2026-04-18T11:54:16Zhttps://riubu.ubu.es/oai/requestoai:riubu.ubu.es:10259/87892024-03-12T01:05:22Zcom_10259_6688com_10259_5086com_10259_2604com_10259_4141com_10259_4219col_10259_6689col_10259_4142col_10259_4220
Repositorio Institucional de la Universidad de Burgos
author
Soto Cámara, Raúl
author
González Santos, Josefa
author
González Bernal, Jerónimo
author
Martín Santidrián, Asunción
author
Cubo Delgado, Esther
author
Trejo Gabriel y Galán, José Mª
2024-03-11T08:42:53Z
2024-03-11T08:42:53Z
2019-10
http://hdl.handle.net/10259/8789
10.3390/jcm8101712
2077-0383
Background: Despite recent advances in acute stroke care, only 1–8% of patients can receive
reperfusion therapies, mainly because of prehospital delay (PHD). Objective: This study aimed
to identify factors associated with PHD from the onset of acute stroke symptoms until arrival at
the hospital. Methods: A cross-sectional study was conducted including all patients consecutively
admitted with stroke symptoms to Burgos University Hospital (Burgos, Spain). Socio-demographic,
clinical, behavioral, cognitive, and contextualized characteristics were recorded, and their possible
associations with PHD were studied using univariate and multivariable regression analyses. Results:
The median PHD of 322 patients was 138.50 min. The following factors decreased the PHD and
time until reperfusion treatment where applicable: asking for help immediately after the onset of
symptoms (OR 10.36; 95% confidence interval (CI) 4.47–23.99), onset of stroke during the daytime
(OR 7.73; 95% CI 3.09–19.34) and the weekend (OR 2.64; 95% CI 1.19–5.85), occurrence of stroke outside
the home (OR 7.09; 95% CI 1.97–25.55), using a prenotification system (OR 6.46; 95% CI 1.71–8.39),
patient’s perception of being unable to control symptoms without assistance (OR 5.14; 95% CI
2.60–10.16), previous knowledge of stroke as a medical emergency (OR 3.20; 95% CI 1.38–7.40), call to
emergency medical services as the first medical contact (OR 2.77; 95% CI 1.32–5.88), speech/language
difficulties experienced by the patient (OR 2.21; 95% CI 1.16–4.36), and the identification of stroke
symptoms by the patient (OR 1.98; 95% CI 1.03–3.82). Conclusions: The interval between the onset
of symptoms and arrival at the hospital depends on certain contextual, cognitive, and behavioral
factors, all of which should be considered when planning future public awareness campaigns.
eng
Atribución 4.0 Internacional
Ischemic stroke
Prehospital delay
Time factors
Admission delay
Early arrival
Factors Associated with Shortening of Prehospital Delay among Patients with Acute Ischemic Stroke
info:eu-repo/semantics/article
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
URL
https://riubu.ubu.es/bitstream/10259/8789/1/Soto-jcm_2019.pdf
File
MD5
c43318ee8bd56f19a0ae67c27da7c8cf
603695
application/pdf
Soto-jcm_2019.pdf