Factors Related to Decision Delay in Acute Stroke

Faiz, Kashif Waqar; Sundseth, Antje; Thommessen, Bente; Rønning, Ole Morten

doi:10.1016/j.jstrokecerebrovasdis.2013.05.007

Cited by 53 publications

(53 citation statements)

References 33 publications

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“…Similar findings were reported in a recent study when researchers found that immediate care-seeking behaviors in acute stroke patients was associated with traditional, undeniable, and sudden symptoms associated with the disease (Beckett, Barley, & Ellis, 2015). Similar findings were reported in older studies (Faiz, Sundseth, Thommessen & Ronning, 2014;Zerwic et al, 2007).…”

Section: Discussionsupporting

confidence: 89%

Determinants of patientâ€™s decision-making in seeking care when experiencing stroke-associated warning signs

AL-Fayyadh

2017

PROSOC

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Stroke strikes millions of people worldwide. It is categorized as one of the most alarming Non-Communicable Chronic Diseases (NCCDs) because of links to long-lasting disability or death. From the literature, it is known that a stroke patient's decision of seeking immediate medical attention when symptoms occur is connected with better clinical outcome. A descriptive phenomenological design explored 12 post-stroke survivors' experiences of their decisions to seek or delay care within the first three hours of symptom onset. Three themes emerged: Hindering Factors, Motivating Factors, and Stroke of Luck. Hindering Factors and Motivating Factors depicted core variables that either hampered or motivated health care seeking behaviors. The third theme, Stroke of Luck, highlighted the multi-dimensional impact of the stroke experience on survivors' life choices. Results from this study support expanded initiatives to educate the public on stroke symptoms through media platforms.

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Section: Discussionsupporting

confidence: 89%

Determinants of patientâ€™s decision-making in seeking care when experiencing stroke-associated warning signs

AL-Fayyadh

2017

PROSOC

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“…It is very important to note that stroke severity plays an important role in 'prehospital delays' or 'symptom onset to seek medical help' times [30]. As mentioned before, the aim of this study was not to evaluate such delays, but to reduce the 'in-hospital time' intervals.…”

Section: Discussionmentioning

confidence: 99%

Prehospital Notification can Effectively Reduce In-Hospital Delay for Thrombolysis in Acute Stroke

et al. 2018

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Aim:To reduce in-hospital intervals by developing a prehospital notification (PHN) protocol which directly notifies a neurologist to prepare for possible treatment. Methods: A 24/7 connection was established between emergency medical services dispatch and the on-call neurologist. A database of all patients with in-hospital stroke code activation was developed, door-to-computed tomography (CT) time and door-toneedle time was recorded from January 2013 to December 2016. The statistical results were considered significant at p < 0.05. Result: PHN resulted in a significant reduction in door-to-CT time (median 14 vs 20; p < 0.001). Among patients who were treated with intravenous thrombolysis, door-to-needle time was significantly shorter in patients with PHN compared with non-PHN group (median 42 vs 70; p < 0.001). Conclusion: PHN effectively reduced door-to-CT and door-to-needle times.

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“…Questionnaire development was also informed by factors influencing care-seeking behavior and timelines of care in adults. 4,5 Variables collected are outlined in Tables 1 and 2. Data were managed using REDCap (Research Electronic Data Capture) and imported to STATA version 12 (StataCorp, TX) for analysis.…”

Section: Methodsmentioning

confidence: 99%

“…Almost half the parents were interviewed after discharge, introducing recall bias, but there were no significant differences between interviewees during or after admission, apart from occupational status. The small sample size limited exploration of important patient, caregiver, or process factors influencing care-seeking behavior and prehospital timelines in adults 4,5 or children. 6 In conclusion, care-seeking behavior is suboptimal, with less than half of parents initially calling an ambulance.…”

Section: Strokementioning

confidence: 99%

Parental Care–Seeking Behavior and Prehospital Timelines of Care in Childhood Arterial Ischemic Stroke

Mackay

Stojanovski

Mosley

et al. 2016

Stroke

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ResultsForty-three children met eligibility criteria. Thirteen parents did not respond to invitations, and 2 were non-English Background and Purpose-Taking appropriate action in the prehospital setting is important for rapid stroke diagnosis in adults. Data are lacking for children. We aimed to describe parental care-seeking behavior and prehospital timelines of care in childhood arterial ischemic stroke. Methods-A structured questionnaire was developed, using value-focused event-driven conceptual modeling techniques, to interview parents of children presenting to the emergency department with arterial ischemic stroke from 2008 to 2014. Results-Twenty-five parents (median age 41 years, interquartile range 36-45) were interviewed. Twenty-four children were awake, and 1 child was asleep at stroke onset; 23 had sudden onset symptoms. Location at stroke onset included home (72%), school (8%), or other setting (20%). Carergivers present included parent (76%), another child (8%), teacher (4%), or alone (8%). Eighty-four percent of parents thought symptoms were serious, and 83% thought immediate action was required, but only 48% considered the possibility of stroke. Initial actions included calling an ambulance (36%), wait and see (24%), calling a general practitioner (16%) or family member (8%), and driving to the emergency department or family physician (both 8%). Median time from onset to emergency department arrival was 76 minutes (interquartile range 53-187), being shorter for ambulance-transported patients. Conclusions-Stroke

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Factors Related to Decision Delay in Acute Stroke

Cited by 53 publications

References 33 publications

Determinants of patientâ€™s decision-making in seeking care when experiencing stroke-associated warning signs

Determinants of patientâ€™s decision-making in seeking care when experiencing stroke-associated warning signs

Prehospital Notification can Effectively Reduce In-Hospital Delay for Thrombolysis in Acute Stroke

Parental Care–Seeking Behavior and Prehospital Timelines of Care in Childhood Arterial Ischemic Stroke

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