Reasons for low thrombolysis rate in a Norwegian XXXX .

@entity1 @entity1984 @entity64 @entity385
Only a minor proportion of @entity1 with acute @entity385 receive treatment with intravenous thrombolysis. The purpose of this study was to explore reasons for not giving thrombolysis and to determine if there was a correlation between prehospital and in-hospital delay in a Norwegian @entity385 . @entity1 with acute @entity385 were included during a 1-year period. Time intervals for prehospital and in-hospital delay, reasons for not treating with thrombolytic therapy in @entity1 admitted within the time window and reasons for late arrival were recorded. In all, 290 @entity1 were included, and 7.6  % were treated with intravenous thrombolysis. The most frequent reasons for not treating eligible @entity1 were: minor symptoms (22.8  %), clinical improvement (17.5  %) and uncertainty about the diagnosis (12.3  %). @entity1 ' reasons for delayed admission were: not attributing their symptoms to @entity64 (25.4  %), a wait-and-see attitude (25.4  %), and choosing to wait for the GP's office to open (14.3  %). Prehospital delay was strongly correlated to in-hospital delay (p  <  0.001). In conclusion, a large percentage of @entity1 with @entity1984 are not treated with thrombolysis because of mild or rapidly improving symptoms, and because @entity1 arrive too late to the hospital. Absolute and relative contraindications account for a minor proportion of reasons for excluding @entity1 .
