments. Aim: To determine if a smartphone communication app can improve clinical care timelines for patients with suspected acute stroke. Method: The PulsaraTM Stop Stroke/STEMI smartphone and tablet app (Pulsara) was implemented pre- (25 Ambulance Victoria branches) and within-hospital (2 hospitals in regional Victoria, Australia). Pulsara provides secure, simultaneous, two-way, real-time communication. Using a 12 month pre-post historical-control design, pre-hospital and hospital assessment and treatment times for patients with suspected acute stroke were captured; data collection is ongoing. Preliminary results compare timelines if Pulsara was initiated (Pulsara) or not (no Pulsara) (hospital 1: 22/08/2016-21/02/2017; hospitals 1 and 2: 29/05/2017-31/10/2017). Results: Similar samples (no Pulsara/Pulsara: n¼81/n¼185, both median 75 years, 52%/48% male) with Pulsara initiated by paramedics (n¼115) and Emergency Departments (n¼70). Faster paramedic hospital-arrival-to-departure by median 10 minutes (no Pulsara: 55 minutes [IQR:43–64]; Pulsara 45 minutes [IQR: 35–55]). Faster emergency department door-to-first-medical-review time by median 18 minutes (no Pulsara: 23 minutes [IQR: 6–65]; Pulsara 5 minutes [IQR: 1–11]) and faster door-to-CT completed by median 51 minutes (no Pulsara: 81 minutes [IQR: 39–145]; Pulsara: 27 minutes [IQR: 17–42]). All thrombolysis cases used Pulsara (n¼38). Conclusion: Results show consistent improvements in timelines when Pulsara is activated. This is the first time Pulsara has been successfully implemented outside of America.en_US
dc.description.provenanceSubmitted by Gemma Siemensma (gemmas@bhs.org.au) on 2019-02-14T04:41:35Z No. of bitstreams: 0en
dc.description.provenanceApproved for entry into archive by Gemma Siemensma (gemmas@bhs.org.au) on 2019-02-21T02:00:20Z (GMT) No. of bitstreams: 0en
dc.description.provenanceMade available in DSpace on 2019-02-21T02:00:20Z (GMT). No. of bitstreams: 0 Previous issue date: 2018en
dc.titleImproved assessment, diagnosis and treatment times for acute stroke: Interim results from the Pulsara smartphone communication app.en_US
dc.typeConferenceen_US
dc.type.specifiedPresentationen_US
dc.bibliographicCitation.conferencedateAugust 7-10then_US
dc.bibliographicCitation.conferencenameStoke 2018 – Bridging the Continuum.en_US
dc.bibliographicCitation.conferenceplaceSydney, New South Walesen_US
dc.subject.healththesaurusPULSARAen_US
dc.subject.healththesaurusACUTE STROKEen_US
dc.subject.healththesaurusTHROMBOLYSISen_US
dc.subject.healththesaurusSMARTPHONE COMMUNICATION APPen_US
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