Physicians are not well informed about the new guidelines for the treatment of acute stroke
Autor(a) principal: | |
---|---|
Data de Publicação: | 2017 |
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=S0004-282X2017001000718 |
Resumo: | ABSTRACT Treatment of cerebrovascular disease has advanced rapidly in the last two decades. Recent data has added challenges to the treatment of ischemic stroke in the acute phase. Objective: To evaluate the knowledge of physicians about the treatment of ischemic stroke in the acute phase. Methods: An online questionnaire was submitted to all physicians enrolled in the Regional Council of Medicine in Brazil. Results: 456 physicians from different specialties answered the questions. Most of them did not know that mechanical endovascular thrombectomy is often considered as the gold standard treatment in cases of ischemic stroke in the acute phase; and 85% of them did not realize that thrombectomy together with intravenous thrombolysis was possible. The maximum time to act in an acute event also presented many divergences, even with regard to the infusion of rtPA. The lack of structure, medication and absence of a neurologist were considered the main barriers to treatment. Conclusion: Physicians are not well informed about the new guidelines for the treatment of acute stroke. Most physicians incorrectly answered most of the questions on the questionnaire. |
id |
ABNEURO-1_69c5a16eb8fd1401d3ec43c515c34de2 |
---|---|
oai_identifier_str |
oai:scielo:S0004-282X2017001000718 |
network_acronym_str |
ABNEURO-1 |
network_name_str |
Arquivos de neuro-psiquiatria (Online) |
repository_id_str |
|
spelling |
Physicians are not well informed about the new guidelines for the treatment of acute strokestrokemechanical thrombolysisthrombectomyintracranial hemorrhagesthrombolytic therapyfibrinolysisABSTRACT Treatment of cerebrovascular disease has advanced rapidly in the last two decades. Recent data has added challenges to the treatment of ischemic stroke in the acute phase. Objective: To evaluate the knowledge of physicians about the treatment of ischemic stroke in the acute phase. Methods: An online questionnaire was submitted to all physicians enrolled in the Regional Council of Medicine in Brazil. Results: 456 physicians from different specialties answered the questions. Most of them did not know that mechanical endovascular thrombectomy is often considered as the gold standard treatment in cases of ischemic stroke in the acute phase; and 85% of them did not realize that thrombectomy together with intravenous thrombolysis was possible. The maximum time to act in an acute event also presented many divergences, even with regard to the infusion of rtPA. The lack of structure, medication and absence of a neurologist were considered the main barriers to treatment. Conclusion: Physicians are not well informed about the new guidelines for the treatment of acute stroke. Most physicians incorrectly answered most of the questions on the questionnaire.Academia Brasileira de Neurologia - ABNEURO2017-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2017001000718Arquivos de Neuro-Psiquiatria v.75 n.10 2017reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/0004-282x20170122info:eu-repo/semantics/openAccessGatto,Luana Antunes MaranhaKoppe,Gelson LuisDemartini Junior,ZeferinoZétola,Viviane de Hiroki Flumignaneng2018-04-02T00:00:00Zoai:scielo:S0004-282X2017001000718Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2018-04-02T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse |
dc.title.none.fl_str_mv |
Physicians are not well informed about the new guidelines for the treatment of acute stroke |
title |
Physicians are not well informed about the new guidelines for the treatment of acute stroke |
spellingShingle |
Physicians are not well informed about the new guidelines for the treatment of acute stroke Gatto,Luana Antunes Maranha stroke mechanical thrombolysis thrombectomy intracranial hemorrhages thrombolytic therapy fibrinolysis |
title_short |
Physicians are not well informed about the new guidelines for the treatment of acute stroke |
title_full |
Physicians are not well informed about the new guidelines for the treatment of acute stroke |
title_fullStr |
Physicians are not well informed about the new guidelines for the treatment of acute stroke |
title_full_unstemmed |
Physicians are not well informed about the new guidelines for the treatment of acute stroke |
title_sort |
Physicians are not well informed about the new guidelines for the treatment of acute stroke |
author |
Gatto,Luana Antunes Maranha |
author_facet |
Gatto,Luana Antunes Maranha Koppe,Gelson Luis Demartini Junior,Zeferino Zétola,Viviane de Hiroki Flumignan |
author_role |
author |
author2 |
Koppe,Gelson Luis Demartini Junior,Zeferino Zétola,Viviane de Hiroki Flumignan |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Gatto,Luana Antunes Maranha Koppe,Gelson Luis Demartini Junior,Zeferino Zétola,Viviane de Hiroki Flumignan |
dc.subject.por.fl_str_mv |
stroke mechanical thrombolysis thrombectomy intracranial hemorrhages thrombolytic therapy fibrinolysis |
topic |
stroke mechanical thrombolysis thrombectomy intracranial hemorrhages thrombolytic therapy fibrinolysis |
description |
ABSTRACT Treatment of cerebrovascular disease has advanced rapidly in the last two decades. Recent data has added challenges to the treatment of ischemic stroke in the acute phase. Objective: To evaluate the knowledge of physicians about the treatment of ischemic stroke in the acute phase. Methods: An online questionnaire was submitted to all physicians enrolled in the Regional Council of Medicine in Brazil. Results: 456 physicians from different specialties answered the questions. Most of them did not know that mechanical endovascular thrombectomy is often considered as the gold standard treatment in cases of ischemic stroke in the acute phase; and 85% of them did not realize that thrombectomy together with intravenous thrombolysis was possible. The maximum time to act in an acute event also presented many divergences, even with regard to the infusion of rtPA. The lack of structure, medication and absence of a neurologist were considered the main barriers to treatment. Conclusion: Physicians are not well informed about the new guidelines for the treatment of acute stroke. Most physicians incorrectly answered most of the questions on the questionnaire. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-10-01 |
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=S0004-282X2017001000718 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2017001000718 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0004-282x20170122 |
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.75 n.10 2017 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_ |
1754212783022407680 |