Mark Constable

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Early treatment with intravenous (IV) recombinant tissue plasminogen activator/alteplase (tPA) is associated with improved outcomes for patients with an acute ischemic stroke. Thus, rapid triage and treatment of stroke patients are essential, with a goal of door-to-needle time of no more than 60 minutes. We sought to identify best practices associated with(More)
No instruments are currently available to help health systems identify target areas for reducing door-to-needle times for the administration of intravenous tissue plasminogen activator to eligible patients with ischemic stroke. A 67-item Likert-scale survey was administered by telephone to stroke personnel at 252 U.S. hospitals participating in the "Get(More)
BACKGROUND Timely thrombolytic therapy can improve stroke outcomes. Nevertheless, the ability of US hospitals to meet guidelines for intravenous tissue plasminogen activator (tPA) remains suboptimal. What is unclear is whether hospitals accurately perceive their rate of tPA "door-to-needle" (DTN) time within 60 minutes and how DTN rates compare across(More)
  • bullet Ultralab, Uk-Richard Millwood, Jean Johnson, Tom Stacey, Stephen Powell, Stan Owers +9 others
  • 2004
A desk-top survey, and thus preliminary research was carried out so this document as such is not an empirical study. However research that was presented at the conference is incorporated as appropriate. Research methods comprised internet searches, a literature review, and a range of interviews with academic and industry providers. The main contributors(More)
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