David Tong
California Pacific Medical Center
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Featured researches published by David Tong.
Annals of Internal Medicine | 1976
David Tong
Excerpt To the editor: I read with interest the report of Dr. Dicato and Dr. Ellman of a patient with Coumadin®-induced necrosis of the breast associated with disseminated intravascular coagulation...
Journal of Stroke & Cerebrovascular Diseases | 2016
Sigrid Sorensen; Nobl Barazangi; Charlene Chen; Christine Wong; David Grosvenor; Jack Rose; Ann Bedenk; Megan Morrow; Dan McDermott; Jens D. Hove; David Tong
BACKGROUND Common intravenous recombinant tissue plasminogen activator (IV rt-PA) exclusion criteria may substantially limit the use of thrombolysis. Preliminary data have shown that the SMART (Simplified Management of Acute stroke using Revised Treatment) criteria greatly expand patient eligibility by reducing thrombolysis exclusions, but they have not been assessed on a large scale. We evaluated the safety and efficacy of general adoption of SMART thrombolysis criteria to a large regional stroke network. METHODS Retrospective analysis of consecutive patients who received IV thrombolysis within a regional stroke network was performed. Patients were divided into those receiving thrombolysis locally versus at an outside hospital. The primary outcome was modified Rankin Scale score (≤1) at discharge and the main safety outcome was symptomatic intracranial hemorrhage (sICH) rate. RESULTS There were 539 consecutive patients, and 50.5% received thrombolysis at an outside facility. Ninety percent of the patients possessed common conventional IV rt-PA contraindications. There were no significant differences between local and network treated patients in favorable outcome (45.4% versus 37.4%; odds ratio [OR], .72; P > .09), mortality (9% versus 14%; OR, 1.6; P > .07), or sICH rate (2.6% versus 5.1%; OR, 2.0; P = .13). Multivariate analysis showed no association between receiving IV rt-PA at an outlying spoke hospital and higher rate of sICH or worse outcome at discharge. CONCLUSIONS Generalized application of SMART criteria is safe and effective. Widespread application of these criteria could substantially increase the proportion of patients who might qualify for treatment.
Archive | 2015
Nobl Barazangi; Joey D. English; David Tong
Teleneurology has expanded the availability of acute stroke treatment, particularly thrombolysis, as well as increased the availability of neurointerventional therapies to patients beyond large medical centers (El Khoury, Neurology 79(13 Suppl 1):S26–34, 2012). By promoting the appropriate triage of acute stroke patients, teleneurology helps facilitate the appropriate transfer of patients to appropriate centers to receive intra-arterial therapy for a variety of disorders, including acute ischemic stroke and subarachnoid hemorrhage. The objective of this chapter is to outline the workings of one large telestroke network, illustrating how teleneurology helps triage patients requiring neurointerventional therapy and facilitates the transfer of such patients for definitive treatment. The role of teleneurology in research and development of neurointerventional therapy is also discussed.
Evidence-based Medicine | 2008
David Tong
Source Citation Wu CM, McLaughlin K, Lorenzetti DL, et al. Early risk of stroke after transient ischemic attack: a systematic review and meta-analysis. Arch Intern Med. 2007;167:2417-22. 18071162
Journal of Stroke & Cerebrovascular Diseases | 2014
Ilana Spokoyny; Nobl Barazangi; Victor Jaramillo; Jack Rose; Charlene Chen; Christine Wong; David Tong
Annals of Internal Medicine | 2008
David Tong
Journal of NeuroInterventional Surgery | 2015
B Gao; Nobl Barazangi; David Tong; Charlene Chen; Christine Wong; A Yee; Megan Morrow; Ann Bedenk; W Kim; Joey D. English
Neurology | 2013
Ilana Spokoyny; Nobl Barazangi; Victor Jaramillo; Jack Rose; Charlene Chen; Christine Wong; David Tong
Neurology | 2013
Sigrid Sorensen; Nobl Barazangi; Christine Wong; Charlene Chen; Jack Rose; David Grosvenor; Ann Bedenk; David Tong
Neurology | 2013
Ilana Spokoyny; Nobl Barazangi; Shirley Chen; Jack Rose; Jeff Thomas; Charlene Chen; Christine Wong; Ann Bedenk; David Tong