Ischemic stroke Thrombolysis Door-
Conditions
Interventions
Using stroke fast tract application for consultation with the Chulalongkorn stroke team ,Using the stroke assessment document for consultation with Chulalongkorn stroke team.
Experimental Other,No Intervention Other
Application group,Control
Sponsors
Chulalongkorn Stroke Center
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1.Diagnosis of ischemic stroke causing measurable neurological deficit 2.Onset of symptoms <4.5 hours before beginning treatment 3.Aged ≥18 years
Exclusion criteria
Exclusion criteria: 1.Significant head trauma or prior stroke in previous 3 months 2.Symptoms suggest subarachnoid hemorrhage 3.Arterial puncture at noncompressible site in previous 7 days 4.History of previous intracranial hemorrhage,Intracranial neoplasm, arteriovenous malformation 5.Elevated blood pressure (systolic >185 mm Hg or diastolic >110 mm Hg) 6.Active internal bleeding 7.Acute bleeding diathesis, including but not limited to 8.Platelet count 1.7 or PT >15 seconds 11.Current use of direct thrombin inhibitors or direct factor Xa inhibitors with elevated sensitive laboratory tests (such as aPTT, INR, platelet count, and ECT; TT; or appropriate factor Xa activity assays) 12.Blood glucose concentration 1/3 cerebral hemisphere)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to receive intravenous thrombolysis 60 minutes Door-to-needle time | — |
Secondary
| Measure | Time frame |
|---|---|
| Favorable functional outcome 3 months modified Rankin scale | — |
Countries
Thailand
Contacts
Public ContactWasan Akarathanawat
Chulalongkorn University
Outcome results
None listed