Feasibility of acute thrombolytic therapy for stroke.
BACKGROUND
Thrombolysis is an expensive medical intervention for ischemic stroke and hence there is a need to study the feasibility of thrombolysis in rural India.


OBJECTIVE
To asses the feasibility and limitations of providing thrombolytic therapy to acute ischemic stroke patients in a rural Indian set-up.


METHODS
The first 64 consecutive patients registered under the Acute Stroke Registry in a university referral hospital with a rural catchment area were studied as per a detailed protocol and questionnaire.


RESULTS
Of the 64 patients 44 were ischemic strokes, and 20 were hemorrhagic. Thirteen (29.55%) patients with ischemic stroke reached a center with CT scan facility within 3 hours, of whom only 7 (15.91%) were eligible to receive thrombolytic therapy as per the existing clinical and radiological criteria, but none received the therapy. Of the remaining 31 (70.45%) who arrived late, 11 (25%) had no clinical and radiological contraindications for thrombolysis, except the time factor. All the patients belonged to a low socioeconomic status and a rural background.


CONCLUSIONS
Though a large proportion of ischemic stroke patients were eligible to receive thrombolytic therapy, the majority could not reach a center with adequate facilities within the recommended time window. More alarmingly, even for those patients who reached within the time window, no significant attempt was made to initiate thrombolysis. These data call not only for attention to improve existing patient transport facilities, but also for improving the awareness of efficacy and therapeutic window of thrombolysis in stroke, among the public as well as primary care doctors.
Nandigam
K
K
Jawaharlal Institute of Post Graduate Medical Education and Research, Pondicherry, India.
Narayan
S K
SK
Elangovan
S
S
Dutta
T K
TK
Sethuraman
K R
KR
Das
A K
AK
D000208:Acute Disease; D005240:Feasibility Studies; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D007194:India; D008297:Male; D008875:Middle Aged; D012042:Registries; D019035:Rural Health Services / Q000706:statistics & numerical data*; D020521:Stroke / Q000188:drug therapy*; D015912:Thrombolytic Therapy