Door-to-Needle Times: Let's Not Leave Smaller Hospitals Behind.
نویسنده
چکیده
منابع مشابه
Hospital improvement in time to reperfusion in patients with acute myocardial infarction, 1999 to 2002.
OBJECTIVES The purpose of this study was to analyze recent trends in door-to-reperfusion time and to identify hospital characteristics associated with improved performance. BACKGROUND Rapid reperfusion improves survival for patients with acute ST-segment elevation myocardial infarction (STEMI). METHODS In this retrospective observational study from the National Registry of Myocardial Infarc...
متن کاملRoutine CT angiography in acute stroke does not delay thrombolytic therapy.
INTRODUCTION Lack of additional utility over non-contract computed tomography (NCCT) in decision making and delay in door to needle time are arguments used against routine computed tomographic angiography (CTA) use in acute ischemic stroke management. We compare interval times during a CTA based acute ischemic stroke protocol with an earlier non-CTA based protocol at our center. METHODS We re...
متن کاملTimeliness of tissue-type plasminogen activator therapy in acute ischemic stroke: patient characteristics, hospital factors, and outcomes associated with door-to-needle times within 60 minutes.
BACKGROUND The benefits of intravenous tissue-type plasminogen activator (tPA) in acute ischemic stroke are time dependent, and guidelines recommend an arrival to treatment initiation (door-to-needle) time of ≤60 minutes. METHODS AND RESULTS Data from acute ischemic stroke patients treated with tPA within 3 hours of symptom onset in 1082 hospitals participating in the Get With the Guidelines-...
متن کاملDoor-to-needle times in acute ischemic stroke: how low can we go?
Neurology® 2012;79:1 IV human recombinant tissue plasminogen activator (rt-PA) is the best proven and most effective treatment for acute ischemic stroke. The benefits of rt-PA are highly dependent on the time elapsed since stroke symptoms.1 Accordingly, the Brain Attack Coalition recommends that the time from emergency room arrival to initiation of rt-PA (that is, the “door-toneedle” time) shou...
متن کاملProportion of patients treated with thrombolysis in a centralized versus a decentralized acute stroke care setting.
BACKGROUND AND PURPOSE Today, treatment of acute stroke consists of tissue-type plasminogen activator (tPA), admission to a stroke unit, and aspirin. Although tPA treatment is the most effective, there is substantial undertreatment. Centralized care may affect rate, timing, and outcome of thrombolysis compared to decentralized treatment in community hospitals. The present study aimed to assess ...
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ورودعنوان ژورنال:
- Stroke
دوره 46 5 شماره
صفحات -
تاریخ انتشار 2015