Wednesday, July 3, 2013

Prehospital Triage Policy for Suspected Stroke Ups tPA Use

But who cares if the process works better?  What are the facts, less deaths? less disability? If we don't complain about puff pieces like this we will never get real changes in our care. Thats why survivors need to be in charge.
The stupidity of it all. Gaw!!! 
http://www.empr.com/prehospital-triage-policy-for-suspected-stroke-ups-tpa-use/article/301422/#
One paragraph, rest at link.

In the pre- and post-triage periods, the researchers identified 1,075 and 1,172 stroke and transient ischemic attack admissions, respectively. After implementation of the policy, there were significant increases in the use of emergency medical services and emergency medical services prenotification, compared with the pre-triage period. The rates of IV tPA use increased significantly, from 3.8 to 10.1% pre- and post-triage, respectively. Onset-to-treatment times decreased significantly, from 171.7 minutes in the pre-triage period to 145.7 minutes in the post-triage period. For patients with ischemic stroke presenting through the emergency department, the post-triage period was independently associated with increased tPA use, after adjustment for mode of arrival, prehospital notification, and onset-to-arrival time (adjusted odds ratio, 2.21).

No comments:

Post a Comment