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Updated: Jul 31, 2026
09:52
Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
Management of stroke in Auckland Hospital in 1996
A J Charleston1, P A Barber, P Bennett
1Auckland Hospital.
The New Zealand Medical Journal
|April 21, 1999
Summary
This study reviewed stroke management in Auckland, finding increased CT scanning rates and limited suitability for tissue plasminogen activator (t-PA) treatment. Routine aspirin use is feasible for acute stroke patients.
Area of Science:
- Neurology
- Public Health
Background:
- Stroke management practices in Auckland were last reviewed in 1991/92.
- Current stroke care requires evaluation against established benchmarks.
Purpose of the Study:
- To review current stroke management at Auckland Hospital.
- Compare contemporary stroke care with 1991/92 practices.
- Assess patient eligibility for aspirin or tissue plasminogen activator (t-PA) therapy.
Main Methods:
- Retrospective case note review of acute stroke patients (over 15 years) excluding subarachnoid haemorrhages.
- Data collected on presentation, diagnostic imaging, and initial treatments.
Main Results:
- 184 stroke events were analyzed; median time to hospital arrival was 3 hours.
- Computed tomography (CT) scans increased to 88% from 42% in 1991/92.
- Only 10% of patients received CT within 3 hours; 36% of ischemic stroke patients received aspirin.
Conclusions:
- Significant increase in CT scanning rates for stroke patients.
- Fewer than 5% of stroke patients are candidates for t-PA therapy.
- Routine aspirin administration within 48 hours is achievable without major management changes.
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