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National Practice Patterns of Obtaining Informed Consent for Stroke Thrombolysis.
- Source :
-
Stroke [Stroke] 2018 Mar; Vol. 49 (3), pp. 765-767. Date of Electronic Publication: 2018 Feb 12. - Publication Year :
- 2018
-
Abstract
- Background and Purpose: No standard approach to obtaining informed consent for stroke thrombolysis with tPA (tissue-type plasminogen activator) currently exists. We aimed to assess current nationwide practice patterns of obtaining informed consent for tPA.<br />Methods: An online survey was developed and distributed by e-mail to clinicians involved in acute stroke care. Multivariable logistic regression analyses were performed to determine independent factors contributing to always obtaining informed consent for tPA.<br />Results: Among 268 respondents, 36.7% reported always obtaining informed consent and 51.8% reported the informed consent process caused treatment delays. Being an emergency medicine physician (odds ratio, 5.8; 95% confidence interval, 2.9-11.5) and practicing at a nonacademic medical center (odds ratio, 2.1; 95% confidence interval, 1.0-4.3) were independently associated with always requiring informed consent. The most commonly cited cause of delay was waiting for a patient's family to reach consensus about treatment.<br />Conclusions: Most clinicians always or often require informed consent for stroke thrombolysis. Future research should focus on standardizing content and delivery of tPA information to reduce delays.<br /> (© 2018 American Heart Association, Inc.)
Details
- Language :
- English
- ISSN :
- 1524-4628
- Volume :
- 49
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Stroke
- Publication Type :
- Academic Journal
- Accession number :
- 29440586
- Full Text :
- https://doi.org/10.1161/STROKEAHA.117.020474