AI Article Synopsis
- The study assesses emergency physicians' attitudes and knowledge regarding intravenous t-PA for treating acute ischemic stroke, highlighting the importance of teamwork with stroke neurologists.
- Approximately 100 emergency physicians participated in a survey, revealing that only 48% believed in the effectiveness of t-PA, while a significant portion (87%) opposing it cited concerns about hemorrhage risk.
- The findings indicate a need for better collaboration between emergency departments and stroke neurology teams to increase t-PA endorsement among physicians.
Article Abstract
Background: The 3-hour window for treating stroke with intravenous tissue plasminogen activator (t-PA) requires well-organized, integrated efforts by emergency physicians and stroke neurologists.
Objective: To evaluate attitudes and knowledge of emergency physicians about intravenous t-PA for acute ischemic stroke, particularly in primary stroke centers (PSCs) with stroke neurology teams.
Methods: A 15-question pilot Internet survey administered by the Arizona College of Emergency Physicians.
Results: Between March and August 2005, 100 emergency physicians responded: 71 in Arizona and 29 in Missouri. Forty-eight percent practiced at PSCs; 48% thought t-PA was effective, 20% did not, and 32% were uncertain. PSC or non-PSC location of practice did not influence endorsement (odds ratio, 0.96; 95% confidence interval, 0.27-1.64). Of those opposing t-PA, 87% cited risk of hemorrhage.
Conclusions: Most emergency physicians did not endorse t-PA. Improved collaboration between emergency physicians and stroke neurologists is needed.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3676339 | PMC |
| http://dx.doi.org/10.4137/jcnsd.s2231 | DOI Listing |
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