Release Notes:
Data Element
Version 2018B1
| Name: | IV Alteplase Initiation |
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| Collected For: |
ASR-IP-1, ASR-OP-1, ASR-OP-2, CSTK-05, STK-4, STK-OP-1 |
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| Definition: | Intravenous (IV) alteplase was initiated at this hospital. IV alteplase converts plasminogen to plasmin, which in turn breaks down fibrin and fibrinogen, thereby dissolving thrombus. |
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| Question: | Is there documentation that IV alteplase was initiated at this hospital?
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| Format: |
| Length: | 1 |
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| Type: | Alphanumeric |
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| Occurs: | 1 |
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| Allowable Values: |
Y (Yes) IV alteplase was initiated at this hospital.
N (No) IV alteplase was not initiated at this hospital, OR unable to determine from medical record documentation.
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| Notes for Abstraction: |
- When a “hang time” or “infusion time” for IV alteplase is documented in the medical record, select “Yes.”
- If IV alteplase was administered at another hospital and patient was subsequently transferred to this hospital, select “No.”
- If the patient was transferred to this hospital with IV alteplase infusing, select “No.”
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| Suggested Data Sources: |
- Emergency department record
- Progress notes
- IV flow sheets
- Medication records
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| Additional Notes: |
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| Guidelines for Abstraction: |
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| Inclusion |
Exclusion |
Only Acceptable Thrombolytic Therapy for Stroke:
- Activase
- Alteplase
- IV t-PA
- Recombinant t-PA Tissue plasminogen activator
- t-PA Tissue plasminogen activator
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- Intra-arterial (IA) t-PA
- Thrombolytic administration to flush, open, or maintain patency of a central line, e.g., PICC line
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