Factors Associated with Prehospital Delay for Acute Stroke in Ulsan, Korea

Kim, Hyung Ju; Ahn, Jung Hwan; Kim, Sun Hyu; Hong, Eun Seog

doi:10.1016/j.jemermed.2010.04.001

Cited by 29 publications

(30 citation statements)

References 23 publications

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“…The results compares well with average age of stroke patients in China, shown to be 64 years by Li [24]. In Korea the average age is 64 years, according to Kim [25], and in the Arab Gulf countries 58.9 years, as shown by Deleu [26]. Alarmingly, the average age of the current study is considerably lower than the average age of stroke patients in studies mentioned previously.…”

Section: Social Demographic Data Of Stroke Patients In Kenyasupporting

confidence: 86%

Care process for stroke patients in kenya: mixed study

Kingau¹

2018

Health Edu Care

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Background: Longer-term impairments and activity limitations secondary to stroke can cause inability to return to work, and decreased social participation. Upon stroke episode, patients follow a series of care pathways implemented by healthcare professionals. However, this pathway differs in developing and developed countries. The purpose of this study is to determine the physiotherapy stroke rehabilitation pathway in Kenya.

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Section: Social Demographic Data Of Stroke Patients In Kenyasupporting

confidence: 86%

Care process for stroke patients in kenya: mixed study

Kingau¹

2018

Health Edu Care

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“…This allows stroke victims, witnesses, and emergency delivery service personnel to find nearby hospitals that provide thrombolytic treatment in real time. Stroke patients, who lack information on an appropriate stroke care hospitals, may visit hospitals far from their location or hospitals that are not ready to provide the thrombolytic treatment, which may delay the thrombolytic treatment, as it was demonstrated in previous studies in that referral from other hospital was associated with delayed arrival to an appropriate acute care hospital 14,15. Therefore, the Stroke 119 application may facilitate finding hospitals that provide thrombolysis, thus shortening hospital arrival times.…”

Section: Discussionmentioning

confidence: 99%

Development of Smartphone Application That Aids Stroke Screening and Identifying Nearby Acute Stroke Care Hospitals

et al. 2014

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PurposeThe benefits of thrombolytic treatment are time-dependent. We developed a smartphone application that aids stroke patient self-screening and hospital selection, and may also decrease hospital arrival time.Materials and MethodsThe application was developed for iPhone and Android smartphones. Map data for the application were adopted from the open map. For hospital registration, a web page (http://stroke119.org) was developed using PHP and MySQL.ResultsThe Stroke 119 application includes a stroke screening tool and real-time information on nearby hospitals that provide thrombolytic treatment. It also provides information on stroke symptoms, thrombolytic treatment, and prescribed actions when stroke is suspected. The stroke screening tool was adopted from the Cincinnati Prehospital Stroke Scale and is displayed in a cartoon format. If the user taps a cartoon image that represents abnormal findings, a pop-up window shows that the user may be having a stroke, informs the user what to do, and directs the user to call emergency services. Information on nearby hospitals is provided in map and list views, incorporating proximity to the user's location using a Global Positioning System (a built-in function of smartphones). Users can search for a hospital according to specialty and treatment levels. We also developed a web page for hospitals to register in the system. Neurology training hospitals and hospitals that provide acute stroke care in Korea were invited to register. Seventy-seven hospitals had completed registration.ConclusionThis application may be useful for reducing hospital arrival times for thrombolytic candidates.

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“…The proportion of patients arriving to the ED within 2 hours of stroke onset has been reported to be 15% to 18%. 11,12 It has been estimated from The Netherlands that 24% of all patients with stroke, instead of the 7% actually treated, would be possible to treat with thrombolysis within 3 hours if delay was avoided. 13 Compared with the previous thrombolysis frequency in Stockholm, 4% in 2007, 14 there was an increase in both groups.…”

Section: Discussionmentioning

confidence: 99%

Higher Prehospital Priority Level of Stroke Improves Thrombolysis Frequency and Time to Stroke Unit

Berglund

Svensson

Sjöstrand

et al. 2012

Stroke

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Background and Purpose— Early initiated treatment of stroke increases the chances of a good recovery. This randomized controlled study evaluates how an increased priority level for patients with stroke, from level 2 to 1, from the Emergency Medical Communication Center influences thrombolysis frequency, time to stroke unit, and whether other medical emergencies reported negative consequences. Methods— Patients aged 18 to 85 years in Stockholm, Sweden, with symptoms of stroke within 6 hours were randomized from the Emergency Medical Communication Center or emergency medical services to an intervention group, priority level 1, immediate call of an ambulance, or to a control group with standard priority level, that is, priority level 2 (within 30 minutes). Before study start, an educational program on identification of stroke and importance of early initiated treatment was directed to all medical dispatchers and ambulance and emergency department personnel. Results— During 2008, 942 patients were randomized of which 53% (n=496) had a final stroke/transient ischemic attack diagnosis. Patients in the Emergency Medical Communication Center randomized intervention group reached the stroke unit 26 minutes earlier than the control group ( P <0.001) after the emergency call. Thrombolysis was given to 24% of the patients in the intervention group compared with 10% of the control subjects ( P <0.001). The higher priority level showed no negative effect on other critical ill patients requiring priority level 1 prehospital attention. Conclusion— This randomized study shows negligible harm to other medical emergencies, a significant increase in thrombolysis frequency, and a shorter time to the stroke unit for patients with stroke upgraded to priority level 1 from the Emergency Medical Communication Center and through the acute chain of stroke care.

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Factors Associated with Prehospital Delay for Acute Stroke in Ulsan, Korea

Cited by 29 publications

References 23 publications

Care process for stroke patients in kenya: mixed study

Care process for stroke patients in kenya: mixed study

Development of Smartphone Application That Aids Stroke Screening and Identifying Nearby Acute Stroke Care Hospitals

Higher Prehospital Priority Level of Stroke Improves Thrombolysis Frequency and Time to Stroke Unit

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