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Updated: Jul 6, 2026
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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
[In-hospital stroke: clinical profile and expectations for treatment]
L C Alvaro1, J Timiraos, F Sádaba
1Servicio de Neurología. Hospital de Basurto. Bilbao, Spain. lalvaro@hbas.osakidetza.net
Neurologia (Barcelona, Spain)
|March 28, 2008
Summary
In-hospital strokes are common in patients with previous symptomatic atherosclerotic disease, leading to poor outcomes. Only 3.2% of ischemic stroke patients were eligible for thrombolysis, highlighting a need for better staff awareness of stroke emergencies.
Area of Science:
- Neurology
- Cardiology
- Internal Medicine
Context:
- In-hospital strokes are underreported and present unique challenges for timely treatment.
- Understanding their characteristics is crucial for improving patient outcomes and optimizing thrombolysis protocols.
Purpose:
- To describe the clinical features and neurological assessment of in-hospital strokes.
- To analyze potential candidates and contraindications for thrombolysis in a tertiary hospital setting prior to its implementation.
Summary:
- A retrospective study identified 183 cases (149 ischemic strokes) between 2001-2004.
- The dominant stroke mechanism was cardioembolism (40%), with 55.8% having previous symptomatic atherosclerotic disease (PSAD).
- Mortality was 33%, and 3.2% of ischemic stroke patients met thrombolysis criteria, often excluded due to comorbidities or age.
Impact:
- In-hospital strokes disproportionately affect patients with PSAD, resulting in poor prognosis.
- Improved staff recognition of stroke urgency is needed to facilitate thrombolysis.
- Findings inform the development of targeted thrombolysis strategies within hospitals.
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