KẾT QUẢ TRIỂN KHAI QUY TRÌNH BÁO ĐỘNG ĐỘT QUỴ NÃO (CODE STROKE) ĐIỀU TRỊ NGƯỜI BỆNH ĐỘT QUỴ CẤP SỬ DỤNG THUỐC TIÊU SỢI HUYẾT ĐƯỜNG TĨNH MẠCH TẠI BỆNH VIỆN VINMEC TIMES CITY GIAI ĐOẠN 2021-2024

Abstract

Objective: This study evaluates the implementation of the "Code Stroke" protocol in the Emergency Department of Vinmec Times City International Hospital and its impact on acute stroke management times and patient outcomes. Methods: A before-and-after observational study was conducted to compare stroke management indicators over two years before (2021-2022) and two years after (2023-2024) the implementation of the Code Stroke protocol. All patients with acute ischemic stroke who received intravenous thrombolysis were included. Results: 35 stroke patients were analyzed (18 before implementation, 17 after implementation). The median time from hospital arrival to CT/MRI imaging decreased from 21 minutes before Code Stroke to 15 minutes after implementation (p < 0.01), and the median door-to-needle time decreased from 40 minutes to 28 minutes (p < 0.01). Regarding treatment outcomes, NIHSS scores improved significantly (p = 0.008), but the proportion of patients with good functional outcomes at discharge (mRS 0–2) was 60% before implementation and 75% after (p > 0.05). Conclusion: The implementation of the Code Stroke protocol in the Emergency Department significantly reduced acute stroke management times. Although clinical outcomes showed a trend toward improvement, larger sample size is needed to confirm statistical significance. This experience suggests that a well-organized Code Stroke protocol can optimize stroke care in accordance with international standards, thereby improving patient outcomes.