RT info:eu-repo/semantics/article
T1 Factors Associated with Shortening of Prehospital Delay among Patients with Acute Ischemic Stroke
A1 Soto Cámara, Raúl
A1 González Santos, Josefa
A1 González Bernal, Jerónimo
A1 Martín Santidrián, Asunción
A1 Cubo Delgado, Esther
A1 Trejo Gabriel y Galán, José Mª
K1 Ischemic stroke
K1 Prehospital delay
K1 Time factors
K1 Admission delay
K1 Early arrival
K1 Medicina
K1 Medicine
K1 Salud
K1 Health
AB Background: Despite recent advances in acute stroke care, only 1–8% of patients can receivereperfusion therapies, mainly because of prehospital delay (PHD). Objective: This study aimedto identify factors associated with PHD from the onset of acute stroke symptoms until arrival atthe hospital. Methods: A cross-sectional study was conducted including all patients consecutivelyadmitted with stroke symptoms to Burgos University Hospital (Burgos, Spain). Socio-demographic,clinical, behavioral, cognitive, and contextualized characteristics were recorded, and their possibleassociations 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 andtime until reperfusion treatment where applicable: asking for help immediately after the onset ofsymptoms (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 outsidethe 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% CI2.60–10.16), previous knowledge of stroke as a medical emergency (OR 3.20; 95% CI 1.38–7.40), call toemergency medical services as the first medical contact (OR 2.77; 95% CI 1.32–5.88), speech/languagedifficulties experienced by the patient (OR 2.21; 95% CI 1.16–4.36), and the identification of strokesymptoms by the patient (OR 1.98; 95% CI 1.03–3.82). Conclusions: The interval between the onsetof symptoms and arrival at the hospital depends on certain contextual, cognitive, and behavioralfactors, all of which should be considered when planning future public awareness campaigns.
PB MDPI
YR 2019
FD 2019-10
LK http://hdl.handle.net/10259/8789
UL http://hdl.handle.net/10259/8789
LA eng
DS Repositorio Institucional de la Universidad de Burgos
RD 23-nov-2024