Journal article
Use of antithrombotic drugs in the treatment of acute ischemic stroke: a survey of neurologists in practice in the United States
Neurology, Vol.39(12), pp.1631-1634
1989
DOI: 10.1212/WNL.39.12.1631
PMID: 2586780
Abstract
In an attempt to determine the opinions and practices of neurologists regarding the use of antithrombotic drugs in the treatment of acute ischemic stroke, we conducted a survey of 349 randomly selected neurologists from throughout the United States. Responses were received from 247 (71%), and 219 identified themselves as primary or consulting physicians for patients with acute ischemic stroke. During the previous 12 months, these 219 physicians estimated that they had seen a total of 14,636 patients within 24 hours of acute ischemic stroke, and 22% of these patients were treated with heparin. The most frequently reported indications were prevention of recurrent cerebral embolism (82% of physicians) and progressing stroke (70%). Despite the frequent use of heparin, only 6.4% of neurologists felt that it has been shown to be effective, and 16.4% felt that it has been shown to be of no value. The primary concern about the use of heparin was lack of proven efficacy in 48% and safety concerns in 41%. Results of a future trial testing the efficacy of antithrombotic drugs would be useful for most neurologists in their management of patients with acute or progressing ischemic stroke.
Details
- Title: Subtitle
- Use of antithrombotic drugs in the treatment of acute ischemic stroke: a survey of neurologists in practice in the United States
- Creators
- E. E. III MARSH - Univ. Iowa coll. medicine, dep. neurology, Iowa City IA 52242, United StatesH P Adams Jr - Univ. Iowa coll. medicine, dep. neurology, Iowa City IA 52242, United StatesJ BILLER - Univ. Iowa coll. medicine, dep. neurology, Iowa City IA 52242, United StatesP WASEK - Univ. Iowa coll. medicine, dep. neurology, Iowa City IA 52242, United StatesK BANWART - Univ. Iowa coll. medicine, dep. neurology, Iowa City IA 52242, United StatesV MITCHELL - Univ. Iowa coll. medicine, dep. neurology, Iowa City IA 52242, United StatesR WOOLSON - Univ. Iowa coll. medicine, dep. neurology, Iowa City IA 52242, United States
- Resource Type
- Journal article
- Publication Details
- Neurology, Vol.39(12), pp.1631-1634
- Publisher
- Lippincott Williams & Wilkins; Hagerstown, MD
- DOI
- 10.1212/WNL.39.12.1631
- PMID
- 2586780
- ISSN
- 0028-3878
- eISSN
- 1526-632X
- Language
- English
- Date published
- 1989
- Academic Unit
- Statistics and Actuarial Science; Neurology; Epidemiology; Iowa Neuroscience Institute; Biostatistics
- Record Identifier
- 9984020709702771
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