Variation in Clinical Practice of Intravenous Thrombolysis in Stroke in the Netherlands

In the Netherlands in 2010, 11% of patients with ischemic stroke received intravenous thrombolysis (IVT), varying from 4 to 26% between hospitals. The aim of this study was to investigate variation in clinical practice and organization of IVT in relationship to performance and outcome. In all 84 Dut...

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Detalles Bibliográficos
Autores principales: Bauer, Auke, Limburg, Martien, Visser, Marieke Christine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2013
Materias:
Stroke Note
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3656670/
https://www.ncbi.nlm.nih.gov/pubmed/23687504
http://dx.doi.org/10.1159/000350707
Descripción
Sumario:In the Netherlands in 2010, 11% of patients with ischemic stroke received intravenous thrombolysis (IVT), varying from 4 to 26% between hospitals. The aim of this study was to investigate variation in clinical practice and organization of IVT in relationship to performance and outcome. In all 84 Dutch hospitals performing IVT, a stroke neurologist was approached using a web-based survey. The response rate was 82%. The study showed considerable variation. For example, door-to-needle time ranged from 25 to 80 min. High blood pressure was actively lowered before performing IVT by 57% of neurologists, while 35% chose to wait. 28% started IVT without knowledge of laboratory results. Better follow-up data are needed to see whether this variation results in differences in outcome.

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