Skip to main content

Why ischemic stroke patients do not receive thrombolytic treatment: results from a general hospital

Buy Article:

$43.00 plus tax (Refund Policy)

van den Berg JSP, de Jong G. Why ischemic stroke patients do not receive thrombolytic treatment: results from a general hospital.

Acta Neurol Scand 2009: 120: 157–160.

© 2009 The Authors Journal compilation © 2009 Blackwell Munksgaard. Objectives – 

To determine the proportion of patients with an ischemic stroke that received intravenous (IV) thrombolytic treatment, and reasons why patients are not treated. Methods – 

A prospective registry of all patients with an ischemic stroke admitted to our emergency department (ED). Results – 

A total of 286 patients with an ischemic stroke were admitted. Eighty-one patients were admitted within 3 h of onset of neurological deficit, of which 28 received IV thrombolysis. In 25 patients no thrombolytic treatment was given because of the presence of the National Institute of Neurological Disorders and Stroke (NINDS) exclusion criteria, and one patient refused treatment. No thrombolytic treatment was given to 27 patients because of mild neurological deficit or rapid clinical improvement, and after 3 months all these patients were independently living at home without nursing help. Despite a public campaign to gain awareness concerning stroke, the majority of the patients arrived too late at the ED for thrombolytic treatment. Conclusions – 

A large proportion of the patients with an ischemic stroke are admitted too late to receive IV thrombolysis. More needs to be done to increase both public and medical awareness of stroke as a treatable emergency.
No References
No Citations
No Supplementary Data
No Article Media
No Metrics

Keywords: intravenous thrombolysis; ischemic stroke; outcome

Document Type: Research Article

Publication date: 2009-09-01

  • Access Key
  • Free content
  • Partial Free content
  • New content
  • Open access content
  • Partial Open access content
  • Subscribed content
  • Partial Subscribed content
  • Free trial content
Cookie Policy
Cookie Policy
Ingenta Connect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more