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dc.contributor.authorSoto Cámara, Raúl 
dc.contributor.authorGonzález Santos, Josefa 
dc.contributor.authorGonzález Bernal, Jerónimo 
dc.contributor.authorMartín Santidrián, Asunción
dc.contributor.authorCubo Delgado, Esther 
dc.contributor.authorTrejo Gabriel y Galán, José Mª
dc.date.accessioned2024-03-11T08:42:53Z
dc.date.available2024-03-11T08:42:53Z
dc.date.issued2019-10
dc.identifier.urihttp://hdl.handle.net/10259/8789
dc.description.abstractBackground: 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.en
dc.format.mimetypeapplication/pdf
dc.language.isoenges
dc.publisherMDPIen
dc.relation.ispartofJournal of Clinical Medicine. 2019, V. 8, n. 10, 1712en
dc.rightsAtribución 4.0 Internacional*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.subjectIschemic strokeen
dc.subjectPrehospital delayen
dc.subjectTime factorsen
dc.subjectAdmission delayen
dc.subjectEarly arrivalen
dc.subject.otherMedicinaes
dc.subject.otherMedicineen
dc.subject.otherSaludes
dc.subject.otherHealthen
dc.titleFactors Associated with Shortening of Prehospital Delay among Patients with Acute Ischemic Strokeen
dc.typeinfo:eu-repo/semantics/articlees
dc.rights.accessRightsinfo:eu-repo/semantics/openAccesses
dc.relation.publisherversionhttps://doi.org/10.3390/jcm8101712es
dc.identifier.doi10.3390/jcm8101712
dc.identifier.essn2077-0383
dc.journal.titleJournal of Clinical Medicineen
dc.volume.number8es
dc.issue.number10es
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersiones


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