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Potential for quality improvement of acute stroke management in a district general hospital
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  • Published on:
    ED consultant delivered stroke thrombolysis
    • Kelvin D Wright, Consultant ED/ICU
    • Other Contributors:
      • Geeta Aggarwal, Johann Jeevaratnam, Keith Mundy, Claire Davies

    Dear Editor

    McCarron (1) and colleagues raise important issues for ischaemic stroke care in the United Kingdom. SITS-MOST (2) demonstrated the ‘number needed to treat’ for thrombolysis in acute ischaemic stroke is 7 and that thrombolysis within 3 hours from onset of symptoms is safe in ischaemic stroke. NINDS (3) shows that for every 1000 patients treated 140 more will return to independent life. It is vital t...

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    Conflict of Interest:
    None declared.