Active Projects

Innovation in stroke care delivery

Project Facts

Start date: June 2011
End date: November 2013
Investigators Professor James Barlow
Staff Employed Dr Evin Uzun Jacobson and Dr Steffen Bayer
Status Completed

Project Partners

Scottish Stroke Clinical Audit Research Group
Mary Joan Mcleod (Aberdeen)
Martin Dennis (Edinburgh)

Henry Feldman (Harvard Medical School)
Stan Finkelstein (MIT)
Shane Reti (Beth Israel Deaconess Medical Centre)

Project Partners

Imperial College Business School
Tanaka Building
South Kensington Campus
London SW7 2AZ

This project investigated acute stroke care in Scotland. Thrombolysis is associated with improved outcomes and reduced disability for those who have suffered ischemic stroke. However, only a fraction of all patients who have suffered this type of stroke receive thrombolysis. The short time window in which treatment is beneficial means that rapid care and well-organised pathways are essential.

The project aimed to inform policy measures to increase the uptake of thrombolysis through a better understanding of hospital delays leading to delayed scanning and diagnosis. We examined the factors influencing the overall thrombolysis rate and the time between arrival to hospital and the administration of thrombolysis (door to needle time), investigated the causes of variance between hospitals in Scotland and studied the potential to improve acute stroke care by adopting a variety of measures, including innovative patient pathways via telestroke.