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10.1016/j.jstrokecerebrovasdis.2014.03.024 http://scihub22266oqcxt.onion/10.1016/j.jstrokecerebrovasdis.2014.03.024 C4157964!4157964 !25113084     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=25113084 &cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215       J+Stroke+Cerebrovasc+Dis 2014 ; 23 (8 ): 2130-2138 Nephropedia Template TP {{tp|p=25113084 |t=2014. Intravenous fibrinolysis eligibility: a survey of stroke clinicians practice patterns and review of the literature |pdf=|usr=}}{{25113084 }} gab.com Text Intravenous fibrinolysis eligibility: a survey of stroke clinicians practice patterns and review of the literature JO: J Stroke Cerebrovasc Dis http://www.kidney.de/pget.php?&tw=1&pmid=25113084 #FOAvip BACKGROUND: The indications and contraindications for intravenous (IV) recombinant tissue plasminogen activator (rtPA) use in ischemic stroke can be confusing to the practicing neurologist. Here we seek to describe practice patterns regarding decision-making among US stroke clinicians. METHODS: Stroke clinicians (attending and fellow) from the 8 National Institutes of Health SPOTRIAS (Specialized Programs of Translational Research in Acute Stroke) centers were asked to complete a survey ahead of the 2012 SPOTRIAS Investigators' meeting. RESULTS: A total of 51 surveys were collected (71% response rate). Most of the responders were attending physicians (68%). Only 18% of clinicians reported strictly adhering to current American Heart Association guidelines for treatment within 3 hours from symptom onset; this increased to 51% for the European Cooperative Acute Stroke Study (ECASS) III criteria in the 3 to 4.5 hours time frame. All clinicians treat eligible patients in the 3 to 4.5 hours time frame. The great majority will recommend rtPA in the following scenarios: (1) elderly individuals irrespective of age (97%); (2) severe stroke irrespective of National Institutes of Health Stroke Scale (NIHSS) (95%); or (3) suspected stroke with seizures at symptom onset (91%). None recommended rtPA in the setting of an international normalized ratio >1.7. Most clinicians defined mild strokes as an exclusion based on the perceived disability of the deficit (80%) rather than on a specific NIHSS threshold. CONCLUSIONS: Most surveyed stroke clinicians seem to find that the current IV rtPA eligibility criteria for the 3-hour time frame too restrictive. All would recommend rtPA to eligible patients in the 3 to 4.5 hours time frame despite the absence of an U.S. Food and Drug Administration (FDA)-approved indication. Twit Text FOAVip Intravenous fibrinolysis eligibility: a survey of stroke clinicians practice patterns and review of the literature ????J Stroke Cerebrovasc Dis http://www.kidney.de/pget.php?&tw=1&pmid=25113084 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=25113084 #FOAvip English Wikipedia <ref>{{Cite pmid|25113084 }}</ref> Intravenous fibrinolysis eligibility: a survey of stroke clinicians practice patterns and review of the literature #MMPMID25113084 De Los Rios F ; Kleindorfer DO ; Guzik A ; Ortega-Gutierrez S ; Sangha N ; Kumar G ; Grotta JC ; Lee JM ; Meyer BC ; Schwamm LH ; Khatri P J Stroke Cerebrovasc Dis 2014[Sep]; 23 (8 ): 2130-2138 PMID25113084 show ga BACKGROUND: The indications and contraindications for intravenous (IV) recombinant tissue plasminogen activator (rtPA) use in ischemic stroke can be confusing to the practicing neurologist. Here we seek to describe practice patterns regarding decision-making among US stroke clinicians. METHODS: Stroke clinicians (attending and fellow) from the 8 National Institutes of Health SPOTRIAS (Specialized Programs of Translational Research in Acute Stroke) centers were asked to complete a survey ahead of the 2012 SPOTRIAS Investigators' meeting. RESULTS: A total of 51 surveys were collected (71% response rate). Most of the responders were attending physicians (68%). Only 18% of clinicians reported strictly adhering to current American Heart Association guidelines for treatment within 3 hours from symptom onset; this increased to 51% for the European Cooperative Acute Stroke Study (ECASS) III criteria in the 3 to 4.5 hours time frame. All clinicians treat eligible patients in the 3 to 4.5 hours time frame. The great majority will recommend rtPA in the following scenarios: (1) elderly individuals irrespective of age (97%); (2) severe stroke irrespective of National Institutes of Health Stroke Scale (NIHSS) (95%); or (3) suspected stroke with seizures at symptom onset (91%). None recommended rtPA in the setting of an international normalized ratio >1.7. Most clinicians defined mild strokes as an exclusion based on the perceived disability of the deficit (80%) rather than on a specific NIHSS threshold. CONCLUSIONS: Most surveyed stroke clinicians seem to find that the current IV rtPA eligibility criteria for the 3-hour time frame too restrictive. All would recommend rtPA to eligible patients in the 3 to 4.5 hours time frame despite the absence of an U.S. Food and Drug Administration (FDA)-approved indication. |Aged [MESH] |Aged, 80 and over [MESH] |Aging/*drug effects [MESH] |Data Collection [MESH] |Eligibility Determination/*standards/statistics & numerical data [MESH] |Female [MESH] |Fibrinolytic Agents/administration & dosage/*therapeutic use [MESH] |Humans [MESH] |Male [MESH] |Middle Aged [MESH] |Physicians [MESH] |Practice Patterns, Physicians'/*standards [MESH] |Recombinant Proteins/administration & dosage/therapeutic use [MESH] |Review Literature as Topic [MESH] |Stroke/*drug therapy [MESH] |Thrombolytic Therapy/methods/*standards [MESH] |Time Factors [MESH] |Tissue Plasminogen Activator/administration & dosage/therapeutic use [MESH]Intravenous fibrinolysis eligibility: a survey of stroke clinicians p(epmc).pdf DeepDyve Pubget Overpricing