Performance of door-to-CT time of code stroke in Indonesian tertiary referral center hospital

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Background: This study was aimed to analyze the performance of door-to-CT scan (DTC) time of code stroke at the central referral hospital in Indonesia. Data from 310 patients were obtained in this cross-sectional study. Inclusion criteria were: notified with code stroke within the period between November 2016 and April 2019. Bivariate and multivariate analyses were carried out to find which factors affecting DTC time. Results: A tendency of decreasing DTC time was reported from November 2016 until April 2019. The median DTC time at study endpoint was 19.5 (1–210) minutes. Chi-square analysis showed that CT scan location was the factor associated with DTC (OR: 12.6, 95% CI 6.8–23.35, p < 0.001). Logistic regressions analysis also showed significant relationship of CT scan location and DTC (OR: 24.27, 95% CI 17.71–30.81, p < 0.05). Conclusions: Refinement of the code stroke implementation and CT scan placement in the Emergency Department (ED) are effective in reduction of DTC time, and as a result, improving acute stroke management.

Original languageEnglish
Article number144
JournalEgyptian Journal of Neurology, Psychiatry and Neurosurgery
Issue number1
Publication statusPublished - Dec 2022


  • Computed tomography
  • Emergency treatment
  • Ischemic stroke
  • Stroke


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