Door-to-needle performance and areas for improvement of reperfusion therapy in acute ischaemic stroke
Introduction Door-to-needle (DTN) time and timely transfer for mechanical thrombectomy (MT) are key modifiable determinants of outcome in acute ischaemic stroke. We assessed reperfusion pathway performance and variables affecting DTN and door-to-departure (DTD) times in MT patients to identify areas for improvement. Method We retrospectively reviewed 239 consecutive patients directly admitted to Northampton General Hospital, University Hospitals of Northamptonshire NHS Trust, who underwent reperfusion therapy (rtPA, referred for MT, or both) between January 2025 and May 2026. Time intervals
Prehospital Video Triage for stroke: evaluation of the PVT service
Introduction: Prehospital vide triage offers the potential to improve prehospital decision-making before hospital arrival. This study aimed to evaluate the newly introduced Prehospital Video Triage (PVT) service for suspected stroke patients at Northampton General Hospital, University Hospitals of Northamptonshire NHS Trust. Method: A retrospective comparative analysis was conducted of two cohorts: patients triaged via the standard non-PVT pathway (n = 229) and patients assessed via the PVT service (n = 308), covering the period January to May 2026. Both groups included only calls originating
Use of the AMBER care bundle and Individualized Dying Person's Care Plan in hospitalised stroke patients.
Introduction The AMBER care bundle is a tool supporting recognition and communication for patients with uncertain recovery. Patients may recover or be recognised as dying. Its focus is enabling patients and families to consider future wishes. The aim is to make sure that patients and their carers are involved as much as they want in shared decision making. Alongside AMBER, the Individualized Dying Person's Care Plan (IDPCP) is used in stroke care. We evaluated these tools, assessing initiation timing and if anticipatory prescribing tracked formal dying recognition. Methods Retrospective review