Bolus-Infusion Delays of Alteplase during Thrombolysis in Acute Ischaemic Stroke and Functional Outcome at 3 Months
Joint Authors
Acheampong, Paul
May, Margaret T.
Ford, Gary A.
Dixit, Anand K.
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-04-30
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Background.
The efficacy of alteplase in acute ischaemic stroke (AIS) is highly time dependent.
Hence, alteplase is administered as soon as possible with a bolus followed by an infusion.
Delays between bolus and infusion may occur, but the extent of these delays and the impact on outcome are unclear.
Aims.
We investigated the extent of bolus-infusion delays and the relationship between delays and stroke outcome.
Method.
We reviewed medical records of 276 patients who received alteplase for AIS at our centre between April, 2008, and June, 2013.
Complete demographic and clinical data including 3-month modified Rankin Score (mRS) from 229 patients were analysed comparing delays of 0–8 and >8 minutes.
Results.
Overall mean (SD) bolus-infusion delay was 9 (7) minutes.
Baseline characteristics were similar apart from more severe strokes in delays >8 minutes.
Three-month outcomes were not significantly different although delays >8 minutes had lower functional independence rate (mRS 0-1: 23.1% versus 28.1%; adjusted OR 1.2 (95% CI 0.6 to 2.4, P=0.68)) and higher mortality rate (18% versus 11%, OR 1.0, 95% CI 0.6 to 1.7, P=0.95).
Conclusions.
In this single centre series, bolus-infusion delays of alteplase in AIS were common and no effect of bolus-infusion delays on independence and mortality was found.
American Psychological Association (APA)
Acheampong, Paul& May, Margaret T.& Ford, Gary A.& Dixit, Anand K.. 2014. Bolus-Infusion Delays of Alteplase during Thrombolysis in Acute Ischaemic Stroke and Functional Outcome at 3 Months. Stroke Research and Treatment،Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1047692
Modern Language Association (MLA)
Acheampong, Paul…[et al.]. Bolus-Infusion Delays of Alteplase during Thrombolysis in Acute Ischaemic Stroke and Functional Outcome at 3 Months. Stroke Research and Treatment No. 2014 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-1047692
American Medical Association (AMA)
Acheampong, Paul& May, Margaret T.& Ford, Gary A.& Dixit, Anand K.. Bolus-Infusion Delays of Alteplase during Thrombolysis in Acute Ischaemic Stroke and Functional Outcome at 3 Months. Stroke Research and Treatment. 2014. Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1047692
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1047692