Sources and reasons for delays in the care of acute stroke patients

Yu, Rosalind F; María, José; Manzanilla, Brenda M; Oris, Michael Y; Gan, Robert N.

doi:10.1016/s0022-510x(02)00103-x

Cited by 86 publications

(76 citation statements)

References 16 publications

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“…Earlier studies report longer delay among women, 11,18 blacks 32 and the elderly, 33 as well as no variation in these groups. 33,34 At both teaching and nonteaching hospitals, patients treated at JCPSCs had shorter CT delays than those treated at non-JCPSCs.…”

Section: Discussionmentioning

confidence: 79%

Predictors of Time From Hospital Arrival to Initial Brain-Imaging Among Suspected Stroke Patients

Rose

Rosamond

Huston

et al. 2008

Stroke

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Section: Discussionmentioning

confidence: 79%

Predictors of Time From Hospital Arrival to Initial Brain-Imaging Among Suspected Stroke Patients

Rose

Rosamond

Huston

et al. 2008

Stroke

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“…(22) yaptıkları çalışmada da hastane öncesi dönemde gecikmeye neden olan en önemli sürecin, medikal yardım isteme süresindeki uzunluk olduğunu bulmuşlardır. İnme semptom başlangıcından ambulans çağrılmasına kadar geçen süre, hastane öncesi gecikmenin en büyük kısmını oluşturmaktadır (38)(39)(40)(41) . Medikal talebin gecikmesindeki önemli etkenler inme semptomlarının bilinmemesi, ciddiyetinin farkına varılmaması, bunun yanı sıra hastalığın görmezden gelinmesi ve semptomların kendiliğinden düzeleceği beklentisidir (25) .…”

Section: Materyal Metodunclassified

Acil Servise Başvuran Akut İskemik İnmeli 124 Hastanın Geriye Yönelik Bir Yıllık İncelenmesi

Kıyan¹,

Ozsarac²,

Ersel³

et al. 2009

jaem

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AIM:We aimed to intend to contribute to our countries database for acute stroke patients with identifying etiological, epidemiological, demographic and clinical features of those patients. METHODS:This is a retrospective descriptive study. Patients' charts are identified with help of ICD-10 coding system. 124 patients were enrolled to the study. RESULTS:Patients in male gender were 56.5 % (n: 70) and mean age of the study group was 67.5 ± 11.8. Average time of the onset of the symptoms was found to be 13.0 ± 18.5 hours. Only twenty five patients (20.5 %) were attended to the emergency department (ED) with in the there hours of symptoms onset.In patients past medical history, 58.8 % (n: 73) patients are hypertensive, 35.0 % (n: 43) are diabetic, 25.0 % (n: 31) of them have coronary artery disease, 20.1 % (n: 25) have a previously known stroke attack.Hundred patients (80.6 %) have a normal head CT. Mortality and morbidity rate was found to be 0.8 % and 6.5 % respectively in patients who were observed in the ED. Average observation time in the ED was 21.5 ± 30.5 hours (1-168). Fifty one patients (41.1 %) were admitted to intensive care unit and six patients were admitted to the neurology ward. CONCLUSION:Acute ischemic stroke is common in old male patients. Most important risk factors are hypertension and diabetes. Patients mostly attend to the hospitals lately. Observation periods of those patients are very long in the ED.

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“…In 1992, Alberts et al 41 reported that an educational campaign increased the proportion of patients arriving at a specialist (tertiary) medical facility within 24 hours from 39.2% to 85.5%, and a 2000 study of 259 stroke patients in the Philippines found that failure to recognize symptoms as serious and stroke-related was associated with delayed presentation. 42 However, in a retrospective study of 241 consecutive patients with TIA in the UK, correct recognition of symptoms (42.2% of patients) was not associated with less delay. 43 Other studies have also failed to find a relationship between stroke knowledge and time to presentation.…”

mentioning

confidence: 93%

Can Mass Media Influence Emergency Department Visits for Stroke?

Hodgson

Lindsay

Rubini

2007

Stroke

158

156

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Background and Purpose-Television advertising has been associated with significant increases in the knowledge of the warning signs of stroke among Ontarians aged 45 and older. However, to date there has been little data on the relationship between knowledge of the warning signs of stroke and behavior. Methods-Data on presentation to regional and enhanced district stroke center emergency departments were obtained from the a 5-month advertising blackout. There was a significant increase in the mean number of emergency department visits for stroke over the study period. A campaign effect independent of year was observed for total presentations, presentation within 5 hours of last seen normal, and presentation within 2.5 hours. For TIAs there was a strong campaign effect but no change in the number of presentations by year. Conclusions-Continuous advertising may be required to build and sustain public awareness of the warning signs of stroke. There are many factors that may influence presentation for stroke and awareness of the warning signs may be only one. However, results of this study suggest there may be an important correlation between the advertising and emergency department presentations with stroke, particularly for TIAs.

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Sources and reasons for delays in the care of acute stroke patients

Cited by 86 publications

References 16 publications

Predictors of Time From Hospital Arrival to Initial Brain-Imaging Among Suspected Stroke Patients

Predictors of Time From Hospital Arrival to Initial Brain-Imaging Among Suspected Stroke Patients

Acil Servise Başvuran Akut İskemik İnmeli 124 Hastanın Geriye Yönelik Bir Yıllık İncelenmesi

Can Mass Media Influence Emergency Department Visits for Stroke?

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