Analysis of time management in stroke patients in three French emergency departments: from stroke onset to computed tomography scan

Lannehoa, Y.; Bouget, J.; Jf, Pinel; Garnier, Nicolas; Jp, Leblanc; Branger, B.

doi:10.1097/00063110-199906000-00002

Cited by 18 publications

(32 citation statements)

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“…17,24,26,116,118 -120 Weekend onset was unrelated to prehospital delay in 2 studies 24,114 but associated with longer delays in 1 study. 118 Greater distance between home and hospital was associated with longer delays in several studies 25,114,120,122 but unrelated to delay in others. 26,113,[117][118][119] Healthcare Provider Contributions to Delay As in the case of ACS, if a patient's response to symptoms includes calling a physician, prehospital delay is longer.…”

Section: Social Cognitive and Emotional Factorsmentioning

confidence: 91%

“…In some studies, prehospital delay was reduced when the witness, rather than the patient, identified the problem. 112,120 In other studies, no impact on delay was evident on the basis of who recognized the problem as stroke. 26,117 If the first action after symptom onset was to contact another person, including a family member or a physician, then prehospital delay was significantly longer than in cases where a different action was taken.…”

Section: Social Cognitive and Emotional Factorsmentioning

confidence: 91%

“…In some studies, shorter delays were associated with an array of factors, including sudden onset of symptoms 26,115 and impaired consciousness. 17,118,119 Greater stroke severity, measured in a variety of ways, was associated with shorter prehospital delays in most 19,26,116,117,119,120 but not all studies. 24,110,111,113 Findings on the differences in delay time by type of stroke are mixed.…”

Section: Clinical Factorsmentioning

confidence: 98%

“…26,117 If the first action after symptom onset was to contact another person, including a family member or a physician, then prehospital delay was significantly longer than in cases where a different action was taken. 25,26,120 Living alone or being alone when symptoms first occurred was associated with longer delays in some 19,111 but not most studies. 6,20,22,51,114,121 Use of EMS was associated with significantly shorter prehospital delay times.…”

mentioning

confidence: 99%

“…26,113,[117][118][119] Healthcare Provider Contributions to Delay As in the case of ACS, if a patient's response to symptoms includes calling a physician, prehospital delay is longer. 25,26,120 Few other aspects of healthcare provider behavior have been studied. …”

mentioning

confidence: 99%

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Reducing Delay in Seeking Treatment by Patients With Acute Coronary Syndrome and Stroke

Moser¹,

et al. 2006

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Abstract-Patient delay in seeking treatment for acute coronary syndrome and stroke symptoms is the major factor limiting delivery of definitive treatment in these conditions. Despite decades of research and public education campaigns aimed at decreasing patient delay times, most patients still do not seek treatment in a timely manner. In this scientific statement, we summarize the evidence that (1) demonstrates the benefits of early treatment, (2) describes the extent of the problem of patient delay, (3) identifies the factors related to patient delay in seeking timely treatment, and (4) reveals the inadequacies of our current approaches to decreasing patient delay. Finally, we offer suggestions for clinical practice and future research. Key Words: AHA Scientific Statements Ⅲ acute coronary syndrome Ⅲ stroke Ⅲ delivery of health care D espite major advances in identifying effective treatments for heart attack and stroke, there are substantial difficulties in applying these treatments to care. The weak link in the chain of events leading to prompt and effective treatment is patient delay in seeking care. More than 50% of the 1.2 million people who suffer an acute myocardial infarction (AMI) or coronary death each year in the United States die in an emergency department (ED) or before reaching a hospital within an hour of symptom onset. 1 About 700 000 individuals will have a stroke each year, 167 000 of those who have strokes will die, and more will suffer a major disability. 1 Of the stroke deaths that occur each year, almost half occur before the patient reaches the hospital. 2 Many of these deaths and significant disability could be prevented if patients received earlier treatment. 1,3 Although the benefits of early treatment of heart attack and stroke are clear, only a minority of eligible patients receive optimally timed treatment for their symptoms because of delay in seeking care. The development and use of appropriate interventions to decrease treatment-seeking delay by patients could produce important gains in reducing death and disability from heart attack and stroke. Unfortunately, efforts to date to develop effective interventions have met with disappointing results. 4 -6 Accordingly, the purpose of this statement is to summarize the evidence that demonstrates the benefits of early treatment, 1,2 describes the extent of the problem of patient delay, 3 identifies the factors related to patient delay in seeking timely treatment, and reveals the inadequacies of our current approaches to decreasing patient delay. 4 Finally, we offer suggestions for clinical practice and future research. Benefits of Early TreatmentThe burden of cardiovascular disease is growing worldwide. Ischemic heart disease is the No. 1 cause of death in the The findings and conclusions in this scientific statement are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention and the National Heart, Lung, and Blood Institute.The American Heart Association makes every effort to av...

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Section: Social Cognitive and Emotional Factorsmentioning

confidence: 91%

Section: Social Cognitive and Emotional Factorsmentioning

confidence: 91%

Section: Clinical Factorsmentioning

confidence: 98%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Reducing Delay in Seeking Treatment by Patients With Acute Coronary Syndrome and Stroke

Moser¹,

et al. 2006

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Acute Ischemic Stroke

2006

Wiley Handbook of Current and Emerging Drug Therapies

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Vermeidung von Zeitverzögerungen im Management akuter Schlaganfallpatienten. Analyse des österreichischen Stroke-Unit-Registers

Tatschl

Teuschl

Schnabl

et al. 2008

Wien Med Wochenschr

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The aim of our study was to identify factors influencing time from stroke onset to Stroke Unit (SU) admission. Retrospectively, we analysed the data of all stroke patients registered in the Austrian SU-Registry between 01/03 and 02/07. The influence of mode of transportation on time from stroke onset to admission to SU and on rate of thrombolysis was investigated. Further, we analysed changes in time delays and rate of thrombolysis over the years. A total of 15,746 patients with acute stroke were admitted to one of the 26 participating SU. Direct admission to the hospital equipped with a SU increased the relative chance of thrombolytic treatment by odds 1.8 compared to patients transferred from another hospital. Over the years, the median pre-hospital time did not change significantly, but the rate of patients admitted in a 2-h time window improved from 30 to 42%; the rate of thrombolysis increased from 4.8% (2003) to 9.5% (2007, p<0.001).

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Analysis of time management in stroke patients in three French emergency departments: from stroke onset to computed tomography scan

Cited by 18 publications

References 0 publications

Reducing Delay in Seeking Treatment by Patients With Acute Coronary Syndrome and Stroke

Reducing Delay in Seeking Treatment by Patients With Acute Coronary Syndrome and Stroke

Acute Ischemic Stroke

Vermeidung von Zeitverzögerungen im Management akuter Schlaganfallpatienten. Analyse des österreichischen Stroke-Unit-Registers

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