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- W2005068480 abstract "<h2>Abstract</h2> <b>Background:</b> This study assessed the utilization of intravenous t-PA in a community hospital in the rural state of Iowa. <b>Methods:</b> Records of all patients presenting to the emergency department with ICD-9 codes consistent with stroke were sorted into 3 groups: presenting to the ED within 3 hours of symptom onset, within 3–6 hours, and beyond 6 hours. Records were reviewed for t-PA eligibility using criteria comparable to that published in the original National Institute of Neurologic Disorders and Stroke (NINDS) trial. <b>Results:</b> Of 464 stroke patients presenting to the ED during the 30 month period, 99 arrived in less than 3 hours, 22 between 3–6 hours, and 343 greater than 6 hours. A total of 13 (2.8% of all stroke patients or 13% of those presenting within 3 hours) received t-PA. All patients meeting criteria received t-PA. Rapidly improving/minor symptoms and difficult to control or elevated BP were the most common reasons for not using t-PA. Of the 99 patients arriving within the 3-hour window, 14 were excluded because of medical processing time. <b>Conclusion:</b> t-PA can be effectively used in community hospitals of rural states. Utilization likely exceeds previously quoted national rates when based on a more appropriate measure of comparable medical and time criteria as established by the NINDS Stroke Study Group, as opposed to total presenting stroke patients." @default.
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- W2005068480 date "2003-09-01" @default.
- W2005068480 modified "2023-09-26" @default.
- W2005068480 title "Tissue plasminogen activator utilization in rural Iowa" @default.
- W2005068480 doi "https://doi.org/10.1016/j.jstrokecerebrovasdis.2003.11.002" @default.
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