SITS WATCH

Summary

3-years observational, patient management, global study on shortening door-to-needle time.

 

Status: Initiated
Type of study: 3-years observational, patient management, global study on shortening door-to-needle time.
Location: Global


Aim

SITS-WATCH project aims to reduce the delay between arriving at hospital and initiation of thrombolysis (door-to-needle time, DNT) from 65 minutes, which is the median value in SITS, to median below 40 minutes, i.e., for at least half of all patients. For some centers: 10-15% reduction.

Initial phase of the project

Participating centers will be asked about the hospital’s ability to shorten the processing time, whereby a specific program of change will be identified. With this program as a basis, participating centers define a plan for change to achieve the goal a median DNT below 40 minutes.

Pre-defined Survey Form will be distributed to SITS centres. The form includes variables about:

  • Education (FAST)
  • Transport (EMS)
  • Hospital procedures
  • Free comments

Follow-up phase

A list of potential interventions to reduce DNT will be delivered to each center, and the items that can be applied in each specific center will be discussed

  • Centers will be asked whether their planned improvements could be implemented
  • SITS will provide regular reports on the development of door to needle time during the project
  • DNT realized/materialized improvements will be monitored quarterly for the period of 1 year.


Evaluation


Results will be continuously presented anonymously for all participating centers and implementation of planned changes reported. 
Comparison at the country level will be reported regularly. The aim is to stimulate a global change in the treatment of acute stroke


Final reporting

  • The project is expected to last until the end of 2014
  • The project does not intend to reveal individual centre results
  • A publication of the most successful participants will be considered and implemented in consultation with all participants

 "SITS-WATCH - 3-year observational, global, patient management study on shortening door-to-needle time in IV thrombolysis. The study has been completed and the main results of are currently in preparation for publication."