Stroke Thrombolysis in a Centralized and a Decentralized System (Helsinki and Telemedical Project for Integrative Stroke Care Network)
Author(s) -
G. Hubert,
Atte Meretoja,
Heinrich J. Audebert,
Turgut Tatlisumak,
Florian Zeman,
Sandra Boy,
Roman L. Haberl,
Markku Kaste,
Peter Müller-Barna
Publication year - 2016
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/strokeaha.116.014258
Subject(s) - medicine , interquartile range , thrombolysis , stroke (engine) , emergency medicine , telemedicine , tissue plasminogen activator , ischemic stroke , fibrinolytic agent , health care , ischemia , myocardial infarction , mechanical engineering , engineering , economics , economic growth
Intravenous thrombolysis with tissue-type plasminogen activator (tPA) for acute ischemic stroke is more effective when delivered early. Timely delivery is challenging particularly in rural areas with long distances. We compared delays and treatment rates of a large, decentralized telemedicine-based system and a well-organized, large, centralized single-hospital system.
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