Titel: MDR in AIS

Minimizing Door to Reperfusion Times in Drip and Ship Model for Patients with Acute Ischemic Stroke (MDRinAIS) aims to optimize the in-hospital workflow for LVO AIS patients transferred to CSCs for MT.

Challenges addressed:

1. Treatment Timeliness: Streamlining the workflow for secondarily transferred patients minimizes time to treatment, preserving brain function, reducing disability and long-term costs.

2. Complex Time-Dependent Stroke Networks Implementation: Optimizing coordination between primary stroke centers (PSCs), CSCs, and healthcare system. Addressing delays in recommended time targets for MT due to transfers, coordination challenges, and admittance procedures at the CSC’s ED.

3. Feasibility and Implementation of Streamlined Pathways: Proposing a direct transfer pathway bypassing CSC’s ED to reduce doorto-groin(DTG)time and improve outcomes. Feasibility depends on available resources.

4. Variations in Healthcare Systems and Practices: Recognizing unique challenges due to variations among different healthcare systems, and considering evidence-based strategies adaptable to diverse settings. Facing with factors such as cultural differences, economic sustainability and benefits for healthcare systems.

5. Technological Advancements and Implementation: Acknowledging telemedicine potential in streamlining AIS care workflows. Addressing technological literacy among healthcare providers, system integration, and data privacy. The insights gained will be applicable to different clinical settings, ultimately improving services for all patients.

6. Resource Allocation Optimization: Implementing distributed health and care models to optimize resource allocation in time-sensitive and critical settings such as stroke care. Alleviating burden on emergency care facilities, enhancing stroke care delivery through timely interventions and continuous monitoring. Improving the efficiency of healthcare resources and patient outcomes, with consequent cost savings.