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題 名 | Efforts to Reduce the Door-to-Needle Time of Thrombolysis in Acute Ischemic Stroke: Video-Assisted Therapeutic Risk Communication |
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作 者 | Hsieh, Cheng-yang; Chen, Wei-fen; Chen, Chih-hung; Wang, Chih-yuan; Chen, Chien-jung; Lai, Edward Chia-cheng; Chen, Tsang-shan; | 書刊名 | Journal of the Formosan Medical Association |
卷 期 | 113:12 2014.12[民103.12] |
頁 次 | 頁929-933 |
分類號 | 415.922 |
關鍵詞 | Cerebral infarction; Emergency medicine; Plasminogen activators; Thrombolytic therapy; |
語 文 | 英文(English) |
英文摘要 | Background/Purpose: Explaining the risks and benefits of recombinant tissue-plasminogen activator (rtPA) to eligible patients with acute ischemic stroke (AIS) within a few minutes is important but difficult. We examined whether a new thrombolysis program can decrease the door-to-needle (DTN) time when treating patients with AIS. Methods: A new rtPA thrombolysis program with video assistance was adapted for patients with AIS and their families. We retrospectively compared outcome quality before (2009e2011) and after (2012) the program began. Outcomes included DTN time, the percentage of rtPA thrombolysis within 3 hours of onset in all hospitalized patients with AIS who presented within 2 hours of onset (2hr%) and the percentage of rtPA thrombolysis in all hospitalized patients with AIS (AIS%). Results: We recruited patients with AIS who had undergone thrombolytic therapy before (n Z 18) and after (n Z 14) the initiation of the new program. DTN time decreased (93土 24 minutes to 57土 14 minutes, p < 0.001) and the AIS% increased (2% to 5%, p Z 0.010) after the program. The 2hr% marginally significantly increased (18% to 33%, p Z 0.080). Conclusion: A thrombolysis program with video-assisted therapeutic risk communication decreased DTN time and increased the treatment rate of patients with AIS. |
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