Exclusive bed for thrombolysis. A simple measure that allows 85% of ischemic stroke patients to be treated in the first hour
Document title: Exclusive bed for thrombolysis. A simple measure that allows 85% of ischemic stroke patients to be treated in the first hour
Journal: Arquivos de neuro-psiquiatria
Database: PERIÓDICA
System number: 000393626
ISSN: 0004-282X
Authors: 1
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Institutions: 1Universidade Federal do Parana, Hospital de Clinicas, Curitiba, Parana. Brasil
Year:
Season: May
Volumen: 74
Number: 5
Pages: 373-375
Country: Brasil
Language: Inglés
Document type: Artículo
Approach: Analítico, descriptivo
English abstract The door-to-needle time is an important goal to reduce the time to treatment in intravenous thrombolysis. Analyze if the inclusion of an exclusive thrombolytic bed reduces the door-to-needle time. 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
Portuguese abstract A redução no tempo porta-agulha é um objetivo importante para diminuir o tempo de tratamento na trombólise endovenosa. Objetivo Analisar se a inclusão de um leito exclusivo de trombólise reduz o tempo porta-agulha. Método Cento e cinqüenta pacientes admitidos com acidente vascular cerebral isquêmico foram separados em dois grupos: no primeiro, os pacientes foram admitidos no Pronto-Atendimento para trombólise endovenosa (Grupo PA); no segundo, os pacientes foram admitidos no leito de trombólise na enfermaria de neurologia (Grupo LT). Resultados Sessenta e oito (86,0%) pacientes do Grupo LT foram tratados nos primeiros 60 minutos após a chegada, em comparação com 48 (67,6%) no Grupo PA (p = 0,011). Conclusão A introdução de um leito de trombólise em ambiente hospitalar pode reduzir marcadamente o tempo porta-agulha, permitindo que mais de 85% dos pacientes sejam tratados na primeira hora de admissão
Disciplines: Medicina
Keyword: Neurología,
Terapéutica y rehabilitación,
Accidentes cerebrovasculares,
Trombólisis intravenosa
Keyword: Medicine,
Neurology,
Therapeutics and rehabilitation,
Stroke,
Intravenous thrombolysis
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