B.2 Short-term outcome in simultaneous acute code stroke activations in the emergency department

Background: We aim to assess the effect of simultaneous acute code stroke activation(ACSA) in patients undergoing reperfusion therapies emergency department on home time at 90 days. Methods: assessed ACSA over 20 months from QuICR(Quality Improvement and Clinical Research Alberta Stroke Program) Registry. defined Simultaneous therapy as, within 60 min arrival any patient receiving intravenous thrombolysis or 150 endovascular thrombectomy (based Canadian Triage Acuity Scale, average local door-to-needle door-to-puncture times)Results: A total 2607 occurred a mean±SD 130.8±17.1 per month during study period. 545 (20.9%) underwent with mean age 70.6±14.2 years, 45.9%(n=254) were female median (IQR) NIHSS 13(8-18). 189(34.6%). There was no difference door-to-CT between (16, 11-23 min) non-simultaneous (15, 11–21 min, p=0.3) activations. days two groups. Conclusions: occurs one-third therapies. An optimal workflow may help mitigate clinical system burden associated simultaneity.