دورية أكاديمية
Curitiba acute ischemic stroke protocol: a university hospital and EMS initiative in a large Brazilian city.
| العنوان: | Curitiba acute ischemic stroke protocol: a university hospital and EMS initiative in a large Brazilian city. |
|---|---|
| المؤلفون: | Lange MC; Cerebrovascular Diseases Unit, Neurology Division, Internal Medicine Department, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba PR, Brazil. lange@ufpr.br, Zétola VF, Parolin MF, Zamproni LN, Fernandes AF, Piovesan EJ, Nóvak EM, Werneck LC |
| المصدر: | Arquivos de neuro-psiquiatria [Arq Neuropsiquiatr] 2011 Jun; Vol. 69 (3), pp. 441-5. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Thieme Country of Publication: Germany NLM ID: 0125444 Publication Model: Print Cited Medium: Internet ISSN: 1678-4227 (Electronic) Linking ISSN: 0004282X NLM ISO Abbreviation: Arq Neuropsiquiatr Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2022- : [Stuttgart] : Thieme Original Publication: São Paulo. |
| مواضيع طبية MeSH: | Fibrinolytic Agents/*therapeutic use , Stroke/*drug therapy , Thrombolytic Therapy/*methods , Tissue Plasminogen Activator/*therapeutic use, Adult ; Aged, 80 and over ; Ambulances ; Clinical Protocols ; Female ; Hospitals, Public ; Hospitals, University ; Humans ; Male ; Middle Aged ; Time Factors ; Young Adult |
| مستخلص: | Unlabelled: Few healthcare centers in Brazil perform thrombolytic therapy for acute ischemic stroke (AIS) patients. Objective: The aim of this study was to describe an interinstitutional protocol for the rapid identification and thrombolytic treatment of AIS patients at a public health hospital in a large Brazilian city. Method: Emergency medical services (EMS) personnel evaluated 433 patients with possible stroke during a six-month period. After a standard checklist, patients with suspected AIS and symptoms onset of less than two hours were evaluated at our University Hospital (UH). Results: Sixty-five (15%) patients met the checklist criteria and had a symptom onset of less than two hours, but only 50 (11%) patients were evaluated at the UH. Among them, 35 (70%) patients had ischemic stroke, 10 (20%) had hemorrhagic stroke, and 5 (10%) had other diagnoses. Of the 35 ischemic stroke patients, 15 (43%) underwent IV thrombolysis. Conclusion: The present study demonstrated that trained EMS workers could help to improve the rate of thrombolytic treatment in large Brazilian cities. Permanent training programs for EMS and hospital staff, with quality control and correct identification of AIS patients, should be implemented to increase appropriate thrombolytic therapy rates in Brazil. |
| المشرفين على المادة: | 0 (Fibrinolytic Agents) EC 3.4.21.68 (Tissue Plasminogen Activator) |
| تواريخ الأحداث: | Date Created: 20110715 Date Completed: 20120203 Latest Revision: 20190815 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1590/s0004-282x2011000400006 |
| PMID: | 21755118 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1678-4227 |
|---|---|
| DOI: | 10.1590/s0004-282x2011000400006 |