{"id":18165,"date":"2015-11-13T00:31:40","date_gmt":"2015-11-13T05:31:40","guid":{"rendered":"http:\/\/therapytoronto.ca\/news\/?p=18165"},"modified":"2015-11-13T00:31:40","modified_gmt":"2015-11-13T05:31:40","slug":"stroke-weigh-paitents-before-giving-drugs","status":"publish","type":"post","link":"https:\/\/therapytoronto.ca\/news\/2015\/11\/stroke-weigh-paitents-before-giving-drugs\/","title":{"rendered":"Stroke: Weigh Paitents Before Giving Drugs"},"content":{"rendered":"<p>From the University of Royal Holloway London\u00a0media release:<\/p>\n<blockquote>\n<p id=\"first\" class=\"lead\"><a href=\"http:\/\/therapytoronto.ca\/news\/wp-content\/uploads\/2013\/02\/hospital-emergency.jpg\"><img loading=\"lazy\" class=\"alignright size-full wp-image-10896\" src=\"http:\/\/therapytoronto.ca\/news\/wp-content\/uploads\/2013\/02\/hospital-emergency.jpg\" alt=\"hospital emergency\" width=\"200\" height=\"300\" \/><\/a>A new study has revealed stroke patients receiving emergency clot busting drugs, the correct dose of which depends on the patient&#8217;s weight, may be receiving the wrong dose because <strong>the UK (and much of Europe) does not weigh patients prior to its administration<\/strong>.<\/p>\n<div id=\"text\">\n<p>The research, which is published in <em>Stroke<\/em>, was carried out by the Institute of Cardiovascular Research at Royal Holloway, University of London and St Peters Hospital in Chertsey and reveals <strong>errors were being made in the dosage because clinicians were poor at guessing the weight of patients, particularly the heaviest patients<\/strong> (weighing over 80kg) irrespective of age, gender or presence of other diseases.<\/p>\n<p>Overall, approximately 20% of patients received an incorrect dose (about 11% too little and 8% too much). Around 1 in 5 of the heaviest patients, received a 10% incorrect (usually too little) dose of the clot busting drug. At discharge these patients had on average 10% poorer outcome.<\/p>\n<p><strong>Those patients who had been accurately dosed were seen to have the greatest functional improvement at discharge<\/strong>.<\/p>\n<p>Lead researcher Professor Pankaj Sharma from the Institute of Cardiovascular Research at Royal Holloway, said: &#8220;Our study has revealed that patients are being given the wrong dose of up to 10% of the amount they should receive which is resulting in poorer outcomes. This was the case in 1 in 5 of the heaviest patients, which made up a third of the studied population.<\/p>\n<p>If we were to extrapolate this data to the approximately 150,000 individuals that suffer a stroke annually in the UK then it would mean around 10,000 stroke victims per year are receiving the wrong dose, potentially impacting on their final functional outcome.&#8221;<\/p>\n<p>The researchers have made a recommendation that all emergency\/A&amp;E departments in the UK have at least one automatic weighing bed and that this should be mandated across the NHS.<\/p>\n<p><strong>A simple automatic weighing accessory for a hospital bed can cost as little as a few hundred pounds but potentially save the NHS millions of pounds<\/strong> in terms of better stroke outcome and reduced morbidity.<\/p>\n<p>Professor Sharma added: &#8220;<strong>I would struggle to think of an alternative intervention for stroke that would benefit so many patients<\/strong>, in so short a time, for so little money.&#8221;<\/p>\n<\/div>\n<\/blockquote>\n<!-- AddThis Advanced Settings generic via filter on the_content --><!-- AddThis Share Buttons generic via filter on the_content -->","protected":false},"excerpt":{"rendered":"<p>From the University of Royal Holloway London\u00a0media release: A new study has revealed stroke patients receiving emergency clot busting drugs, the correct dose of which depends on the patient&#8217;s weight,&#8230; <a class=\"read-more-link\" href=\"https:\/\/therapytoronto.ca\/news\/2015\/11\/stroke-weigh-paitents-before-giving-drugs\/\">Read more &raquo;<\/a><!-- AddThis Advanced Settings generic via filter on get_the_excerpt --><!-- AddThis Share Buttons generic via filter on get_the_excerpt --><\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[321,357,10,358],"tags":[],"_links":{"self":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/18165"}],"collection":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/comments?post=18165"}],"version-history":[{"count":1,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/18165\/revisions"}],"predecessor-version":[{"id":18498,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/18165\/revisions\/18498"}],"wp:attachment":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/media?parent=18165"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/categories?post=18165"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/tags?post=18165"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}