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Medicolegal Considerations with Intravenous Tissue Plasminogen Activator in Stroke : A Systematic Review
المؤلفون المشاركون
Bhatt, Archit
Clark, Diane
Chaudhari, Dhara
Kassab, Mounzer
Pollak, Amber
Safdar, Adnan
Majid, Arshad
المصدر
العدد
المجلد 2013، العدد 2013 (31 ديسمبر/كانون الأول 2013)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2013-09-04
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Background.
Intravenous tPA (tissue plasminogen activator) therapy remains underutilized in patients with Acute Ischemic Stroke (AIS).
Anecdotal data indicates that physicians are increasingly liable for administering and for failure to administer tPA.
Methods.
An extensive search of Medline, Embase, Westlaw, LexisNexis Legal, and Google Scholar databases was performed.
Case studies that involved malpractice litigation in ischemic stroke and thrombolytic therapy were analyzed systematically.
Results.
We identified 789 ischemic stroke litigation cases, of which 46 cases were related to intravenous tPA and stroke litigation.
Case descriptions of 40 cases were available.
Data for verdicts were available for 38 patients.
The most frequent plaintiff claim was related to failure to administer intravenous tPA (38, 95%).
Only 2 (5.0%) claim involved complications of treatment with tPA.
Hospitals were defendants in majority of the 36 cases.
Physicians were involved in 33 cases.
While ED physicians were involved in 25 (60.52%) cases, neurologists were involved in 8 (20.0%) cases.
There were 26 (65%) defendant-favored and 12 (30%) plaintiff-favored verdicts.
Conclusion.
Physicians and hospitals are at an increased risk of litigation in patients with AIS when in IV-tPA is being considered for treatment.
While majority of the cases litigated were cases where tPA was not administered, only about 1 in 20 cases was litigated when complications occurred.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Bhatt, Archit& Safdar, Adnan& Chaudhari, Dhara& Clark, Diane& Pollak, Amber& Majid, Arshad…[et al.]. 2013. Medicolegal Considerations with Intravenous Tissue Plasminogen Activator in Stroke : A Systematic Review. Stroke Research and Treatment،Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-480967
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Bhatt, Archit…[et al.]. Medicolegal Considerations with Intravenous Tissue Plasminogen Activator in Stroke : A Systematic Review. Stroke Research and Treatment No. 2013 (2013), pp.1-6.
https://search.emarefa.net/detail/BIM-480967
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Bhatt, Archit& Safdar, Adnan& Chaudhari, Dhara& Clark, Diane& Pollak, Amber& Majid, Arshad…[et al.]. Medicolegal Considerations with Intravenous Tissue Plasminogen Activator in Stroke : A Systematic Review. Stroke Research and Treatment. 2013. Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-480967
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-480967
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
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