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Longer treatment delays, worse outcomes for in-hospital ischemic stroke


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Journal
JAMA Neurology
Reuters Health - 22/09/2020 - Times to reperfusion are longer and functional outcomes worse for patients with in-hospital ischemic stroke, compared with those having out-of-hospital stroke, according to a registry study. "Hospitals that have acknowledged the importance and morbidity of inpatient strokes have developed and practiced inpatient stroke protocols, minimizing the disparities in treatment," Dr. Feras Akbik of Emory University Hospital, in Atlanta, told Reuters Health by email. "Our data demonstrate that these protocols are clearly not developed and/or practiced in a significant percentage of hospitals nationally." An estimated 2.2% to 10.8% of all acute ischemic strokes take place in hospitals. Limited national data suggest that inpatients are less likely than outpatients to be treated with intravenous thrombolysis (IVT), but there have been no national data on the use of endovascular therapy (EVT) in patients with in-hospital stroke, Dr. Akbik and colleag...


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