Thrombolysis and its Implications in the Management of Stroke in the Accident and Emergency Department
| Autor: | Quaba O, Robertson Ce |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Adult
Male medicine.medical_specialty Stroke patient medicine.medical_treatment Computed tomography 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Ischaemic stroke medicine Humans Thrombolytic Therapy 030212 general & internal medicine Hospitals Teaching Stroke Aged Aged 80 and over medicine.diagnostic_test business.industry Accident and emergency General Medicine Thrombolysis Middle Aged medicine.disease Treatment Outcome Scotland Current practice Clinical diagnosis Emergency medicine Female Emergencies Emergency Service Hospital business |
| Zdroj: | Scottish Medical Journal. 47:57-59 |
| ISSN: | 2045-6441 0036-9330 |
| DOI: | 10.1177/003693300204700304 |
| Popis: | Objectives: Examination of initial management of stroke patients in the emergency setting to assess feasibility of thrombolysis for acute ischaemic stroke. Methods: Retrospective analysis of all patients presenting with a clinical diagnosis of stroke over a two month period. Exclusion criteria for thrombolysis were applied to assess the number of patients that would potentially have been eligible for thrombolysis. Results: Of 94 patients identified with clinical stroke, only 57 (60.6%) had a CT scan; 23 (24.4%) were confirmed as having had an acute ischaemic stroke. Mean delay in scanning was 2.2 days (range 0–15 days). Even if all patients had presented and been scanned within three hours (as required for thrombolysis), only six (6.4%) patients would have been eligible for thrombolysis. Conclusions: The great majority of patients presenting with clinical stroke do not fulfil the criteria for thrombolysis. Current practice involves significant delays in CT scanning, which has implications for resource structuring should thrombolysis become widely available. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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