Acute Stroke Care and Thrombolytic Therapy Use in a Tertiary Care Center in Lebanon
المؤلفون المشاركون
El Zahran, Tharwat
El Sayed, Mazen J.
Tamim, Hani
المصدر
Emergency Medicine International
العدد
المجلد 2014، العدد 2014 (31 ديسمبر/كانون الأول 2014)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2014-07-16
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Background.
Thrombolytic therapy (rt-PA) is approved for ischemic stroke presenting within 4.5 hours of symptoms onset.
The rate of utilization of rt-PA is not well described in developing countries.
Objectives.
Our study examined patient characteristics and outcomes in addition to barriers to rt-PA utilization in a tertiary care center in Beirut, Lebanon.
Methods.
A retrospective chart review of all adult patients admitted to the emergency department during a one-year period (June 1st, 2009, to June 1st, 2010) with a final discharge diagnosis of ischemic stroke was completed.
Descriptive analysis was done followed by a comparison of two groups (IV rt-PA and no IV rt-PA).
Results.
During the study period, 87 patients met the inclusion criteria and thus were included in the study.
The mean age was found to be 71.9 years (SD = 11.8).
Most patients arrived by private transport (85.1%).
Weakness and loss of speech were the most common presenting signs (56.3%).
Thirty-three patients (37.9%) presented within 4.5 hours of symptom onset.
Nine patients (10.3%, 95% CI (5.5–18.5)) received rt-PA.
The two groups (rt-PA versus non rt-PA) had similar outcomes (mortality, symptomatic intracerebral hemorrhage, modified Rankin scale scores, and residual deficit at hospital discharge).
Conclusion.
In our setting, rt-PA utilization was higher than expected.
Delayed presentation was the main barrier to rt-PA administration.
Public education regarding stroke is needed to decrease time from symptoms onset to ED presentation and potentially improve outcomes further.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
El Sayed, Mazen J.& El Zahran, Tharwat& Tamim, Hani. 2014. Acute Stroke Care and Thrombolytic Therapy Use in a Tertiary Care Center in Lebanon. Emergency Medicine International،Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-472383
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
El Sayed, Mazen J.…[et al.]. Acute Stroke Care and Thrombolytic Therapy Use in a Tertiary Care Center in Lebanon. Emergency Medicine International No. 2014 (2014), pp.1-6.
https://search.emarefa.net/detail/BIM-472383
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
El Sayed, Mazen J.& El Zahran, Tharwat& Tamim, Hani. Acute Stroke Care and Thrombolytic Therapy Use in a Tertiary Care Center in Lebanon. Emergency Medicine International. 2014. Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-472383
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-472383
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر