Barriers to administering intravenous tissue plasminogen activator (tPA) for acute ischemic stroke in the emergency department: A cross-sectional survey of stroke centers

Highlights • We distributed a survey to stroke coordinators from different stroke centers. • We identified practice patterns in IV tPA administration for acute stroke. • Special attention was paid to clinical pharmacy and nursing staff. • Practices and perceived barriers varied widely between differ...

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Veröffentlicht in:	Clinical neurology and neurosurgery 2015-08, Vol.135, p.79-84
Hauptverfasser:	Hargis, Mitch, Shah, Jharna N, Mazabob, Janine, Rao, Chethan Venkatasubba, Suarez, Jose I, Bershad, Eric M
Format:	Artikel
Sprache:	eng
Schlagworte:	Acute ischemic stroke Administration, Intravenous Barriers Blood pressure Brain Ischemia - complications Brain Ischemia - drug therapy Consent Cross-Sectional Studies Drug stores Emergency department Emergency medical care Emergency Medicine Emergency Service, Hospital Fibrinolytic Agents - therapeutic use Hospitals Hospitals, Special Humans IV tPA Neurology Neuroscience Nursing Neurosurgery Nursing Patient Care Team Pharmacists Pharmacy Service, Hospital Stroke Stroke - drug therapy Stroke - etiology Stroke centers Thrombolytic Therapy - methods Time-to-Treatment Tissue Plasminogen Activator - therapeutic use
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Beschreibung
Zusammenfassung:	Highlights • We distributed a survey to stroke coordinators from different stroke centers. • We identified practice patterns in IV tPA administration for acute stroke. • Special attention was paid to clinical pharmacy and nursing staff. • Practices and perceived barriers varied widely between different stroke centers.
ISSN:	0303-8467 1872-6968
DOI:	10.1016/j.clineuro.2015.04.027