Abstract
Management of acute ischemic stroke with IV unfractionated heparin is subject to debate. The authors evaluated patient-related and institutional factors influencing its use in 42 hospitals. Cardioembolic stroke type, carotid stenosis, atrial fibrillation, and treatment in stroke units or intensive care units significantly increased the probability of use. However, there are large unexplained variations in IV heparin use among hospitals.
Publication types
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Research Support, Non-U.S. Gov't
MeSH terms
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Acute Disease
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Aged
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Anticoagulants / administration & dosage
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Anticoagulants / therapeutic use*
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Atrial Fibrillation / complications
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Atrial Fibrillation / epidemiology
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Brain Ischemia / drug therapy*
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Brain Ischemia / epidemiology
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Brain Ischemia / etiology
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Brain Ischemia / prevention & control
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Carotid Stenosis / complications
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Comorbidity
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Diabetes Complications / drug therapy
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Diabetes Complications / epidemiology
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Female
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Germany / epidemiology
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Guideline Adherence / statistics & numerical data*
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Heart Diseases / complications
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Heparin / administration & dosage
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Heparin / therapeutic use*
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Hospital Units / statistics & numerical data
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Humans
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Hypertension / complications
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Hypertension / epidemiology
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Infusions, Intravenous
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Intensive Care Units / statistics & numerical data
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Intracranial Embolism / drug therapy
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Intracranial Embolism / epidemiology
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Intracranial Embolism / etiology
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Male
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Middle Aged
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Organizational Policy
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Practice Guidelines as Topic
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Recurrence
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Registries