# Development of a Novel Mobile App on Emergency Management Among Patients With Acute Ischemic Stroke at County-Level Hospitals in China

## TL;DR

A new mobile app helped reduce treatment time for stroke patients in a Chinese hospital, improving emergency care outcomes.

## Contribution

The Xheart mobile app was developed and shown to significantly reduce door-to-needle time in acute ischemic stroke patients.

## Key findings

- The median door-to-needle time decreased from 52 to 38 minutes after app implementation.
- Lower NIH Stroke Scale scores were observed 24 hours post-thrombolysis with the app.

## Abstract

This retrospective study of 428 patients with acute ischemic stroke at a county-level hospital in China found that implementing the Xheart novel mobile app significantly reduced the median door-to-needle time from 52 to 38 minutes (P<.001) and was associated with lower National Institutes of Health Stroke Scale scores 24 hours after thrombolysis (P=.02), indicating the potential of mobile health technologies to improve the emergency management of patients with acute ischemic stroke in resource-constrained settings.