1083 A REVIEW OF FAST DATA IN TALLAGHT UNIVERSITY HOSPITAL, AND THE IMPACT OF COVID ON TREATMENT

Abstract Introduction Stroke is a leading cause of morbidity. Current guidelines advise maximum 4.5 hours post symptom onset for thrombolysis, and 24 thrombectomy. (1) Delay between treatment associated with an inferior outcome. Thrombolysis available in 27 Irish centers. Average rate thrombolysis 11%. (3) Fewer than half stroke patients arrived hospital within three 2019. (4) Median door-to-needle time 48 minutes. Method FAST calls Tallaght University Hospital, from 2/7/19–1/7/21, were included this analysis (n = 594). Results 160 took place pre-Covid (20/month), 434 post-Covid (27.12/month). Time was recorded 390 cases. last seen well known 185 cases, unknown 19. After review by the clinician, imaging obtained 78% cases 464). Of these, 34 performed inpatients. registration to CT 35:24 minutes pre covid, 45:52 post. 9.7% thrombolysed. The median 41 pre-Covid(n 21, 2.625/month), 54 after 37, 2.3/month). Thrombectomy 46 222 diagnosed ischaemic stroke, 50 had TIA haemorrhagic strokes. Other diagnoses migraine (6.7%, n 40), seizures 40) Bells Palsy (3.7%, 22). 55% 330) registered ED call 9 am-5 pm. 27% 161) occurred during night shift. Conclusion times below national pre-Covid, longer post-pandemic, increase presentation same time-frame. This report highlights effect pandemic on time-critical patient interventions need stratify services respond structural challenges.