Curitiba acute ischemic stroke protocol: a university hospital and EMS initiative in a large Brazilian city
Autor(a) principal: | |
---|---|
Data de Publicação: | 2011 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Arquivos de neuro-psiquiatria (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2011000400006 |
Resumo: | Few healthcare centers in Brazil perform thrombolytic therapy for acute ischemic stroke (AIS) patients. OBJECTIVE: The aim of this study was to describe an interinstitutional protocol for the rapid identification and thrombolytic treatment of AIS patients at a public health hospital in a large Brazilian city. METHOD: Emergency medical services (EMS) personnel evaluated 433 patients with possible stroke during a six-month period. After a standard checklist, patients with suspected AIS and symptoms onset of less than two hours were evaluated at our University Hospital (UH). RESULTS: Sixty-five (15%) patients met the checklist criteria and had a symptom onset of less than two hours, but only 50 (11%) patients were evaluated at the UH. Among them, 35 (70%) patients had ischemic stroke, 10 (20%) had hemorrhagic stroke, and 5 (10%) had other diagnoses. Of the 35 ischemic stroke patients, 15 (43%) underwent IV thrombolysis. CONCLUSION: The present study demonstrated that trained EMS workers could help to improve the rate of thrombolytic treatment in large Brazilian cities. Permanent training programs for EMS and hospital staff, with quality control and correct identification of AIS patients, should be implemented to increase appropriate thrombolytic therapy rates in Brazil. |
id |
ABNEURO-1_cfbb255311cf6e5083903d99cd75cb06 |
---|---|
oai_identifier_str |
oai:scielo:S0004-282X2011000400006 |
network_acronym_str |
ABNEURO-1 |
network_name_str |
Arquivos de neuro-psiquiatria (Online) |
repository_id_str |
|
spelling |
Curitiba acute ischemic stroke protocol: a university hospital and EMS initiative in a large Brazilian cityacute ischemic strokethrombolytic therapyemergency medical servicesstroke therapyhospital managementFew healthcare centers in Brazil perform thrombolytic therapy for acute ischemic stroke (AIS) patients. OBJECTIVE: The aim of this study was to describe an interinstitutional protocol for the rapid identification and thrombolytic treatment of AIS patients at a public health hospital in a large Brazilian city. METHOD: Emergency medical services (EMS) personnel evaluated 433 patients with possible stroke during a six-month period. After a standard checklist, patients with suspected AIS and symptoms onset of less than two hours were evaluated at our University Hospital (UH). RESULTS: Sixty-five (15%) patients met the checklist criteria and had a symptom onset of less than two hours, but only 50 (11%) patients were evaluated at the UH. Among them, 35 (70%) patients had ischemic stroke, 10 (20%) had hemorrhagic stroke, and 5 (10%) had other diagnoses. Of the 35 ischemic stroke patients, 15 (43%) underwent IV thrombolysis. CONCLUSION: The present study demonstrated that trained EMS workers could help to improve the rate of thrombolytic treatment in large Brazilian cities. Permanent training programs for EMS and hospital staff, with quality control and correct identification of AIS patients, should be implemented to increase appropriate thrombolytic therapy rates in Brazil.Academia Brasileira de Neurologia - ABNEURO2011-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2011000400006Arquivos de Neuro-Psiquiatria v.69 n.3 2011reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/S0004-282X2011000400006info:eu-repo/semantics/openAccessLange,Marcos ChristianoZétola,Viviane FlumignanParolin,Monica F.Zamproni,Laura N.Fernandes,Artur F.Piovesan,Élcio JuliatoNóvak,Edison MatosWerneck,Lineu Césareng2012-07-19T00:00:00Zoai:scielo:S0004-282X2011000400006Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2012-07-19T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse |
dc.title.none.fl_str_mv |
Curitiba acute ischemic stroke protocol: a university hospital and EMS initiative in a large Brazilian city |
title |
Curitiba acute ischemic stroke protocol: a university hospital and EMS initiative in a large Brazilian city |
spellingShingle |
Curitiba acute ischemic stroke protocol: a university hospital and EMS initiative in a large Brazilian city Lange,Marcos Christiano acute ischemic stroke thrombolytic therapy emergency medical services stroke therapy hospital management |
title_short |
Curitiba acute ischemic stroke protocol: a university hospital and EMS initiative in a large Brazilian city |
title_full |
Curitiba acute ischemic stroke protocol: a university hospital and EMS initiative in a large Brazilian city |
title_fullStr |
Curitiba acute ischemic stroke protocol: a university hospital and EMS initiative in a large Brazilian city |
title_full_unstemmed |
Curitiba acute ischemic stroke protocol: a university hospital and EMS initiative in a large Brazilian city |
title_sort |
Curitiba acute ischemic stroke protocol: a university hospital and EMS initiative in a large Brazilian city |
author |
Lange,Marcos Christiano |
author_facet |
Lange,Marcos Christiano Zétola,Viviane Flumignan Parolin,Monica F. Zamproni,Laura N. Fernandes,Artur F. Piovesan,Élcio Juliato Nóvak,Edison Matos Werneck,Lineu César |
author_role |
author |
author2 |
Zétola,Viviane Flumignan Parolin,Monica F. Zamproni,Laura N. Fernandes,Artur F. Piovesan,Élcio Juliato Nóvak,Edison Matos Werneck,Lineu César |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Lange,Marcos Christiano Zétola,Viviane Flumignan Parolin,Monica F. Zamproni,Laura N. Fernandes,Artur F. Piovesan,Élcio Juliato Nóvak,Edison Matos Werneck,Lineu César |
dc.subject.por.fl_str_mv |
acute ischemic stroke thrombolytic therapy emergency medical services stroke therapy hospital management |
topic |
acute ischemic stroke thrombolytic therapy emergency medical services stroke therapy hospital management |
description |
Few healthcare centers in Brazil perform thrombolytic therapy for acute ischemic stroke (AIS) patients. OBJECTIVE: The aim of this study was to describe an interinstitutional protocol for the rapid identification and thrombolytic treatment of AIS patients at a public health hospital in a large Brazilian city. METHOD: Emergency medical services (EMS) personnel evaluated 433 patients with possible stroke during a six-month period. After a standard checklist, patients with suspected AIS and symptoms onset of less than two hours were evaluated at our University Hospital (UH). RESULTS: Sixty-five (15%) patients met the checklist criteria and had a symptom onset of less than two hours, but only 50 (11%) patients were evaluated at the UH. Among them, 35 (70%) patients had ischemic stroke, 10 (20%) had hemorrhagic stroke, and 5 (10%) had other diagnoses. Of the 35 ischemic stroke patients, 15 (43%) underwent IV thrombolysis. CONCLUSION: The present study demonstrated that trained EMS workers could help to improve the rate of thrombolytic treatment in large Brazilian cities. Permanent training programs for EMS and hospital staff, with quality control and correct identification of AIS patients, should be implemented to increase appropriate thrombolytic therapy rates in Brazil. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2011000400006 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2011000400006 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0004-282X2011000400006 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
dc.source.none.fl_str_mv |
Arquivos de Neuro-Psiquiatria v.69 n.3 2011 reponame:Arquivos de neuro-psiquiatria (Online) instname:Academia Brasileira de Neurologia instacron:ABNEURO |
instname_str |
Academia Brasileira de Neurologia |
instacron_str |
ABNEURO |
institution |
ABNEURO |
reponame_str |
Arquivos de neuro-psiquiatria (Online) |
collection |
Arquivos de neuro-psiquiatria (Online) |
repository.name.fl_str_mv |
Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologia |
repository.mail.fl_str_mv |
||revista.arquivos@abneuro.org |
_version_ |
1754212771069689856 |