Artículos de revistas
Intravenous thrombolysis for ischemic stroke. Experience in 54 patients Trombolisis intravenosa en accidente cerebro vascular isquémico agudo en un hospital público de Chile: Análisis prospectivo de 54 casos
Fecha
2016Registro en:
Revista Medica de Chile, Volumen 144, Issue 4, 2018, Pages 442-450
07176163
00349887
10.4067/S0034-98872016000400004
Autor
Guevara O, Carlos
Bulatova, Kateryna
Aravena, Felipe
Caba, Sheila
Monsalve, Juan
Lara, Hugo
Nieto, Elena
Navarrete, Isabel
Morales, Marcelo
Institución
Resumen
© 2016, Sociedad Medica de Santiago. All Rights Reserved. Background: Intravenous thrombolysis with recombinant tissue plasminogen activator (rt-PA) reduces disability in patients with ischemic stroke. However, its implementation in Chilean public general hospitals has been slow and faces some difficulties. Aim: To analyze the results of an intravenous thrombolysis protocol implementation in a public general hospital. Material and Methods: During a lapse of 28 months a standardized protocol for intravenous thrombolysis implemented in the emergency room of a public hospital, was prospectively evaluated. Fifty four patients with ischemic stroke were treated and assessed three months later as outpatients. Results: At three months of follow-up, 66.4% of patients subjected to thrombolysis had a favorable evolution, defined as having 0 to 1 points in the modified Rankin scale. Intracerebral hemorrhage rate was 11.1%, including 5.5% of symptomatic intracerebral hemorrhage. Four percent of pat