Detriments of tPA for acute stroke in routine clinical practice

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Detriments of tPA for acute stroke in routine clinical practice
PRACTICE RECOMMENDATIONS

Under optimal conditions, tissue plasminogen activator (tPA) may be a viable option for treatment of acute ischemic stroke; however, this study showed that protocol is not adhered to in practice and that these protocol deviations are associated with increased mortality and other adverse events. Based on these findings, tPA should not be used in routine clinical practice to treat acute stroke until individual hospitals develop protocols to guarantee the medication’s appropriate use.

 
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Practice Recommendations from Key Studies

Bravata DM, Kim N, Concato J, Krumholz HM, Brass LM. Thrombolysis for acute stroke in routine clinical practice. Arch Intern Med 2002; 162:1994–2001.

Barbara L. Novak, PharmD
Rex W. Force, PharmD
Department of Family Medicine, Idaho State University Pocatello

[email protected]

Issue
The Journal of Family Practice - 52(2)
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Page Number
94-117
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Author and Disclosure Information

Practice Recommendations from Key Studies

Bravata DM, Kim N, Concato J, Krumholz HM, Brass LM. Thrombolysis for acute stroke in routine clinical practice. Arch Intern Med 2002; 162:1994–2001.

Barbara L. Novak, PharmD
Rex W. Force, PharmD
Department of Family Medicine, Idaho State University Pocatello

[email protected]

Author and Disclosure Information

Practice Recommendations from Key Studies

Bravata DM, Kim N, Concato J, Krumholz HM, Brass LM. Thrombolysis for acute stroke in routine clinical practice. Arch Intern Med 2002; 162:1994–2001.

Barbara L. Novak, PharmD
Rex W. Force, PharmD
Department of Family Medicine, Idaho State University Pocatello

[email protected]

Article PDF
Article PDF
PRACTICE RECOMMENDATIONS

Under optimal conditions, tissue plasminogen activator (tPA) may be a viable option for treatment of acute ischemic stroke; however, this study showed that protocol is not adhered to in practice and that these protocol deviations are associated with increased mortality and other adverse events. Based on these findings, tPA should not be used in routine clinical practice to treat acute stroke until individual hospitals develop protocols to guarantee the medication’s appropriate use.

 
PRACTICE RECOMMENDATIONS

Under optimal conditions, tissue plasminogen activator (tPA) may be a viable option for treatment of acute ischemic stroke; however, this study showed that protocol is not adhered to in practice and that these protocol deviations are associated with increased mortality and other adverse events. Based on these findings, tPA should not be used in routine clinical practice to treat acute stroke until individual hospitals develop protocols to guarantee the medication’s appropriate use.

 
Issue
The Journal of Family Practice - 52(2)
Issue
The Journal of Family Practice - 52(2)
Page Number
94-117
Page Number
94-117
Publications
Publications
Topics
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Detriments of tPA for acute stroke in routine clinical practice
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Detriments of tPA for acute stroke in routine clinical practice
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