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- W2914706044 abstract "Background: There is a nationwide shortage of stroke physicians to manage the ever increasing patient population. Many stroke centers rely on advanced practices providers (APP) to bridge this coverage gap. We sought to compare the IV tPA treatment time efficiencies when care is mediated by stroke APPs as compared to neurology residents (NR). Methods: Case records of all IV tPA treatments between Jan 1, 2017- July 15, 2018 at our comprehensive stroke center were reviewed. Basic demographics, risk factors, door to needle time (DTN), stroke alert activation to treatment time (ATN), and outcomes were compared. Results: Between Jan 1, 2017 - July 15, 2018, 66 patients were treated with IV tPA at our center. Of these, the NRs managed 37 (56.1%) whereas the APPs were primarily involved in 29 (43.9%) treatments. Most of the treatments were in ER 59 (89.4%), while 7 were inpatients (10.6%). Patients in the APP cohort were older (median age 74 vs 67, p0.01) and underwent MT at a higher rate (41.3% vs 13.5%, p 0.01). The DTN time was significantly shorter with APPs responding to stroke alert (31.6 vs 52.5 mins, p<0.01). However, clinical outcomes were comparable (see table). Conclusion: In our experience, IV tPA treatment facilitated by APPs is more time efficient when compared to NRs. However, given small sample size and cohort mismatch, future larger prospective studies are warranted." @default.
- W2914706044 created "2019-02-21" @default.
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- W2914706044 date "2019-02-01" @default.
- W2914706044 modified "2023-09-23" @default.
- W2914706044 title "Abstract WP306: IV tPA Treatment Facilitated by Advanced Practice Providers in an Academic Program" @default.
- W2914706044 doi "https://doi.org/10.1161/str.50.suppl_1.wp306" @default.
- W2914706044 hasPublicationYear "2019" @default.
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