Timeliness of Intravenous Thrombolysis via Telestroke in Georgia

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Timeliness of intravenous thrombolysis via telestroke in Georgia.

BACKGROUND AND PURPOSE Through 2-way live video and audio communication, telestroke enhances urgent treatment of patients with acute stroke in emergency departments (EDs) without immediate access to on-site specialists. To assess for opportunities to shorten the door to thrombolysis time, we measured multiple time intervals in a telestroke system. METHODS We retrospectively analyzed 115 recor...

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Principles and practice of thrombolysis via telestroke

Despite developments in acute stroke therapies, stroke continues to be a leading cause of death and disability worldwide. One major limitation from intravenous thrombolysis with tissue plasminogen activator (t-PA) is patient`s arrival to the emergency room at a tertiary care hospital after the therapeutic time-window, which is generally 270 minutes. The problem is worse for people living in sub...

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Outcomes of Spoke-Retained Telestroke Patients Versus Hub-Treated Patients After Intravenous Thrombolysis: Telestroke Patient Outcomes After Thrombolysis.

BACKGROUND AND PURPOSE The outcomes of patients remaining at a community spoke hospital after tissue-type plasminogen activator treatment via telemedicine are unclear. Our aim was to compare medical outcomes between these patients and those treated at a hub stroke center. METHODS We retrospectively examined patient medical records from 2006 to 2014 of 272 consecutive patients treated with int...

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Telestroke-guided intravenous tissue-type plasminogen activator treatment achieves a similar clinical outcome as thrombolysis at a comprehensive stroke center.

BACKGROUND AND PURPOSE Telestroke networks offer an opportunity to increase tissue-type plasminogen activator use in community hospitals. METHODS We compared 83 patients treated with intravenous tissue-type plasminogen activator by telestroke to 59 patients treated after in-person evaluation by the same neurologists at a tertiary care stroke center. Onset and door-to-treatment times and funct...

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Factors predicting good outcome of intravenous thrombolysis in stroke patients before rt-PA administration

Background: To determine whether it is possible to predict intravenous thrombolytic therapy (IVT) outcome after 3 months in acute ischemic stroke patients who are candidate to receive recombinant tissue plasminogen activator (rt-PA), before rt-PA administration based on their risk factors and some available laboratory results. Methods: We enrolled 118 ischemic stroke patients who were treated ...

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ژورنال

عنوان ژورنال: Stroke

سال: 2013

ISSN: 0039-2499,1524-4628

DOI: 10.1161/strokeaha.113.001898