Table 2.

Physicians' knowledge and attitude toward t-PA.

Questions	Response	Frequency	Percentage
How would you rate your knowledge about t-PA use in ischemic stroke?	Well updated about most recent literature and guidelines	65	53.2
	General knowledge but acceptable	50	40.9
	Poor knowledge	7	5.7
Do you think t-PA is an effective treatment for stroke within 4.5 hours of onset?	Yes	70	57.4
	No	35	28.7
	I don't know	17	13.9
Do you consider t-PA a standard of care for ischemic stroke within 4.5 hours from onset in eligible patient?	Yes	57	46.7
	No	50	41.0
	I don't know	15	12.3
How would you grade the level of evidence for the use t-PA in ischemic stroke within 4.5 hours of onset?	Strong (high level)	35	28.7
	Weak (low level)	19	15.6
	Controversial	56	45.9
	I don't know	12	9.8
Do you recommend t-PA in acute ischemic stroke within 4.5 hours of onset for eligible patients?	Yes	66	54.1
	No	50	41
	Uncertain	6	4.9
If you don't recommend t-PA use in stroke, what would be the main reason? (n=56)	Risk of hemorrhage	17	30.3
	lack of benefit	21	37.5
	Medico-legal liability	4	7.1
	Lack of stroke expertise	14	25.0
In the absence of stroke expertise, what do you recommend?	No t-PA should be offered	42	34.4
	Train emergency physicians to give t-PA.	43	35.2
	Train internists to give t-PA	7	5.7
	Establish telestroke.	30	24.6
When needed, would you be willing to be enrolled in training to administer t-PA for stroke (similar to t-PA for myocardial infarction)?	Yes	63	51.6
	No	39	32.0
	Uncertain	20	16.4
If telestroke is implemented, would you be willing to administer IV t-PA for ischemic stroke in collaboration with remote stroke neurology consultation?	Yes	64	52.5
	No	31	25.4
	Uncertain	27	22.1