Table 1.
Intravenous thrombolysis qualification assessment criteria.
| Evaluation elements | Score | Interpretations | |
|---|---|---|---|
| Qualification of hospitals (10) | Level of hospital, ability for IVT, stroke center certification | 10 | Grading tertiary hospitals scores 2; secondary hospitals scores 1. |
| Primary stroke center scores 3 and comprehensive stroke center scores 5. | |||
| Ability for IVT scores 3. | |||
| Infrastructure (25) | Equipped with equipment for ambulances communication | 5 | |
| Pathway/procedures of stroke care | 3 | ||
| Emergency equipment including electrocardiogram, Multichannel telemetry; defibrillator, oxygen, alteplase/urokinase, first-aid medicine etc. | 5 | Deduct 1 point for each part missing. | |
| 24 h/7 days Emergency CT | 2 | ||
| 24 h/7 days Emergency laboratory test | 2 | ||
| Specific observation room for IVT | 2 | ||
| ED, stroke unit, rehabilitation department. | 6 | Deduct 1 point for each department missing. | |
| Personnel with expertise (20) | 24/7 Vascular neurologist | 5 | |
| 24/7 staff stroke nurse | 5 | ||
| 24/7 neuroradiologist | 5 | ||
| Rehab-physicians or technicians | 5 | ||
| Quality control and improvement (45) | Door to stroke team reception ≤ 15 min; | 5 | |
| Door to CT scan initiation ≤ 30 min; | 5 | ||
| Door to laboratory result ≤ 45 min (Complete blood counts test, Blood biochemistry test, Rapid blood coagulation test). | 5 | ||
| DNT ≤ 60 min | 10 | ||
| IVT ≥ 30 cases per year | 10 | ||
| Clear written standard procedures protocol | 5 | ||
| Documentation and stroke care quality control | 5 |
IVT, Intravenous Thrombolysis; CT, Computed Tomography; ED, Emergency Department; DNT, Door-to-Needle Time.