Door-to-needle time in acute ischemic stroke: analysing intra-hospital delays, predictive factors, improving strategies. The experience of Baggiovara hospital (MO, Italy)

Stroke is a syndrome characterized by a sudden and quick development of neurological deficits due to vascular cause. The loss of function could be global, with permanent symptoms, until death, or transient (TIA) if blood supply is rapidly restore. International Task Force defined this acute pathology “a preventable and treatable catastrophe”: it is the third cause of death in developing countries, accounting for 2-4% of the public health budget. Management strategies include: Primary prevention: public information in order to increaseawareness Acute phase management, from the activation of the emergency service tothe rehabilitation and early secondaryprevention Health care for survivors withdisability The starting point of this study is the concept that “time is brain”, enhancing the role of the interval between the onset of symptoms and the final treatment (the “door to needle time”, DNT). This led us to carry a retrospective critical analysis, evaluate the DNT before and after the introduction of an internal protocol, aiming at the standards suggested in literature.