Barriers to On Time Delivery of Thrombolytic Therapy

Hatamabadi, Hamid Reza and Mansouri, Hamed and Asarzadegan, Farhad and Shojaee, Maji (2013) Barriers to On Time Delivery of Thrombolytic Therapy. Journal of Mazandaran University of Medical Sciences, 23 (102). pp. 107-110.

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Official URL: http://jmums.mazums.ac.ir/article-1-2397-en.html

Abstract

Background and purpose: The new thrombolytic agents have opened a new horizon in the treatment of patients with stroke. However, the contraindication and delay in beginning of the drug have caused serious obstacles to apply this therapy. In this study we verified these obstacles in early beginning of thrombolytic treatment. Materials and methods: In this cross sectional study, we investigated the patients with stroke attending Tehran Imam Hossain hospital from June 2010 to September 2011. The data including demographic features, financial status, previous medical history, and time interval were obtained using a questionnaire. The data was then analyzed in SPSS ver.18 applying Student�s t-tests and Chi-square. Results: Of 171 subjects, 151 were investigated. The mean age of the patients was 59.7 years and they were 97(64.2) male. The main barriers to delivery of thrombolytic therapy were losing the golden time (70.3), drug contraindication (20.9), absence of intensive care bed (5.4), and financial problems (3.4). The average time from patient arrival time in emergency department to the time of physician�s visit, performing brain CT scan, neurology consultation and making the final decision were 11, 112, 211 and 320 minutes, respectively. Conclusion: The main obstacle to timely initiation of thrombolytic therapy is delay in referral to the emergency department. Therefore, public education to promote public awareness could be of great benefit in reducing the referral delay time.

Item Type: Article
Uncontrolled Keywords: Stroke, time, thrombolytic therapy, obstacles
Depositing User: Unnamed user with email eprints@mazums.ac.ir
Date Deposited: 04 Jan 2018 19:17
Last Modified: 04 Jan 2018 19:17
URI: http://eprints.mazums.ac.ir/id/eprint/476

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