Navigation Links
Hospitals Often Not Alerted About Incoming Stroke Patients
Date:7/10/2012

TUESDAY, July 10 (HealthDay News) -- Although prompt medical treatment is essential for people experiencing a stroke, hospitals aren't notified about incoming stroke patients in about one-third of cases, two new studies find.

The failure of emergency medical services (EMS) personnel to alert hospitals adds precious minutes on to how long it takes to diagnose stroke patients and administer clot-busting drugs, according to researchers.

Experts from the American Heart Association/American Stroke Association advised EMS to notify hospitals about incoming stroke patients so preparations can be made for their timely evaluation and treatment.

In the studies, researchers examined about 372,000 cases of acute ischemic stroke (caused by a blocked blood vessel to the brain) between 2003 and 2011. The patients were taken by ambulance to one of nearly 1,600 hospitals participating in a quality improvement program -- called "Get with The Guidelines-Stroke" -- launched by the heart/stroke associations.

One study, published in Circulation: Cardiovascular Quality & Outcomes, found that when EMS alerted hospitals about incoming stroke cases, the patients were diagnosed and treated more quickly.

Fast diagnosis and treatment is critical because certain clot-busting drugs have to be given within 3 to 4.5 hours after the onset of stroke symptoms to be effective, according to the study.

But a second study found that EMS pre-notification of stroke patients happened in only 67 percent of stroke cases in 2011, a slight increase from 2003 when hospitals were notified in about 58 percent of cases.

That study is published in the Journal of the American Heart Association.

"Despite national guidelines recommending pre-notification by EMS for acute stroke patients, it's disappointing that there's been little improvement," the senior author of both studies, Dr. Gregg C. Fonarow, a professor of cardiovascular medicine at the University of California, Los Angeles, said in an American Heart Association news release. "However, with these powerful new findings demonstrating substantial benefits with pre-notification, we have a tremendous opportunity to make positive changes in this component of stroke care."

For example, among patients who arrived at the hospital within two hours of experiencing symptoms, 83 percent with EMS pre-notification received the clot-busting drug tPA within the 3-hour window, compared to 79 percent without this advance notification. These patients also received imaging tests five minutes sooner and received clot-busting drugs two minutes faster once they got to the hospital.

Rates of hospital pre-notification varied widely -- from 93 percent in Montana to 20 percent in Washington, D.C., for example.

"The large variations by state and hospital are really striking and should be a concern because the potential for ideal patient care isn't being met," said Fonarow. "We've developed a map of rates by state. This tool can identify areas that are most in need of improved stroke care systems."

The researchers added that EMS pre-notification was much less likely among older or black patients. Rates were also lower among those with a history of stroke, diabetes or clogged leg arteries, a condition known as peripheral vascular disease.

This shows a need to target EMS education, concluded Fonarow. "These patients are at higher risk for stroke and other ailments and may present challenges to EMS determining in the field whether their symptoms represent stroke," he said. "The goal is that EMS provides advanced notification for every potential stroke patient being transported."

More information

The U.S. National Institutes of Health provides more information on stroke.

-- Mary Elizabeth Dallas

SOURCE: The American Heart Association/American Stroke Association, news release, July 10, 2012


'/>"/>
Copyright©2012 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. Lighthouse Worldwide Solutions Now Monitors Air Quality in Hospitals and Operating Rooms
2. Becker's Hospital Review Shares 50 Top Grossing Hospitals in the Country
3. Hospitals communication during residency matching may put stress on OB-GYN doctors-in-training
4. Ethics should drive health policy reform, especially with physician-owned specialty hospitals
5. Under pressure from Medicare, hospitals hold more seniors for observation
6. University Hospitals Case Medical Center experts present at ASCO Annual Meeting
7. Urban Hospitals May Act as Breeding Ground for MRSA
8. Fewer prostate cancer surgery complications found in teaching hospitals with fellowship programs
9. In Some Brain Bleeds, Patients Do Better at High-Volume Hospitals
10. Heart Attack Survival Varies Widely Among Hospitals, Study Finds
11. Higher-spending hospitals have fewer deaths for emergency patients
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/12/2017)... ... ... The American College of Medical Informatics (ACMI) will present the 2017 Morris F. ... AMIA’s Annual Symposium in Washington, D.C. AMIA’s Annual Symposium is taking place ... the field of medical informatics, this prestigious award is presented to an individual whose ...
(Date:10/12/2017)... ... October 12, 2017 , ... Information ... we intend to develop to enable prevention of a major side effect of ... loss, especially in pediatric patients. For cisplatin, hearing loss is FDA listed on-label ...
(Date:10/12/2017)... ... October 12, 2017 , ... HMP , a leader in healthcare ... Folio Magazine Eddie Digital Award for ‘Best B-to-B Healthcare Website.’ Winners were announced during ... , The annual award competition recognizes editorial and design excellence across a range of ...
(Date:10/12/2017)... Chapel, FL (PRWEB) , ... October 12, 2017 , ... ... is holding a treadmill relay – Miles by Moonlight to raise money for the ... donating $300 or more. , Teams will work together to keep their treadmills ...
(Date:10/12/2017)... ... ... Health Literacy Innovations (HLI), creator of the Health Literacy ... Patient Education Network (CPEN), an independent professional organization that shares best practices in ... , As CPEN’s strategic partner, HLI will help support CPEN members by sharing ...
Breaking Medicine News(10 mins):
(Date:10/2/2017)... Mich. , Oct. 2, 2017 Diplomat ... 8th Day Software and Consulting, LLC , and ... 8th Day Software, based in Tennessee ... LLC. 8th Day expands EnvoyHealth,s service offerings for health ... development. "In an ...
(Date:10/2/2017)... Oct. 2, 2017 Halo Labs announces the European launch ... called the HORIZON at MIBio 2017 in Cambridge, U.K ... visible particulate matter in biopharmaceutical samples with unprecedented speed and sensitivity ... novel technique Backgrounded Membrane Imaging. ... The HORIZON subvisible particle analysis system ...
(Date:9/28/2017)... 2017 Cohen Veterans Bioscience and Early Signal ... wearable and home sensors for real-time monitoring of patients ... a nonprofit organization focused on disruptive health solutions for ... analytical system to record and integrate behavioral, cognitive, physiological ... ...
Breaking Medicine Technology: