Time to admission in acute ischemic stroke and transient ischemic attack
| Autor: | Marcel Arnold, Urs Fischer, Osei Agyeman, Heinrich Mattle, Joerg Isenegger, Luca Remonda, Krassen Nedeltchev, Gerhard Schroth |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Carotid Artery Diseases
Male medicine.medical_specialty Emergency Medical Services Time Factors Adolescent medicine.medical_treatment Severity of Illness Index Brain Ischemia Brain ischemia Patient Admission Internal medicine Severity of illness medicine Emergency medical services Vertebrobasilar Insufficiency Humans cardiovascular diseases Vertebrobasilar insufficiency Stroke Referral and Consultation Aged Demography Advanced and Specialized Nursing Aged 80 and over Cerebral infarction business.industry Medical record Thrombolysis Middle Aged medicine.disease Surgery Ischemic Attack Transient Cardiology Female Neurology (clinical) Cardiology and Cardiovascular Medicine business |
| Zdroj: | Stroke. 37(4) |
| ISSN: | 1524-4628 |
| Popis: | Background and Purpose— The effect of thrombolysis depends on the time from stroke onset to treatment and therefore also on the time when patients come to the hospital. This study was designed to analyze the variables that influence the time from symptom onset to admission (TTA) to the stroke unit. Methods— We evaluated the medical records of 615 consecutive stroke or transient ischemic attack (TIA) patients admitted to our neurological department within 48 hours after symptom onset. Results— The median TTA was 180 minutes. Referral by emergency medical services (EMS; P P P P P =0.028). Regression analysis confirmed the independent association between referral by EMS ( P =0.010), high NIHSS scores ( P P P =0.022) with shorter adjTTA. Conclusions— Factors such as NIHSS scores and stroke location influence the time to admission but, unlike referral pathways, cannot be modified. Educational programs and stroke campaigns should therefore not only teach typical and less common stroke symptoms and signs but also that EMS provides the fastest means of transportation to a stroke unit and the best chances to get treatment early. |
| Databáze: | OpenAIRE |
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