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http://hdl.handle.net/11054/1257
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DC Field | Value | Language |
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dc.contributor | Bagot, K. | en_US |
dc.contributor | Cadilhac, D. | en_US |
dc.contributor | Smith, K. | en_US |
dc.contributor | Bernard, S. | en_US |
dc.contributor | Kim, J. | en_US |
dc.contributor | Coupland, T. | en_US |
dc.contributor | Pearce, Debra | en_US |
dc.contributor | Putland, M | en_US |
dc.contributor | Budge, M. | en_US |
dc.contributor | Naduratu, V. | en_US |
dc.contributor | Pearce, W. | en_US |
dc.contributor | Hall, H. | en_US |
dc.contributor | Kelly, Ben | en_US |
dc.contributor | Spencer, Angie | en_US |
dc.contributor | Oqueli, Ernesto | en_US |
dc.contributor | Sahathevan, Ramesh | en_US |
dc.contributor | Kraemer, Thomas | en_US |
dc.contributor | Hocking, Grant | en_US |
dc.contributor | Stub, Dion | en_US |
dc.contributor | Bladin, C. | en_US |
dc.date.accessioned | 2019-02-21T02:00:20Z | - |
dc.date.available | 2019-02-21T02:00:20Z | - |
dc.date.issued | 2018 | - |
dc.identifier.govdoc | 01257 | en_US |
dc.identifier.uri | http://hdl.handle.net/11054/1257 | - |
dc.description.abstract | Background: 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.provenance | Submitted by Gemma Siemensma (gemmas@bhs.org.au) on 2019-02-14T04:41:35Z No. of bitstreams: 0 | en |
dc.description.provenance | Approved for entry into archive by Gemma Siemensma (gemmas@bhs.org.au) on 2019-02-21T02:00:20Z (GMT) No. of bitstreams: 0 | en |
dc.description.provenance | Made available in DSpace on 2019-02-21T02:00:20Z (GMT). No. of bitstreams: 0 Previous issue date: 2018 | en |
dc.title | Improved assessment, diagnosis and treatment times for acute stroke: Interim results from the Pulsara smartphone communication app. | en_US |
dc.type | Conference | en_US |
dc.type.specified | Presentation | en_US |
dc.bibliographicCitation.conferencedate | August 7-10th | en_US |
dc.bibliographicCitation.conferencename | Stoke 2018 – Bridging the Continuum. | en_US |
dc.bibliographicCitation.conferenceplace | Sydney, New South Wales | en_US |
dc.subject.healththesaurus | PULSARA | en_US |
dc.subject.healththesaurus | ACUTE STROKE | en_US |
dc.subject.healththesaurus | THROMBOLYSIS | en_US |
dc.subject.healththesaurus | SMARTPHONE COMMUNICATION APP | en_US |
Appears in Collections: | Research Output |
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