title: Aggregation of marginal gains in the care of acute stroke.
abstract: The chain of events between a patient first suffering symptoms of acute ischaemic stroke and receiving treatment in an acute stroke unit contains the potential for many delays. Identifying and minimizing these delays can make the difference between life and death, serious debilitation and complete recovery.
authors.affiliation: Southend University Hospital, NHS Foundation Trust, Westcliff-on-Sea, Essex SSO 0RY, UK.
authors.forename: Anthony
authors.initials: A
authors.lastname: O'Brien
authors.forename: Paul
authors.initials: P
authors.lastname: Guyler
mesh_terms: D042241:Early Diagnosis; D004632:Emergency Medical Services / Q000458:organization & administration* / Q000592:standards; D005343:Fibrinolytic Agents / Q000627:therapeutic use*; D006801:Humans; D012307:Risk Factors; D020521:Stroke / Q000175:diagnosis / Q000188:drug therapy*; D015912:Thrombolytic Therapy; D013997:Time Factors; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use*; D016896:Treatment Outcome
chemical_list: D005343:Fibrinolytic Agents; D010959:Tissue Plasminogen Activator