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

Stroke Research and Treatment

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

Diseases

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