[Thrombolysis of acute ischemic cerebral vascular accident: roles of the physician and the peripheral hospital].
Thrombolysis administered intravenously within 3 hours (or within 6 hours intra-arterially) after symptoms onset improves the functional outcome of acute ischemic stroke patients. In Switzerland this treatment is only performed by specialized centers. At the level of a community hospital or a general practitioner, the management is based on the appropriate selection of patients in whom thrombolysis could be indicated, followed by their immediate transfer to a reference medical center. Because of the very short therapeutic window, specific criteria have to be used. We present the guidelines of Les Cadolles Hospital in Neuchâtel established in collaboration with the Department of Neurology of the University Hospital of Lausanne and a retrospective analysis of emergency admissions for suspected stroke at Les Cadolles between January 1st 2001 and December 31st 2002.
Meyer
Philippe
P
Département de Médecine, CHUV.
Michel
Patrik
P
Carruzzo
Alain
A
Reichhart
Marc
M
Kehtari
Réza
R
D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D002545:Brain Ischemia / Q000175:diagnosis / Q000188:drug therapy* / Q000453:epidemiology / Q000209:etiology; D002985:Clinical Protocols; D003943:Diagnostic Techniques, Neurological; D005194:Family Practice; D005260:Female; D005343:Fibrinolytic Agents / Q000008:administration & dosage; D006761:Hospitals; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000188:drug therapy; D007275:Injections, Intravenous; D008297:Male; D008875:Middle Aged; D015912:Thrombolytic Therapy; D013997:Time Factors
D005343:Fibrinolytic Agents