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ID 119203
Title Alternative
Drip-and-Ship Thrombolytic Therapy for Stroke Patients
Author
Kageji, Teruyoshi Tokushima Prefectural Kaifu Hospital KAKEN Search Researchers
Obata, Fumiaki Tokushima Prefectural Kaifu Hospital
Oka, Hirofumi Tokushima University
Tabata, Ryo The University of Tokushima KAKEN Search Researchers
Tani, Kenji The University of Tokushima KAKEN Search Researchers
Bando, Hiroyasu Tokushima Prefectural Kaifu Hospital
Keywords
drip-and-ship protocol
recombinant tissue plasminogen activator
telemedicine
telestroke
stroke
Content Type
Journal Article
Description
There are a few stroke specialists in medically under-served areas in Japan. Consequently, in remote area patients may not receive thrombolysis with intravenous recombinant tissue plasminogen activator (iv rt-PA), the standard treatment for acute ischemic stroke. Using a mobile telestroke support system (TSS) that accesses the internet via a smart phone, we implemented iv rt-PA infusion therapy under a drip-and-ship protocol to treat the stroke patients in medically under-served areas. The physicians at the Tokushima Prefectural Kaifu Hospital (TPKH), located in rural Japan, can relay CT or MRI scans and other patient data via their smart phone to off-site stroke specialists. In the course of 34 months, we used the TSS in 321 emergencies. A total of 9 of 188 (4.8%) with acute ischemic stroke, received iv rt-PA infusion therapy using a mobile TSS; in 5 among these (55.6%), we obtained partial or complete recanalization of occluded arteries. None suffered post-treatment hemorrhage and their average NIH stroke score fell from 14.6 at the time of admission to 6.8 at 24 h post-infusion. The drip-and-ship protocol contributed to the safe and effective treatment of the stroke patients living in medically under-served rural areas.
Journal Title
Neurologia Medico-Chirurgica
ISSN
04708105
13498029
NCID
AN00358613
Publisher
The Japan Neurosurgical Society
Volume
56
Issue
12
Start Page
753
End Page
758
Published Date
2016
Rights
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives International License(https://creativecommons.org/licenses/by-nc-nd/4.0/).
EDB ID
DOI (Published Version)
URL ( Publisher's Version )
FullText File
language
eng
TextVersion
Publisher
departments
University Hospital
Medical Sciences