Demand your hospital and the Joint Commission push this out to all hospitals that treat strokes.
Start screaming
bloody murder, its bad enough that tPA doesn't work that well but to not even get it to more than 5% is negligent.
http://pharmalive.com/News/index.cfm?articleid=857787&categoryid=15
Researchers at the University of Geneva (UNIGE), in collaboration
with UK company Proteome Sciences plc (PS) describe a simple blood test
that could substantially increase the number of patients eligible for
highly effective ischaemic stroke therapy in a landmark paper “Blood
Glutathione S-Transferase- (GSTP) as a Time Indicator of Stroke Onset”,
published today in the journal PLoS ONE
(http://dx.plos.org/10.1371/journal.pone.0043830).
Ischaemic stroke (which accounts for around 85% of strokes) can only
be treated effectively with the ‘clot busting’ drug, rt-PA, if
administered within a time window of up to 4.5 hours after symptoms
start in the UK (up to 3 hours in the US). Approximately 35% of stroke
victims are currently ineligible for treatment with
rt-PA as they do not know the time of onset because the stroke occurs
during sleep or the onset symptoms may not have been obvious. This blood
test enables doctors to determine the time window in which a stroke has
occurred and could give many of these individuals access to this
crucial treatment.
The University of Geneva study reports the outcome of a long-running
trial of 29 blood proteins that Proteome Sciences and its partners have
previously identified as early markers of brain damage associated with
stroke. In particular, the authors sought to identify readily available
protein markers that help establish the time of onset of the stroke as
an aid to select appropriate thrombolytic treatment. This will be
particularly useful in cases where patients do not know when the stroke
occurred. One protein, GSTP, showed an almost instantaneous increase in
the blood of stroke patients, peaking at 3 hours after onset and
returning to normal levels within approximately 6 hours.
Extrapolating the results of this study retrospectively across 555
patients who were admitted to the Geneva Hospital in 2006/7 with
suspected stroke, but who did not know when their stroke symptoms
started,
indicates that testing for GSTP on all suspected stroke victims
at admission, or preferably during initial assessment during transport
to the hospital, could result in as many as five times more people being
eligible for the highly effective rt-PA treatment for ischaemic stroke.
Leader of the study, Prof. Jean-Charles Sanchez, said: “This is a
major step towards improving the management of ischaemic stroke patients
using the drugs that we already have available. A simple blood test
that matches the therapeutic window of rt-PA is a major advance that we
encourage clinicians, pharmaceutical and diagnostics companies to unite
to rapidly bring this into routine practice to improve patient
outcomes.”
Dr Peter Coleman, Deputy Director of Research at The Stroke
Association said: "When a stroke strikes time lost is brain lost,
meaning that getting to hospital and receiving treatment quickly is
absolutely essential. At the moment, suspected stroke patients should
receive a brain scan as soon as possible to confirm which type of stroke
they have had and determine the best treatment for them.
"A test such as this which could be used to quickly diagnose a
stroke, possibly before a patient arrives at hospital, could speed up
the treatment process and potentially improve outcomes. Stroke
Association welcomes new technologies that can speed up diagnosis or
improve diagnostic accuracy for people with a suspected stroke."
Dr. Ian Pike, Chief Operating Officer of Proteome Sciences, noted:
“With a potential five-fold increase in the number of patients having
access to the most effective form of ischaemic stroke treatment, this
simple blood test will most importantly make the recovery time shorter
and reduce the level of resulting disability for substantial numbers of
stroke victims previously ineligible for drug therapy, whilst
significantly reducing the cost of long term treatment and care.
“Following our license with Randox to develop a stroke test earlier
this year, we expect to complete additional licenses with both
diagnostic and pharmaceutical companies to ensure the technology is
developed as quickly as possible to be used as a diagnostic tool for the
use of rt-PA as a treatment.”
Dr. Alan Cookson, Licensing Officer from of UNIGE’s Technology
Transfer Office UNITEC, commented “This breakthrough has been made
possible through effective academic-industry partnership and provides an
opportunity for utilization of innovation to secure both commercial
value and potentially life-changing patient care benefits.”