dc.contributor.author | Ó Flatharta, T. | |
dc.contributor.author | Khan, A. | |
dc.contributor.author | Walsh, T. | |
dc.contributor.author | O’Donnell, M. | |
dc.contributor.author | O’Keefe, S.T. | |
dc.date.accessioned | 2018-09-20T16:08:26Z | |
dc.date.available | 2018-09-20T16:08:26Z | |
dc.date.issued | 2014-07-04 | |
dc.identifier.citation | Ó Flatharta, T. Khan, A.; Walsh, T.; O’Donnell, M.; O’Keefe, S.T. (2014). Advance preferences regarding thrombolysis in patients at risk for stroke: a cross-sectional study: table 1. QJM 108 (1), 27-31 | |
dc.identifier.issn | 1460-2725,1460-2393 | |
dc.identifier.uri | http://hdl.handle.net/10379/11510 | |
dc.description.abstract | Background: It is difficult to obtain informed consent for thrombolysis in stroke patients given the emergency setting, the need for a speedy decision and the effects of neurological deficits.
Aim: To determine the advance preferences for thrombolysis of patients at risk for stroke following discussion of the potential risks and benefits.
Design: Cross-sectional survey.
Methods: Data on benefits and risks of thrombolysis within 3 h and between 3 and 4.5 h after stroke were presented orally, in writing and pictorially to patients attending geriatric and stroke services in a teaching hospital with specified stroke risk factors and preferences for thrombolysis were recorded.
Results: Of the 121 participants, 108 (89.3%; 95% confidence interval [CI] 82.4-93.7) would opt for thrombolysis within the 3-h period and 100 (82.6%; 95% CI 74.9-88.4) within the 3- to 4.5-h period after acute stroke (P = 0.04, McNemar's test for correlated proportions). Previous stroke or transient ischaemic attack was more common among those who agreed to thrombolysis (54.1% vs. 30.4%, P = 0.04) and those who opted for thrombolysis were significantly more likely to agree to have their preferences recorded and used in the event of a stroke than those who refused thrombolysis (88.8% vs. 30.4%, P = 0.002).
Conclusion: Advance discussion of the potential risks and benefits of thrombolysis in at-risk patients may improve decision making if thrombolysis is being considered and the patient can no longer make a decision. | |
dc.publisher | Oxford University Press (OUP) | |
dc.relation.ispartof | QJM | |
dc.rights | Attribution-NonCommercial-NoDerivs 3.0 Ireland | |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/3.0/ie/ | |
dc.subject | acute ischemic-stroke | |
dc.subject | tissue-plasminogen activator | |
dc.subject | intravenous thrombolysis | |
dc.subject | consent | |
dc.subject | participate | |
dc.subject | therapy | |
dc.subject | trials | |
dc.title | Advance preferences regarding thrombolysis in patients at risk for stroke: a cross-sectional study: table 1 | |
dc.type | Article | |
dc.identifier.doi | 10.1093/qjmed/hcu142 | |
dc.local.publishedsource | https://academic.oup.com/qjmed/article-pdf/108/1/27/17495947/hcu142.pdf | |
nui.item.downloads | 0 | |