The Real-World Experience in a Single Health System (Kaiser Protocol and Effectiveness of Protocol)

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Identifier 20230313_nanos_hottopics1_02
Title The Real-World Experience in a Single Health System (Kaiser Protocol and Effectiveness of Protocol)
Creator Guy Jirawuthiworavong, MD, MA
Affiliation Southern California Permanente Medical Group, La Palma, CA
Subject CRAO (Central Retinal Artery Occlusion); TPA (Tissue Plasminogen Activator); Stroke; HMO (Health Maintenance Organization); Protocol
Description In 2019, due to a sea change in stroke management, departments of neurology and ophthalmology had a combined department meeting to discuss/implement a protocol for managing retinal ischemia i.e., CRAO and amaurosis fugax which included the potential of IV TPA for CRAO.
Date 2023-03
References 1. Feltgen N, Neubauer A, Jurklies B, et al. Multicenter study of the European Assessment Group for Lysis in the Eye (EAGLE) for the treatment of central retinal artery occlusion: design issues and Implications. EAGLE Study report no. 1 : EAGLE Study report no. 1. Graefes Arch Clin Exp Ophthalmol. 2006;244(8):950-956. doi:10.1007/s00417-005-0140-2. 2. Schumacher M, Schmidt D, Jurklies B, et al. Central retinal artery occlusion: local intra-arterial fibrinolysis versus conservative treatment, a multicenter randomized trial. Ophthalmology. 2010;117(7):1367-75.e1. doi:10.1016/j.ophtha.2010.03.061. 3. Callizo J, Feltgen N, Pantenburg S, et al. Cardiovascular Risk Factors in Central Retinal Artery; Occlusion: Results of a Prospective and Standardized Medical Examination. Ophthalmology. 2015;122(9):1881-1888. doi:10.1016/j.ophtha.2015.05.044. 4. Pielen A, Pantenburg S, Schmoor C, et al. Predictors of prognosis and treatment outcome in central retinal artery occlusion: local intra-arterial fibrinolysis vs. conservative treatment. Neuroradiology. 2015;57(10):1055-1062. doi:10.1007/s00234-015-1588-3. 5. Sauser-Zachrison K, Shen E, Ajani Z, et al. Emergency Care of Patients with Acute Ischemic Stroke in the Kaiser Permanente Southern California Integrated Health System. Perm J. 2016;20(2):10-13. doi:10.7812/TPP/15-124
Language eng
Format video/mp4
Type Image/MovingImage
Source 49th Annual North American Neuro-Ophthalmology Society Annual Meeting
Relation is Part of NANOS Annual Meeting 2023: Hot Topics: https://novel.utah.edu/collection/NAM/toc/
Collection Neuro-Ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Publisher North American Neuro-Ophthalmology Society
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah, 10 N 1900 E SLC, UT 84112-5890
Rights Management Copyright 2023. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s66kkgz0
Setname ehsl_novel_nam
ID 2385958
Reference URL https://collections.lib.utah.edu/ark:/87278/s66kkgz0
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