Language preference does not influence stroke patients' symptom recognition or emergency care time metrics
Autor: | Nicte I. Mejia, Kori S. Zachrison, Betty M. Luan Erfe, Shaw Natsui, Lee H. Schwamm |
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Rok vydání: | 2021 |
Předmět: |
Male
medicine.medical_specialty Stroke patient Bivariate analysis Time-to-Treatment 03 medical and health sciences 0302 clinical medicine Emergency medical services Humans Medicine Registries Symptom onset Emergency Treatment Language preference Aged Language Acute stroke Aged 80 and over business.industry 030208 emergency & critical care medicine Regression analysis General Medicine Patient data Middle Aged Stroke Emergency medicine Emergency Medicine Female Emergency Service Hospital business |
Zdroj: | The American Journal of Emergency Medicine. 40:177-180 |
ISSN: | 0735-6757 |
Popis: | Introduction Our objective was to determine whether acute ischemic stroke (AIS) patients' language preference is associated with differences in time from symptom discovery to hospital arrival, activation of emergency medical services, door-to-imaging time (DTI), and door-to-needle (DTN) time. Methods We identified consecutive AIS patients presenting to a single urban, tertiary, academic center between 01/2003–05/2014 for whom language preference was available. Data were abstracted from the institution's Research Patient Data Registry and Get with the Guidelines-Stroke Registry. Bivariate and regression models evaluated the relationship between language preference and: 1) time from symptom onset to hospital arrival, 2) use of EMS, 3) DTI, and 4) DTN time. Results Of 3190 AIS patients, 300 (9.4%) were non-English preferring (NEP). Comparing NEP to English preferring (EP) patients in unadjusted or adjusted analyses, time from symptom discovery to arrival and rate of EMS utilization were not significantly different (overall median time 157 min, IQR 55–420; EMS utilization: 65% vs. 61.3% p = 0.21). There was also no significant differences in DTI or in likelihood of guideline-recommended DTI ≤ 25 min (overall median 59 min, IQR 29–127; DTI ≤ 25 min 24.3% vs. 21.3% p = 0.29) or DTN time or in likelihood of guideline-recommended DTN ≤ 60 min (overall median 53 min, IQR 36–73; DTN ≤ 60 min 62.5% vs. 58.2% p = 0.60). Conclusion Consistent with prior reports examining disparities in care, a systems-based approach to acute stroke prevents differences in hospital-based metrics. Reassuringly, NEP and EP patients also had similar speed of symptom recognition and EMS utilization. |
Databáze: | OpenAIRE |
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