Frequency of intravenous thrombolysis in Mexican patients with acute ischemic stroke

Araúz, Antonio; Mendez, Beatriz; Soriano-Navarro, Eduardo; Ruíz-Franco, Angélica; Quinzanos, J.; Rodríguez-Barragán, Marlene; García-Valadez, Erick; Góngora‐Rivera, Fernando

doi:10.1177/1747493019875240

Cited by 3 publications

(5 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Durante el primer año del proyecto, dos pacientes (15%), se beneficiaron de la trombólisis bajo la supervisión de especialistas en ictus. La proporción de pacientes que recibieron tratamiento trombolítico fue superior a la registrada anteriormente en el país 13 . El programa alcanzó efectivamente su objetivo de proporcionar atención trombolítica en un hospital rural mediante el uso de la telemedicina.…”

Section: Discussionunclassified

“…Se estimó que se produciría un total de 97 casos o incidentes de ictus isquémico durante el periodo de estudio. Esto se basó, en primer lugar, en un estudio previo que informaba de una incidencia de 56,4 casos de ictus isquémico por cada 100.000 habitantes en México y, en segundo lugar, en el hecho de que la población de la zona de captación del hospital rural era de 58.124 habitantes 9,13 . Sin embargo, los datos históricos del hospital rural sólo informaban entre 10 y 20 casos anuales de ictus isquémico.…”

Section: El Jefe De Telemedicina Del Ministerio De Saludunclassified

See 1 more Smart Citation

A case report of the implementation of a telestroke unit in a middle-income country: results and lessons learned from a Mexican pilot.

Gonzalez-Aquines,

Mohammadnezhad,

De la O-Cavazos

et al. 2024

RLAT

View full text Add to dashboard Cite

Objective: To present the results, barriers and facilitators of the implementation of a telestroke network in Mexico. Methods: A telestroke network was implemented to connect a rural hospital to a university hospital with stroke specialists. Patients in the rural hospital were assessed via telemedicine and stroke specialists evaluated and determined the care plan for the patient. The study was conducted from February 2019 to January 2020. Stroke outcomes were measured from patients included in the study, including time to treatment and percentage of patients treated with thrombolysis. Interviews with key stakeholders involved in the program were conducted and analyzed using thematic analysis. Results: Thirteen patients were admitted during the study period, two (15%) patients were treated with thrombolytic therapy and received the treatment within the first two hours from hospital admission. The thematic analysis revealed four themes that contributed to barriers and facilitators to implementing the program: infrastructure, socio-organizational structure, governance, and financial and non-financial incentives. Conclusions: This case study provides relevant lessons for countries with similar characteristics, particularly those in the Latin America region. As telestroke networks continue to develop, it is important to consider these lessons to ensure end-users accept the implementation of telestroke without posing further burden while expanding access to thrombolysis in rural and remote areas.

show abstract

Section: Discussionunclassified

Section: El Jefe De Telemedicina Del Ministerio De Saludunclassified

A case report of the implementation of a telestroke unit in a middle-income country: results and lessons learned from a Mexican pilot.

Gonzalez-Aquines,

Mohammadnezhad,

De la O-Cavazos

et al. 2024

RLAT

View full text Add to dashboard Cite

show abstract

“…Estudios anteriores informaron que los centros médicos en países de bajos ingresos usan tPA en hasta el 3% de pacientes con ictus isquémico, en países de ingresos medios-bajos Tabla 1. Tiempos críticos de atención alcanzados en los distintos tipos de centro puerta-imagen con respecto a informes anteriores 11,12 . La mediana de tiempo desde el inicio de síntomas hasta la aguja de 167 minutos (RIC: 116-216 minutos); la mejoría en los tiempos de atención se debe a la capacitación de vigilantes, personal administrativo, médicos generales, urgenciólogos y enfermeras implicados en el primer contacto de los pacientes que acuden espontáneamente a los hospitales de la red por sospecha de ictus, además se estableció un sistema de referencia rápida que suprime trámites administrativos que entorpecen los tiempos de atención y la vinculación con el sistema de transporte terrestre y aéreo.…”

Section: Discussionunclassified

“…En 2006, el estudio PREMIER reportó una tasa de trombólisis del 2.4% en hospitales mexicanos durante un periodo de 12 meses 11 . En 2019 informaron tasa trombolítica del 7.6% (el 17.4% de los pacientes llegaron dentro de las 4.5 horas desde el inicio con una mediana de tiempo puerta-aguja de 82 ± 51 minutos) 12 .…”

Section: Introductionunclassified

Instauración y desempeño de la primera red organizada de ictus en México ResISSSTE cerebro

Bonifacio-Delgadillo,

Timaran-Montenegro,

Orozco-Vázquez

et al. 2023

REIE

View full text Add to dashboard Cite

dos hospitales preparados para ictus, cinco hospitales primarios y un centro integral de ictus) del 1 de enero de 2019 al 28 de febrero de 2021. Resultados: Logramos trombólisis endovenosa en el 39% de los pacientes con ictus isquémico y tiempo desde el inicio de los síntomas a la trombólisis (OTN) de 167 minutos . Conclusiones: México históricamente ha mostrado bajo acceso a terapias de reperfusión en pacientes con infarto cerebral posiblemente debido a que muchos acuden tardíamente a recibir atención. En 2019 la frecuencia de trombólisis IV en cuatro grandes centros médicos urbanos fue del 7.6%, solo 17.4% llegaron a un hospital en menos de 4.5 horas; los centros que participaron dicho estudio no formaban parte de una red. Este es el primer estudio que presenta resultados de una red establecida de ictus en México. La red ResISSSTE Cerebro no recibió ningún recurso adicional a los disponibles en nuestra institución, se basa en capacitación y vinculación de hospitales con diferentes capacidades logrando una tasa de trombólisis IV del 39%. Es un modelo fácilmente transportable a países de bajos y medianos ingresos.Palabras clave: Red de ictus. Ictus agudo. Países de ingresos bajos y medios. Organización de atención del ictus.

show abstract

“…In Mexico, 66% of stroke patients arrive at a hospital after 6 h of symptom onset, reducing the chances of successful reperfusion therapy 1 . In a recent Mexican study, 17.4% of patients arrived < 4.5 h, and only 7.6% received intravenous thrombolysis 7 .…”

Section: Introductionmentioning

confidence: 96%

Stroke knowledge in two highly educated populations in Mexico City

López-Alvis,

Valdés-Galván,

Soriano-Navarro

et al. 2023

RMN

View full text Add to dashboard Cite

Background/Objective: Stroke knowledge is variable within and between countries. It is determined by school grade, geographical location, and language barriers. This study aims to evaluate the knowledge of stroke symptoms, risk factors, and treatment in a specific population in Mexico. Methods: We surveyed volunteer participants among the inhabitants of a medium-income condominium complex and employees of a pharmaceutical company located in Mexico City between 2016 and 2018. We collected information regarding knowledge of stroke definitions, symptoms, risk factor identification, and treatment. Results: We surveyed 499 participants at both sites, with a median age of 44 years (interquartile range 31-70) and mean years of education of 16.09 years (SD 3.67). The recognition of different definitions regarding stroke was highly heterogeneous, with "brain hemorrhage" and "stroke" being the most known. Among participants, 70% knew at least one stroke symptom. Out of four risk factors, a mean of 3 are identified when prompted, with dyslipidemia being the least acknowledged. While 70% of participants recognize stroke as treatable, only 12-25% know about intravenous thrombolysis. There was no significant difference in overall stroke knowledge between surveyed sites. Conclusions: Knowledge about stroke remains highly heterogeneous in our population. While the knowledge of the general presentation of stroke is higher than in other studies, probably due to the higher mean school education, the awareness of treatment options is low. New public education programs should consider including this information, because it may improve the proportion of cases treated promptly.

show abstract

Frequency of intravenous thrombolysis in Mexican patients with acute ischemic stroke

Cited by 3 publications

References 3 publications

A case report of the implementation of a telestroke unit in a middle-income country: results and lessons learned from a Mexican pilot.

A case report of the implementation of a telestroke unit in a middle-income country: results and lessons learned from a Mexican pilot.

Instauración y desempeño de la primera red organizada de ictus en México ResISSSTE cerebro

Stroke knowledge in two highly educated populations in Mexico City

Contact Info

Product

Resources

About