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Published in: BMC Health Services Research 1/2017

Open Access 01-12-2017 | Research article

Assessment of neurologists’ knowledge regarding intravenous fibrinolytic therapy for acute stroke in Shanxi province in China

Authors: Liansheng Ma, Xiaoyuan Niu, Wei Zhang, Yalan Fang, Jie Wang

Published in: BMC Health Services Research | Issue 1/2017

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Abstract

Background

Limitations in physicians’ knowledge regarding fibrinolytic therapy for acute ischemic stroke may contribute to low rate of fibrinolytic therapy in China. Here physicians’ knowledge was surveyed on intravenous fibrinolytic therapy for acute ischemic stroke.

Methods

Neurologists (n = 175) from 27 major general hospitals in Shanxi province, P. R. China, were invited to complete questionnaires regarding their basic knowledge of intravenous fibrinolytic therapy for acute ischemic stroke. The questionnaire contained 12 multiple-choice questions. One point was assigned for a correct answer and zero point for a false or unanswered question.

Results

One hundred and thirty-one neurologists (74.9%) responded to the questionnaires. The mean accuracy rate of 12 questions was 54.9 ± 25.01% (range 0.8–96.2%). The mean total score for respondents was 6.59 ± 2.03 (range 2–11). More years of experience and higher academic degrees were independent factors related to the total scores (P = 0.000 and P = 0.004, respectively).

Conclusions

The neurologists in this study were knowledge deficient in the area of intravenous fibrinolytic therapy for acute ischemic stroke. This partially accounts for the low rate of fibrinolytic therapy in China.
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Literature
1.
go back to reference Lozano R, Naghavi M, Foreman K, Lim S, Shibuya K, Aboyans V, et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: A systematic analysis for the global burden of disease study 2010. Lancet. 2012;380:2095–128.CrossRefPubMed Lozano R, Naghavi M, Foreman K, Lim S, Shibuya K, Aboyans V, et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: A systematic analysis for the global burden of disease study 2010. Lancet. 2012;380:2095–128.CrossRefPubMed
2.
go back to reference Liu M, Wu B, Wang WZ, Lee LM, Zhang SH, Kong LZ. Stroke in china: Epidemiology, prevention, and management strategies. Lancet Neurol. 2007;6:456–64.CrossRefPubMed Liu M, Wu B, Wang WZ, Lee LM, Zhang SH, Kong LZ. Stroke in china: Epidemiology, prevention, and management strategies. Lancet Neurol. 2007;6:456–64.CrossRefPubMed
3.
go back to reference Adamson J, Beswick A, Ebrahim S. Is stroke the most common cause of disability? J Stroke Cerebrovasc Dis. 2004;13:171–7.CrossRefPubMed Adamson J, Beswick A, Ebrahim S. Is stroke the most common cause of disability? J Stroke Cerebrovasc Dis. 2004;13:171–7.CrossRefPubMed
4.
go back to reference Liu L, Wang D, Wong KS, Wang Y. Stroke and stroke care in china: Huge burden, significant workload, and a national priority. Stroke. 2011;42:3651–4.CrossRefPubMed Liu L, Wang D, Wong KS, Wang Y. Stroke and stroke care in china: Huge burden, significant workload, and a national priority. Stroke. 2011;42:3651–4.CrossRefPubMed
5.
go back to reference The National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group. Tissue plasminogen activator for acute ischemic stroke. N Engl J Med. 1995;333:1581–7.CrossRef The National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group. Tissue plasminogen activator for acute ischemic stroke. N Engl J Med. 1995;333:1581–7.CrossRef
6.
go back to reference Hacke W, Kaste M, Bluhmki E, Brozman M, Davalos A, Guidetti D, et al. Thrombolysis with alteplase 3 to 4.5 hours after acute ischemic stroke. N Engl J Med. 2008;359:1317–29.CrossRefPubMed Hacke W, Kaste M, Bluhmki E, Brozman M, Davalos A, Guidetti D, et al. Thrombolysis with alteplase 3 to 4.5 hours after acute ischemic stroke. N Engl J Med. 2008;359:1317–29.CrossRefPubMed
8.
go back to reference Wang Y, Liao X, Zhao X, Wang DZ, Wang C, Nguyen-Huynh MN, et al. Using recombinant tissue plasminogen activator to treat acute ischemic stroke in china: Analysis of the results from the chinese national stroke registry (cnsr). Stroke. 2011;42:1658–64.CrossRefPubMed Wang Y, Liao X, Zhao X, Wang DZ, Wang C, Nguyen-Huynh MN, et al. Using recombinant tissue plasminogen activator to treat acute ischemic stroke in china: Analysis of the results from the chinese national stroke registry (cnsr). Stroke. 2011;42:1658–64.CrossRefPubMed
10.
go back to reference Ghandehari K, Zahed AP, Taheri M, Abbasi M, Gorjestani S, Ahmadi AM, et al. Estimation of iranian stroke patients eligible for intravenous thrombolysis with tpa. Int J Stroke. 2009;4:236.CrossRefPubMed Ghandehari K, Zahed AP, Taheri M, Abbasi M, Gorjestani S, Ahmadi AM, et al. Estimation of iranian stroke patients eligible for intravenous thrombolysis with tpa. Int J Stroke. 2009;4:236.CrossRefPubMed
12.
go back to reference Jauch EC, Saver JL, Adams Jr HP, Bruno A, Connors JJ, Demaerschalk BM, et al. Guidelines for the early management of patients with acute ischemic stroke: A guideline for healthcare professionals from the american heart association/american stroke association. Stroke. 2013;44:870–947.CrossRefPubMed Jauch EC, Saver JL, Adams Jr HP, Bruno A, Connors JJ, Demaerschalk BM, et al. Guidelines for the early management of patients with acute ischemic stroke: A guideline for healthcare professionals from the american heart association/american stroke association. Stroke. 2013;44:870–947.CrossRefPubMed
13.
go back to reference Goldstein LB, Bertels C, Davis JN. Interrater reliability of the nih stroke scale. Arch Neurol. 1989;46:660–2.CrossRefPubMed Goldstein LB, Bertels C, Davis JN. Interrater reliability of the nih stroke scale. Arch Neurol. 1989;46:660–2.CrossRefPubMed
14.
go back to reference Ji L, Newman J, Lu J, Cai X. Understanding the standard of care in the treatment of type 2 diabetes in china: Results from a national survey. Chin Med J (Engl). 2014;127:3524–9. Ji L, Newman J, Lu J, Cai X. Understanding the standard of care in the treatment of type 2 diabetes in china: Results from a national survey. Chin Med J (Engl). 2014;127:3524–9.
15.
go back to reference Rose KM, Rosamond WD, Huston SL, Murphy CV, Tegeler CH. Predictors of time from hospital arrival to initial brain-imaging among suspected stroke patients: The north carolina collaborative stroke registry. Stroke. 2008;39:3262–7.CrossRefPubMed Rose KM, Rosamond WD, Huston SL, Murphy CV, Tegeler CH. Predictors of time from hospital arrival to initial brain-imaging among suspected stroke patients: The north carolina collaborative stroke registry. Stroke. 2008;39:3262–7.CrossRefPubMed
16.
go back to reference Sung SF, Ong CT, Wu CS, Hsu YC, Su YH. Increased use of thrombolytic therapy and shortening of in-hospital delays following acute ischemic stroke: Experience on the establishment of a primary stroke center at a community hospital. Acta Neurol Taiwanica. 2010;19:246–52. Sung SF, Ong CT, Wu CS, Hsu YC, Su YH. Increased use of thrombolytic therapy and shortening of in-hospital delays following acute ischemic stroke: Experience on the establishment of a primary stroke center at a community hospital. Acta Neurol Taiwanica. 2010;19:246–52.
Metadata
Title
Assessment of neurologists’ knowledge regarding intravenous fibrinolytic therapy for acute stroke in Shanxi province in China
Authors
Liansheng Ma
Xiaoyuan Niu
Wei Zhang
Yalan Fang
Jie Wang
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2017
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-017-2300-6

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