VOLUME

THE SUCCESS OF STROKE FAST TRACK AT BANGKOK HOSPITAL MEDICAL CENTER: 5 YEARS’ EXPERIENCE

SEPTEMBER 2013 - VOL.6 | ORIGINAL ARTICLE

OBJECTIVE:

To study the outcomes of intravenous recombinant tissue plasminogen activator (rt-PA) therapy in acute ischemic stroke patients at Bangkok Hospital Medical Center (BMC).

MATERIALS AND METHODS:

A retrospective review was performed on acute ischemic stroke patients who arrived at the hospital within three hours of symptom onset and entered the stroke pathway, from 2008 to 2012. The success of the stroke fast track was determined using the National Institute of Health Stroke Scale (NIHSS), Barthel Index (BI), and modified Rankin Scale (mRS) scores.

RESULTS:

All 1,548 patients were enrolled in the stroke pathway at BMC from 2008 to 2012. There were 182 acute ischemic stroke patients who arrived at the hospital within 3 hours from the onset of symptoms, and 25 of them were eligible for intravenous rt-PA therapy. The patients who received rt-PA therapy demonstrated a significant reduction in NIHSS and mRS scores, as well as a significant increase in BI scores on the discharge day (p < 0.01).

CONCLUSION:

Our data suggests favorable clinical outcomes in acute ischemic stroke patients who received rt-PA therapy, as well as the success of the stroke pathway administration system at BMC.

Keywords

stroke fast track, acute stroke treatment, rt-PA, outcomes of intravenous thrombolysis

DOI

10.31524/bkkmedj.2013.09.005

MEDIA

Table 1: Characteristics of patients enrolled in the Stroke Pathway (n = 1,548).

Table 2: Indicators of intravenous rt-PA administration for patients enrolled to Stroke Fast Track.

Table 3: Clinical outcome measurement using Paired t-test.

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