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From the Departments of Neurology (Drs. Frey and Flaster), Clinical Research (H.K. Jahnke), Biostatistics (Dr. Goslar), and Neuroradiology (Dr. Partovi), Barrow Neurological Institute, Phoenix, AZ.
Address correspondence and reprint requests to Dr. James L. Frey, Director, Stroke Program, 500 West Thomas Road, Suite 300, Phoenix, AZ 85013
The use of tissue plasminogen activator (tPA) in community hospitals has been limited by a lack of neurologic support. The authors developed a telephone network to support community emergency departments (EDs) in the use of tPA. Their experience demonstrates equivalent results for patients treated by telephone and those treated in-house. Their number of tPA-treated patients increased 72%. Requirements included willingness of community EDs to use tPA and willingness of the stroke center to provide support.
Received December 18, 2003. Accepted in final form August 16, 2004.
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Neurology 2005 64: 2-3.
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