Exclusive bed for thrombolysis. A simple measure that allows 85% of ischemic stroke patients to be treated in the first hour.

نویسندگان

  • Gabriella Tansini
  • Renata Dal-Prá Ducci
  • Edison Matos Nóvak
  • Francisco Manoel Branco Germiniani
  • Viviane Flumignan Zétola
  • Marcos Christiano Lange
چکیده

The door-to-needle time is an important goal to reduce the time to treatment in intravenous thrombolysis. Objective Analyze if the inclusion of an exclusive thrombolytic bed reduces the door-to-needle time. Method One hundred and fifty patients admitted for neurological evaluation with ischemic stroke were separated in two groups: in the first, patients were admitted in the Emergency Room for intravenous thrombolysis (ER Group); in the second, patients were admitted in an exclusive thrombolytic bed in the general neurology ward (TB Group). Results Sixty-eight (86.0%) patients from TB Group were treated in the first 60 minutes of arrival as compared to 48 (67.6%) in the ER Group (p = 0.011). Conclusion The introduction of a thrombolytic bed in a general hospital setting can markedly reduce the door-to-needle time, allowing more than 85% of patients to be treated within the first hour of admission.

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عنوان ژورنال:
  • Arquivos de neuro-psiquiatria

دوره 74 5  شماره 

صفحات  -

تاریخ انتشار 2016