Binalfew Tsehay, Dessalegn Shitie, Abebe Afenigus, Mustofa Essa
Sonographic evaluation of spleen size in apparently healthy children in north-west Ethiopia, 2020: time to define splenomegaly
BMC pediatrics
timely intravenous thrombolysis ivt crucial improving outcomes acute ischemic stroke ais patients study evaluates effectiveness acute stroke care map ascam initiative shenyang aimed reducing doortoneedle times dnt thus improving timeliness care ais patients retrospective cohort study conducted april 2019 december 2021 30 hospitals participating ascam initiative shenyang ascam bundle included strategies ems prenotification rapid stroke triage oncall stroke neurologists immediate neuroimaging interpretation innovative prehospital emergency call location identification feature interrupted time series analysis itsa used assess impact ascam dnt comparing 9 months preintervention 24 months postintervention data 9680 ivttreated ischemic stroke patients analyzed including 2401 preintervention phase 7279 postintervention itsa revealed significant reduction monthly dnt 112 min level change 5727 min postascam implementation ascam initiative significantly reduced inhospital delays ais patients demonstrating effectiveness comprehensive stroke care improvement strategy urban settings findings highlight potential coordinated care interventions enhance timely access reperfusion therapies overall stroke prognosis