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 FieldValueLanguage
dc.contributor.authorMallia, Maria-
dc.contributor.authorBorg, Denise-
dc.contributor.authorAquilina, Josanne-
dc.date.accessioned2015-07-29T09:37:00Z-
dc.date.available2015-07-29T09:37:00Z-
dc.date.issued2015-
dc.identifier.citationMalta Medical Journal. 2015, Vol.27(1), p. 9-13en_GB
dc.identifier.urihttps://www.um.edu.mt/library/oar//handle/123456789/4375-
dc.description.abstractThrombolysis 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.isoenen_GB
dc.publisherMalta Medical Journalen_GB
dc.rightsinfo:eu-repo/semantics/openAccessen_GB
dc.subjectThrombolytic therapy -- Maltaen_GB
dc.subjectStroke -- Maltaen_GB
dc.titleAuditing thrombolysis service for stroke at Mater Dei Hospitalen_GB
dc.typearticleen_GB
dc.rights.holderThe 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.reviewedpeer-revieweden_GB
dc.contributor.author2Micallef, 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 SizeFormat 
Auditing thrombolysis service for stroke.pdf1.41 MBAdobe PDFView/Open


Items in OAR@UM are protected by copyright, with all rights reserved, unless otherwise indicated.