Pre-hospital Obstacles in Thrombolytic Therapy and Suggested Solutions

Autor: Merve Yatmazoğlu, Eda Kiliç Çoban, Sevim Baybaş, Songul Senadim, Dilek Atakli, Aysun Soysal, Erkan Acar, Betül Tekin Güveli, Cengiz Dayan
Rok vydání: 2015
Předmět:
Zdroj: Türk Beyin Damar Hastalıkları Dergisi, Vol 21, Iss 3, Pp 194-197 (2015)
ISSN: 2146-9113
1301-1375
Popis: INTRODUCTION: Acute ischemic stroke is frequently encountered in emergency neurology clinics. Especially when administered within 3 hours of symptom onset, thrombolytic therapy is important in reducing ischemic injury and neurological disability. In this study, we aimed to investigate the demographic and clinical characteristics according to application time, to identify situations which pose an obstacle to thrombolytic therapy and to review the thrombolytic therapy results in patients diagnosed with acute ischemic stroke. METHODS: The patients diagnosed with acute ischemic stroke were evaluated and their age, gender, complaints, risk factors, previous history of stroke, with whom they live, how they arrived at the hospital and their application time information were recorded. Those who were admitted within 3 hours of symptom onset were assessed as early, those admitted after 3 hours were assessed as late admission. Then the rate of thrombolytic therapy, final results and the clinical status in early admission patients and the reasons for delay in late admission patients were discussed. RESULTS: Among 361 acute ischemic stroke patients, the mean age was 66±14,1. 111 patients were admitted within 3 hours of symptom onset, 246 patients were admitted after three hours. Patients arriving to emergency room with 112 Ambulance Service were admitted earlier than those brought in by family, and this difference was statistically significant. The most common causes of time loss in late admissions were the patients being referred from other centers and the unawareness of family about the importance of the disease. There were 13 patients treated with thrombolytic therapy, and complications occurred in one patient. DISCUSSION AND CONCLUSION: Thrombolytic therapy is important in acute ischemic stroke for suitable patients.Our study suggested that the most important factors in spreading of performing the thrombolytic therapy are informing the public about stroke and taking on the more active role in transporting patients of 112 ambulance services.
Databáze: OpenAIRE
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