Patient‐reported factors associated with early arrival for stroke treatment
| Autor: | Emilie S. Jensen, Nete Hornnes, Ida M. K. Danielsen, Heidi Shil Eddelien, Thomas Christensen, Jawad H. Butt, Andre C. Amtoft, Anne Kjærgaard Danielsen, Nicholine S. K. Nielsen, Christina Kruuse |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Percentile Emergency Medical Services Time Factors prehospital emergency care Capital region Neurosciences. Biological psychiatry. Neuropsychiatry Logistic regression 050105 experimental psychology 03 medical and health sciences Behavioral Neuroscience 0302 clinical medicine Medicine Humans 0501 psychology and cognitive sciences Patient Reported Outcome Measures Stroke Original Research Aged business.industry 05 social sciences Odds ratio medicine.disease stroke Confidence interval Stroke treatment Cross-Sectional Studies Ischemic Attack Transient Emergency medicine Female stroke knowledge business 030217 neurology & neurosurgery Prehospital Emergency Care RC321-571 |
| Zdroj: | Brain and Behavior, Vol 11, Iss 8, Pp n/a-n/a (2021) Eddelien, H S, Butt, J H, Amtoft, A C, Nielsen, N S K, Jensen, E S, Danielsen, I M K, Christensen, T, Danielsen, A K, Hornnes, N & Kruuse, C 2021, ' Patient-reported factors associated with early arrival for stroke treatment ', Brain and Behavior, vol. 11, no. 8, e2225 . https://doi.org/10.1002/brb3.2225 Brain and Behavior |
| ISSN: | 2162-3279 |
| DOI: | 10.1002/brb3.2225 |
| Popis: | Objective Timely evaluation and initiation of treatment is the key for improving stroke outcomes, although minimizing the time from symptom onset to the first contact with healthcare professionals remains a challenge. We aimed to identify patient‐related factors associated with early hospital arrival. Materials and methods In this cross‐sectional survey, we included patients with stroke or transient ischemic attack admitted directly to one of two noncomprehensive stroke units or transferred to the units from comprehensive stroke centers in the Capital Region of Denmark. Patient‐reported factors associated with early hospital arrival were analyzed using multivariable logistic regression analysis adjusted for age, sex, education, living arrangement, brain location of the stroke, stroke severity, patient‐perceived symptom severity, history of prior stroke, stroke risk factors, and knowledge of stroke symptoms. Results In total, 479 patients with acute stroke were included (median age 74 (25th–75th percentile, 64–80), 40% women), of whom 46.4% arrived within 180 min of symptom onset. Factors associated with early hospital arrival were patients or bystanders choosing emergency medical service (EMS) for the first contact with a medical professional (adjusted odds ratio (OR), 3.41; 95% confidence interval, CI [1.57, 7.35]) or the patient's perceived symptom severity above the median score of 25 on a 100‐point verbal scale (adjusted OR, 2.44; 95% CI [1.57, 3.82]). Living alone reduced the likelihood of early arrival (adjusted OR, 0.53; 95% CI [0.33, 0.86]). Conclusions Only when patients perceived symptoms as severe or when EMS was selected as the first contact, early arrival for stroke treatment was ensured. Patient‐related factors associated with hospital arrival within 180 minutes |
| Databáze: | OpenAIRE |
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