Fig 1.
Flow chart of our interdisciplinary standard operating procedure.
NEUR-RE, resident neurologist; NRAD-RE, resident neuroradiologist; rt-PA, recombinant tissue plasminogen activator; SOP, standard operating procedure; ANES-SE, senior anesthesiologist; NIHSS, national institute of health stroke score; CED, conjugate eye deviation; ASPECTS, alberta stroke program early CT score; CTA, CT angiography; CTP, CT perfusion; NRAD-SE, senior neuroradiologist; NEUR-SE, senior neurologist; GA, general anesthesia; ICU, intensive care unit; IBP, invasive blood pressure; ANES-RE, resident anesthesiologist; NCCT, noncontrast CT.
Table 1.
Comparison of workflows prior and after introduction of the SOP.
Table 2.
Characteristics of patients prior and after implementation of the SOP.
Table 3.
Treatment times of patients prior and after implementation of the SOP.
Fig 2.
Bar graph of patient outcome measured with modified Rankin scale (mRS).
Colors represent the scores ranging from 0 (no symptoms at all) to 6 (dead). Percentages of each category are given. After introduction of the standard operating procedure there were significantly more patients with no residual functional impairment. A general shift towards lower mRS values can be noticed (depicted with dotted lines). Hence, after management optimization less patients remained severely disabled.