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Master Thesis

Mise en place et retentissement de la téléthrombolyse dans les accidents vasculaires cérébraux ischémiques à la clinique mutualiste de Lesparre-Médoc

Abstract : Stroke is a pathology that affects 130,000 people each year in France, which can result in severe sequel, or death. The mutualist clinic of Lesparre-Medoc will be able to offer, in 2016, an increased chance of recovery to victims thanks to the advent of thrombolytic therapy for ischemic stroke. The objective of our study is to characterize the population in Medoc suspected of having a stroke and to assess the number of patients likely to benefit from thrombolysis via telemedicine at the mutualist clinic of Lesparre-Medoc . The study was conducted retrospectively on the years 2013 and 2014. We have observed, on 2 years, 157 patients suspects to submit a stroke, 90 of which were indeed an ischemic stroke. The median age was 81 years, the population was mainly psychopathology and polymerize. The main brake on the telethrombolysis was a delay symptom-admission excessively long. In total, 15 patients were eligible for an telethrombolysis. If we include the patients suspected of stroke of the territory served by the EMS of the clinic of Lesparre-Medoc but addressed to the universitary hospital in Bordeaux by the regulation of the SAMU 33 of the fact of the current absence of thrombolysis, we found ourselves 8 additional patients who could have been thrombolysed in this center of care. The clinic of Lesparre-Medoc may hope thrombolyse a patient by months of the operation of the thrombolysis, and even more in the light of the aging of the population. Nevertheless, efforts with the patients are to be done in the area of primary and secondary prevention of cardiovascular risk, of the recognition of the symptoms of stroke as well as of the importance of consultation in emergency in case of occurrence of these symptoms. In this, thrombectomy, available at the universitary hospital in Bordeaux, offers an additional opportunity to treatment of stroke for patients that don't meet the criteria of thrombolysis.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01223377
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Monday, November 2, 2015 - 3:29:58 PM
Last modification on : Wednesday, August 23, 2017 - 4:33:01 PM
Long-term archiving on: : Wednesday, February 3, 2016 - 10:52:45 AM

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Hélène Lavocat. Mise en place et retentissement de la téléthrombolyse dans les accidents vasculaires cérébraux ischémiques à la clinique mutualiste de Lesparre-Médoc. Médecine humaine et pathologie. 2015. ⟨dumas-01223377⟩

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