Patient behaviour at the time of stroke and other stories . . .BMJ 2016; 352 doi: https://doi.org/10.1136/bmj.i1034 (Published 24 February 2016) Cite this as: BMJ 2016;352:i1034
In the era of thrombolysis for stroke, it is often said that time means brain. Researchers interviewed 149 consecutive patients admitted to two large Dublin hospitals with ischaemic stroke and found that 40% could not correctly define a stroke (Emerg Med J doi:10.1136/emermed-2015-204806). Bystander recognition of symptoms was an important factor in ensuring that patients arrived at the emergency department within 3.5 hours. This was achieved in 60% of cases, but despite that, the rate of thrombolysis was 11%.
Renal replacement in Europe
Renal replacement therapy (RRT) covers haemodialysis, peritoneal dialysis, or kidney transplantation, and the European Renal Association-European Dialysis and Transplant Association Registry has just published the 2013 figures for 34 countries (Clin Kidney J doi:10.1093/ckj/sfv151). Greece was the surprise highest …