Navigation Links
Telestroke service increases rates of 'clot-buster' treatment for stroke, reports Neurosurgery
Date:10/1/2013

Philadelphia, Pa. (October 1, 2013) A telestroke service increases the rate of effective tissue plasminogen activator (tPA) therapy for patients with acute ischemic stroke treated at community hospitals, according to a report in the October issue of Neurosurgery, official journal of the Congress of Neurological SurgeonsCongress of Neurological Surgeons. The journal is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health.

Other studies in the October Neurosurgery find that known gene variants don't affect the size of brain aneurysms and that surgery for a brain defect called Chiari malformation I (CMI) improves outcomes important to patients.

Remote Stroke Service Increases tPA Use at Community Hospitals

Dr. Stavropoula Tjoumakaris and colleagues of Thomas Jefferson University Hospital evaluated the effects of a telestroke network including 28 community hospitals in the Philadelphia area. In the network, stroke specialists used "remote presence" technology to consult on the care of stroke patients seen at hospitals that didn't have a specialized stroke unit. The study evaluated the rate of appropriate treatment with tPAan effective "clot-busting" drug that can be given only within the first few hours after initial stroke symptoms.

Over 18 months, the service provided nearly 1,650 remote stroke consultations; the average time from request to telemedicine response was just 12 minutes. About 14 percent of patients received tPAincluding nearly all of those who could be treated in the appropriate time window. By comparison, national data suggest that only three to five percent of patients with ischemic stroke receive tPA.

About 80 percent of network hospitals increased their use of tPA for acute ischemic stroke. The percentage of patients transferred to a specialized stroke center decreased as wellpossibly because patients began to improve at their original hospital. The researchers conclude, "The results support the implementation of telestroke networks for wider access to stroke expertise in underserved regions."

Gene Variants Show Little Effect on Aneurysm Size

Dr. Rachel Kleinloog and colleagues of Medical Center Utrecht, The Netherlands, looked for evidence of the effects of gene variants on the size of brain aneurysms. The study included two groups totaling nearly 1,000 patients with ruptured aneurysms of blood vessels supplying the brain.

However, none of seven gene variants previously linked to aneurysms was significantly related to aneurysm size. Average aneurysm size was 7.6 millimeters for patients with a higher genetic risk score versus 7.7 millimeters for those with a lower score. The researchers note that the known variants account for no more than five percent of the genetic risk of aneurysmother genetic factors affecting aneurysm size and rupture risk may yet be identified.

Patient-Reported Outcomes after Surgery for CMI

Dr. Scott L. Parker and colleagues of Vanderbilt University Medical Center analyzed patient-reported outcomes in 50 adult patients undergoing an operation called suboccipital decompression for CMI. Chiari malformation I is a brain defect that causes part of the lower brain to be pushed down into the spinal canal. Patients with CMI often have no symptoms until adolescence or adulthood.

Three-fourths of patients had improvement in severe headachesa major symptom of CMI. Surgery also provided good improvements in abnormal cerebrospinal fluid flow (syringes) and neurological abnormalities. Three-fourths of employed patients were able to return to work.

The study provides important information on key outcomes important to patients, with new insights into the expected benefits of surgery for CMI. "This patient-centered assessment suggests that suboccipital decompression for CMI in adults is an effective treatment strategy," The researchers conclude.


'/>"/>

Contact: Connie Hughes
connie.hughes@wolterskluwer.com
646-674-6348
Wolters Kluwer Health
Source:Eurekalert

Related medicine news :

1. Telestroke cost effective for hospitals
2. Telestroke networks can be cost-effective for hospitals, good for patients
3. Telestroke program increases access to stroke care by 40 percent
4. National poll: Low cost, lifesaving services missing from most older patients health care
5. Surgeon General receives 2012 Distinguished Public Service Award from internal medicine physicians
6. SEOMiracle.com Provides SEO Services with PayPal Verified Option
7. The Convoy of Hope Rolls into Memphis Providing Some $1 Million in Goods and Services in a Single Day
8. Fieldtex Products Launches a New Wellness Rewards Service for Companies
9. Air Ambulance America and SEOMiracle.com Offer and Promote Medevac Services
10. Emerald Ash Borer Beetle to Destroy Trees, Uncle Matty's Tree Service Prepares
11. Mesothelioma Victims Center Now Offers All Families Dealing With A Mesothelioma Diagnosis The Names Of The Best Mesothelioma Attorneys-No Other Group Offers this Service
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:7/20/2017)... BATON ROUGE, La. (PRWEB) , ... July 20, 2017 , ... ... Surgeon, to the staff. Dr. Dunbar received his BS in Biology from LSU, graduating ... was the Medical School Class President. After his residency in St. Louis, Dr. Dunbar ...
(Date:7/20/2017)... ... July 20, 2017 , ... The Business ... Body of Knowledge (BIZBOK® Guide )v 6.0 is now available for member download. ... through Guild collaborative teams. , Non-members may download the Part 1 Introduction ...
(Date:7/20/2017)... (PRWEB) , ... July 20, 2017 , ... LINET, an ... latest innovation to their product line: the AVE 2 birthing bed. , Perfectly suitable ... bring a new level of comfort and efficiency to every phase of childbirth. The ...
(Date:7/20/2017)... ... 2017 , ... At Creekwood Dental Arts, Drs. Donna G. Miller and Michelle ... dental implants in Waco, TX, using the latest dental technology for digital imagery ... can capture details in the oral cavity for accurate diagnoses and customized care plans. ...
(Date:7/20/2017)... ... July 19, 2017 , ... ... senior healthcare project manager, Josh Christensen. As a leader in healthcare construction, AP ... further its healthcare resume in the Midwest with Josh now on board. ...
Breaking Medicine News(10 mins):
(Date:7/10/2017)... CLEVELAND , July 10, 2017  US medical ... billion in 2021, according to Medical Equipment ... released by Freedonia Focus Reports. Continued increases in demand ... the aging of the population and supported by gains ... associated equipment and supplies. New product introductions will also ...
(Date:7/10/2017)... 2017  BDI Group subsidiary Pathway Purchasing Network, ... organization serving specialty pharmacies, home infusion companies and ... significant, value-added member programs designed to help organizations ... and improve access and affordability for patients who ... Pathway has worked ...
(Date:7/10/2017)... RESEARCH TRIANGLE PARK, N.C. , July 10, 2017 ... of a $5m Convertible Note to support the development ... led by Tencent Holdings Limited, a leading Chinese Internet ... Center. This funding will advance multiple infectious disease product ... Founded by Dr. ...
Breaking Medicine Technology: