Exclusive bed for thrombolysis. A simple measure that allows 85% of ischemic stroke patients to be treated in the first hour

ABSTRACT The door-to-needle time is an important goal to reduce the time to treatment in intravenous thrombolysis. Objective Analyze if the inclusion of an exclusive thrombolytic bed reduces the door-to-needle time. Method One hundred and fifty patients admitted for neurological evaluation with ischemic stroke were separated in two groups: in the first, patients were admitted in the Emergency Room for intravenous thrombolysis (ER Group); in the second, patients were admitted in an exclusive thrombolytic bed in the general neurology ward (TB Group). Results Sixty-eight (86.0%) patients from TB Group were treated in the first 60 minutes of arrival as compared to 48 (67.6%) in the ER Group (p = 0.011). Conclusion The introduction of a thrombolytic bed in a general hospital setting can markedly reduce the door-to-needle time, allowing more than 85% of patients to be treated within the first hour of admission.

Bibliographic Details

Main Authors:	Tansini,Gabriella, Ducci,Renata Dal-Prá, Nóvak,Edison Matos, Germiniani,Francisco Manoel Branco, Zétola,Viviane Flumignan, Lange,Marcos Christiano
Format:	Digital revista
Language:	English
Published:	Academia Brasileira de Neurologia - ABNEURO 2016
Online Access:	http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2016000500373
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