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Thrombolytic Therapy Rates and Stroke Severity: An Analysis of Data From the Swedish Stroke Register (Riks-Stroke) 2007-2010.

Stecksén, Anna; Asplund, Kjell; Appelros, Peter; Glader, Eva-Lotta; Norrving, Bo LU and Eriksson, Marie (2012) In Stroke: a journal of cerebral circulation 43(2). p.536-538
Abstract
BACKGROUND AND PURPOSE: We tested the hypothesis that higher proportions of patients with minor stroke being treated with thrombolysis contribute to increasing overall rates of thrombolysis. METHODS: We included 1743 ischemic stroke patients (age 18-80 years) treated with thrombolysis, recorded in the Swedish stroke register Riks-Stroke between 2007 and 2010. Minor stroke was defined as National Institutes of Health Stroke Scale score ≤5. RESULTS: The proportion with minor stroke among patients treated with thrombolysis increased from 22.1% in 2007 to 28.7% in 2010 (P=0.021). The rate of increase did not differ significantly between men and women, age groups, or hospital types (university hospitals, other large hospitals, or community... (More)
BACKGROUND AND PURPOSE: We tested the hypothesis that higher proportions of patients with minor stroke being treated with thrombolysis contribute to increasing overall rates of thrombolysis. METHODS: We included 1743 ischemic stroke patients (age 18-80 years) treated with thrombolysis, recorded in the Swedish stroke register Riks-Stroke between 2007 and 2010. Minor stroke was defined as National Institutes of Health Stroke Scale score ≤5. RESULTS: The proportion with minor stroke among patients treated with thrombolysis increased from 22.1% in 2007 to 28.7% in 2010 (P=0.021). The rate of increase did not differ significantly between men and women, age groups, or hospital types (university hospitals, other large hospitals, or community hospitals). Hospitals with high proportions of thrombolysis patients with minor stroke were more likely to have high thrombolysis frequencies (R=0.55; P<0.001). CONCLUSIONS: In recent years, an increase in the proportion of patients with minor stroke treated with thrombolysis has contributed to rising overall thrombolysis rates in Sweden. At the hospital level, high rates of thrombolysis are associated with a high proportion of minor stroke being treated. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
thrombolysis, acute ischemic stroke, rtPA, implementation, stroke, severity
in
Stroke: a journal of cerebral circulation
volume
43
issue
2
pages
536 - 538
publisher
American Heart Association
external identifiers
  • wos:000299798300043
  • pmid:21980204
  • scopus:84856465264
ISSN
1524-4628
DOI
10.1161/STROKEAHA.111.630590
language
English
LU publication?
yes
id
c9a2acf9-c988-45a9-b99c-d127aa0b8c55 (old id 2200751)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/21980204?dopt=Abstract
date added to LUP
2011-11-02 08:26:00
date last changed
2017-10-22 04:03:42
@article{c9a2acf9-c988-45a9-b99c-d127aa0b8c55,
  abstract     = {BACKGROUND AND PURPOSE: We tested the hypothesis that higher proportions of patients with minor stroke being treated with thrombolysis contribute to increasing overall rates of thrombolysis. METHODS: We included 1743 ischemic stroke patients (age 18-80 years) treated with thrombolysis, recorded in the Swedish stroke register Riks-Stroke between 2007 and 2010. Minor stroke was defined as National Institutes of Health Stroke Scale score ≤5. RESULTS: The proportion with minor stroke among patients treated with thrombolysis increased from 22.1% in 2007 to 28.7% in 2010 (P=0.021). The rate of increase did not differ significantly between men and women, age groups, or hospital types (university hospitals, other large hospitals, or community hospitals). Hospitals with high proportions of thrombolysis patients with minor stroke were more likely to have high thrombolysis frequencies (R=0.55; P&lt;0.001). CONCLUSIONS: In recent years, an increase in the proportion of patients with minor stroke treated with thrombolysis has contributed to rising overall thrombolysis rates in Sweden. At the hospital level, high rates of thrombolysis are associated with a high proportion of minor stroke being treated.},
  author       = {Stecksén, Anna and Asplund, Kjell and Appelros, Peter and Glader, Eva-Lotta and Norrving, Bo and Eriksson, Marie},
  issn         = {1524-4628},
  keyword      = {thrombolysis,acute ischemic stroke,rtPA,implementation,stroke,severity},
  language     = {eng},
  number       = {2},
  pages        = {536--538},
  publisher    = {American Heart Association},
  series       = { Stroke: a journal of cerebral circulation},
  title        = {Thrombolytic Therapy Rates and Stroke Severity: An Analysis of Data From the Swedish Stroke Register (Riks-Stroke) 2007-2010.},
  url          = {http://dx.doi.org/10.1161/STROKEAHA.111.630590},
  volume       = {43},
  year         = {2012},
}