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Review paper

Trends in stroke thrombolysis rate in Bosnia and Herzegovina: a hospital-based observation study

By
Marija Bender Orcid logo ,
Marija Bender
Contact Marija Bender

Department of Neurology, University Hospital Mostar , Mostar , Bosnia and Herzegovina

Stjepan Čović ,
Stjepan Čović

School of Medicine, University of Mostar , Mostar , Bosnia and Herzegovina

Matea Baranik ,
Matea Baranik

Department of Neurology, University Hospital Mostar , Mostar , Bosnia and Herzegovina

Sandra Lakičević ,
Sandra Lakičević

Department of Neurology, University Hospital Mostar , Mostar , Bosnia and Herzegovina

Inge Klupka-Sarić
Inge Klupka-Sarić

Department of Neurology, University Hospital Mostar , Mostar , Bosnia and Herzegovina

Abstract

Aim
To assess trends in thrombolysis rates and door-to-needle times in University Hospital Mostar.
Methods
Data from the University Hospital Mostar Registry were used. Information on the number of ischaemic stroke patients, intravenous thrombolysis rates and „door-to-needle times“ (DNT) were collected between January 2013 and December 2021.
Results
Out of the total of 3100 ischaemic stroke patients, alteplase was given to 130 patients giving a thrombolysis rate of 4.2%.
The mean hospital thrombolysis rate increased from 2.4% in 2013 to 10.6% in 2021.
Conclusion
Although the hospital thrombolysis rate more than quadrupled, there is still a low proportion of acute ischaemic stroke
patients who received intravenous thrombolysis therapy. Education and interventions indicating the importance of recognition and treatment of acute ischemic stoke are necessary for all physicians.

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