Please use this identifier to cite or link to this item:
https://www.um.edu.mt/library/oar/handle/123456789/4375
Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Mallia, Maria | - |
dc.contributor.author | Borg, Denise | - |
dc.contributor.author | Aquilina, Josanne | - |
dc.date.accessioned | 2015-07-29T09:37:00Z | - |
dc.date.available | 2015-07-29T09:37:00Z | - |
dc.date.issued | 2015 | - |
dc.identifier.citation | Malta Medical Journal. 2015, Vol.27(1), p. 9-13 | en_GB |
dc.identifier.uri | https://www.um.edu.mt/library/oar//handle/123456789/4375 | - |
dc.description.abstract | Thrombolysis for acute ischaemic stroke was introduced locally in October 2010. In 2012, the practice was audited to analyse the prevalence of inclusion and exclusion criteria for thrombolysis. Data about the local incidence of stroke, demographics and outcome was also obtained. All patients admitted to Mater Dei Hospital with a diagnosis of stroke over an 8 month period were recruited. Standard data collection sheets were used to obtain data. 251 patients were admitted with a confirmed stroke over the 8-month period. The time of onset was recorded in only 37.4% of cases. All patients had CT scanning of the brain within 24 hours of presentation, of which 70% were performed within 3 hours. The commonest 5 reasons for which thrombolysis was withheld were: presentation beyond 3 hours of symptom onset (73.7%), age over 80 years (29.9%), hypertension (13.9%), haemorrhagic stroke (13.1%) and minor deficit or rapid improvement (8.4%). Overall, only 4 patients (1.59%) were eligible for thrombolysis in our cohort, all of whom received the treatment. The study identified late presentation to A&E as the commonest exclusion criterion for thrombolysis. This prompted the launch of a stroke awareness ‘Act FAST’ campaign and increasing efforts to educate general practitioners to refer patients with acute stroke immediately. In addition, stroke pathway booklets were reviewed and simplified to increase their use. Since July 2013, the time window has been widened to 4.5 hours in accordance with international guidelines. Ongoing audit of thrombolysis is being carried out. | en_GB |
dc.language.iso | en | en_GB |
dc.publisher | Malta Medical Journal | en_GB |
dc.rights | info:eu-repo/semantics/openAccess | en_GB |
dc.subject | Thrombolytic therapy -- Malta | en_GB |
dc.subject | Stroke -- Malta | en_GB |
dc.title | Auditing thrombolysis service for stroke at Mater Dei Hospital | en_GB |
dc.type | article | en_GB |
dc.rights.holder | The copyright of this work belongs to the author(s)/publisher. The rights of this work are as defined by the appropriate Copyright Legislation or as modified by any successive legislation. Users may access this work and can make use of the information contained in accordance with the Copyright Legislation provided that the author must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the prior permission of the copyright holder. | en_GB |
dc.description.reviewed | peer-reviewed | en_GB |
dc.contributor.author2 | Micallef, Daniel (2015) | - |
Appears in Collections: | MMJ, Volume 27, Issue 1 MMJ, Volume 27, Issue 1 Scholarly Works - FacM&SMed |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
Auditing thrombolysis service for stroke.pdf | 1.41 MB | Adobe PDF | View/Open |
Items in OAR@UM are protected by copyright, with all rights reserved, unless otherwise indicated.