title: What's the "hyper" in hyperacute stroke? Strategies to improve outcomes in ischemic stroke patients presenting within 6 hours.
abstract: Ischemic stroke patients presenting to acute care hospitals require an organized response from multiple disciplines and clinical areas. Patients presenting within 6 hours of stroke onset constitute a category of stroke patient known as the "hyperacute stroke patient." This category of stroke patients is eligible for treatment using intravenous recombinant tissue plasminogen activator when treated within 3 hours, or interventional treatment options when treated within 6 hours of stroke onset. Guidelines have been established identifying critical elements for hospitals in order to be designated as primary or comprehensive stroke centers. Research studies exploring treatment options for stroke, as well as general care priorities exist in the scientific literature but must be integrated into hospital-based protocols. Recommended interventions are highlighted to assist critical care practitioners in the delivery of care for stroke patients. Coordinated teams using an evidence-based approach can optimize the outcomes of the stroke patient population.
authors.affiliation: Mission Hospital, Mission Viejo, CA 92688, USA. Badermk@aol.com
authors.forename: Mary Kay
authors.initials: MK
authors.lastname: Bader
authors.forename: Sylvain
authors.initials: S
authors.lastname: Palmer
mesh_terms: D000208:Acute Disease; D000368:Aged; D000465:Algorithms; D002545:Brain Ischemia / Q000150:complications*; D002533:Cerebral Angiography; D002985:Clinical Protocols; D003422:Critical Care / Q000379:methods* / Q000592:standards; D003663:Decision Trees; D004638:Emergency Treatment / Q000379:methods* / Q000592:standards; D019317:Evidence-Based Medicine / Q000379:methods; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006801:Humans; D007591:Joint Commission on Accreditation of Healthcare Organizations; D008297:Male; D017410:Practice Guidelines as Topic; D020521:Stroke / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D015912:Thrombolytic Therapy / Q000379:methods* / Q000592:standards; D013997:Time Factors; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed; D017749:Total Quality Management / Q000458:organization & administration; D016896:Treatment Outcome; D014481:United States
chemical_list: D005343:Fibrinolytic Agents; D010959:Tissue Plasminogen Activator