Document Detail


Audit of stroke thrombolysis in Wellington, New Zealand: disparity between in-hours and out-of-hours treatment time.
MedLine Citation:
PMID:  22327156     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
AIMS: To report on the safety and efficiency of a comprehensive stroke thrombolysis service and look for evidence of disparity between in-hours and out-of-hours treatment times.
METHOD: Clinical audit of patients treated with tissue plasminogen activator, alteplase (rt-PA) for stroke at Wellington Hospital between 1 November 2009 and 31 October 2010.
RESULTS: Thirty-one patients were treated with rt-PA. All were treated within agreed clinical eligibility criteria. The median NIHSS score pre-treatment was 10; post treatment 5. Two patients died, both from intracranial haemorrhage. Overall the average time to treatment from symptom onset was 168 minutes. Those treated out-of-hours had an additional delay of 33 minutes compared to in-hours treatment (p=0.03).
CONCLUSIONS: Patients admitted out-of-hours had significantly longer delays to rt-PA treatment. Those planning Stroke Services should ensure this source of inequity is addressed within their localities.
Authors:
Katie Thorne; Lai-Kin Wong; Gerard McGonigal
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Publication Detail:
Type:  Journal Article     Date:  2012-02-10
Journal Detail:
Title:  The New Zealand medical journal     Volume:  125     ISSN:  1175-8716     ISO Abbreviation:  N. Z. Med. J.     Publication Date:  2012  
Date Detail:
Created Date:  2012-02-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401067     Medline TA:  N Z Med J     Country:  New Zealand    
Other Details:
Languages:  eng     Pagination:  30-6     Citation Subset:  IM    
Affiliation:
Stroke Unit, University Hospital of North Durham, North Road, Durham DH1 5TW, United Kingdom. gerard.mcgonigal@cddft.nhs.uk.
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