Influence of Stroke Knowledge on Pre-hospital Delay of Acute Ischemic Stroke Patients
Journal of the Korean Neurological Association
;
: 123-128, 2009.
Artigo
em Coreano
| WPRIM
| ID: wpr-103704
ABSTRACT
BACKGROUND:
Most stroke patients are unable to receive thrombolytic therapy because they do not reach a hospital within 3 hours from symptom onset. The aim of this study was to determine the factors (including knowledge of stroke) that affect the admission delay.METHODS:
From May 2007 to December 2007, consecutive ischemic stroke patients presenting within 3 days from symptom onset and their relatives were interviewed about their knowledge of the following aspects of stroke stroke warning signs, thrombolytic therapy, the 3-hour time limit for admission delay, and use of emergency medical services. Clinical data of patients were collected from medical records.RESULTS:
One hundred and fifty-three patients were finally included, 37 of which (24.2%) reached our hospital within 3 hours from symptom onset. In univariate and multivariate analyses, factors independently associated with an admission delay of less than 3 hours were age (odds ratio [OR]=0.95, 95% confidence interval [CI]=0.91.0.99; p=0.008), atrial fibrillation (OR=5.02, CI=1.35.18.70; p=0.016), NIHSS score at admission (OR=1.09, CI=1.01.1.18; p=0.028), and knowledge of the 3-hour time limit (OR=3.55, CI=1.45.8.72; p=0.006). In the patients with an NIHSS score of >4 points, knowledge of the 3-hour time limit was the only independent factor associated with an admission delay of less than 3 hours. This knowledge was significantly associated with graduation from high school (p=0.038).CONCLUSIONS:
Knowledge of the 3-hour time limit was the only modifiable factor that influenced an admission delay of less than 3 hours. Therefore, educating the public about stroke, including about the 3-hour time limit, could increase the ability to apply thrombolysis to acute stroke patients.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Fibrilação Atrial
/
Terapia Trombolítica
/
Análise Multivariada
/
Acidente Vascular Cerebral
/
Serviços Médicos de Emergência
Limite:
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Neurological Association
Ano de publicação:
2009
Tipo de documento:
Artigo
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