They still haven't addressed the 88% failure rate of tPA. Or the fact that the neuronal cascade of death continues even after tPA administration.
Big Whoopee.
Failure, failure, failure. More proof that no ones thinks in the stroke medical world.
http://medicalresearch.com/stroke/stroke_more_patients_getting_faster_treatment_fewer_complications/4932/
MedicalResearch.com: What are the main findings of the study?
Dr. Fonarow: This study examined data from
hospitals that have adopted the American Heart Association/ American
Stroke Association’s national quality initiative, Target: Stroke, which
aims to increase the number of stroke patients treated with
clot-busting drugs for ischemic stroke within 60 minutes or less after
hospital arrival. Initiated nationwide in 2010, Target: Stroke provided
10 key strategies as well as tools to facilitate timely tPA
administration, as well as additional approaches to improve stroke care
and outcome.
Data from 71,169 tPA-treated stroke patients at 1,030 hospitals
participating in Target: Stroke were analyzed to compared the time to
treatment and incidence of complications before implementation, from
2003 to 2009, to the post-implementation years, from 2010 to 2013.
This study found that the percentage of patients treated within the
recommended timeframe increased from less than one-third before Target:
Stroke to more than half afterwards. The Target: Stroke program goal of
50 percent or more of patients having door-to-needle times within 60
minutes was successfully achieved. In addition, the average time to
treatment dropped by 15 minutes, from 74 to 59 minutes.
Faster treatment was associated with lower rates of complications,
including death. Before Target: Stroke, 9.9% of stroke patients died in
the hospital, compared to 8.3% of patients treated after the initiative
started, a difference which was statistically significant. In addition,
patients treated by Target: Stroke strategies were less likely to
develop the complication of symptomatic intracranial hemorrhage.
More blather at the link.
Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 29,112 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke.DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER, BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.
What this blog is for:
My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.
Thursday, April 24, 2014
Stroke: More Patients Getting Faster Treatment, Fewer Complications
Labels:
big Whoopee,
cascade of death,
failure,
tPA
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