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      The Potential Impact of Maintaining a 3-Hour IV Thrombolysis Window: How Many More Patients can we Safely Treat?

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          Abstract

          In 2008, the European Cooperative Acute Stroke Study-3 (ECASS-3) demonstrated that intravenous-tissue plasminogen activator could be safely administered for acute stroke patients presenting between 3 and 4.5 hours from symptom onset. Recently, the Food and Drug Administration rejected expansion of this time window in the United States. We sought to determine how many fewer patients would be treated by maintaining this restricted time window.

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          Author and article information

          Journal
          J Neurol Disord Stroke
          Journal of neurological disorders & stroke
          Sep 13 2013
          : 1
          : 2
          Affiliations
          [1 ] Department of Neurology, School of Medicine, University of Alabama at Birmingham, USA.
          [2 ] Stroke Center, Birmingham Veterans Affairs Medical Center, USA.
          [3 ] Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, USA.
          [4 ] Health Services and Outcomes Research Center for Outcome and Effectiveness Research and Education (COERE), University of Alabama at Birmingham, USA.
          [5 ] Center for Excellence in Comparative Effectiveness Research for Eliminating Disparities (CERED) Minority Health & Health Disparities Research Center (MHRC), University of Alabama at Birmingham, USA.
          [6 ] School of Nursing, University of Alabama at Birmingham, USA.
          Article
          NIHMS539863
          3901990
          24471140
          19c31278-344c-4a11-a22f-5271938625e0
          History

          Hemorrhage,Ischemic Stroke,Safety,Thrombolysis
          Hemorrhage, Ischemic Stroke, Safety, Thrombolysis

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