Tissue plasminogen activator for acute ischemic stroke: a New York city emergency medicine perspective.
J Emerg Med
; 29(4): 405-8, 2005 Nov.
Article
in En
| MEDLINE
| ID: mdl-16243196
ABSTRACT
Nationally, only 2-3% of patients with acute ischemic stroke (AIS) currently receive tissue plasminogen activator (TPA). To better understand the reasons, we investigated the practice patterns, level of familiarity and acceptance of TPA for AIS among emergency physicians in New York City (NYC). Fifty-seven 911-receiving hospital emergency department directors were surveyed regarding TPA use. Of those responding, 37% had never used TPA to treat AIS. Lack of neurological support was reported by 33%. Departments with formal protocols were more likely to use TPA for AIS. In conclusion, there is considerable variation in the practice, knowledge, and attitudes regarding the use of TPA for AIS in NYC emergency departments. Improved educational efforts and institutional support may be necessary to ensure the appropriate use of TPA by emergency physicians.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Practice Patterns, Physicians'
/
Brain Ischemia
/
Tissue Plasminogen Activator
/
Drug Utilization Review
/
Stroke
/
Emergency Medicine
/
Emergency Service, Hospital
/
Fibrinolytic Agents
Type of study:
Guideline
/
Prognostic_studies
Limits:
Humans
Country/Region as subject:
America do norte
Language:
En
Journal:
J Emerg Med
Journal subject:
MEDICINA DE EMERGENCIA
Year:
2005
Type:
Article
Affiliation country:
United States