Stroke awareness decreases prehospital delay after acute ischemic stroke in korea
<p>Abstract</p> <p>Background</p> <p>Delayed arrival at hospital is one of the major obstacles in enhancing the rate of thrombolysis therapy in patients with acute ischemic stroke. Our study aimed to investigate factors associated with prehospital delay after acute isch...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2011-01-01
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| Series: | BMC Neurology |
| Online Access: | http://www.biomedcentral.com/1471-2377/11/2 |
| _version_ | 1811261007147827200 |
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| author | Lee Su-Ho Lee Seung-Hoon Lee Kyung Lee Byung-Chul Kwon Hyung-Min Kwon Sun Kim Gyeong-Moon Kim Hahn Kim Dong-Eog Kang Kyusik Heo Ji Han Moon-Ku Cho Yong-Jin Cho A-Hyun Bae Hee-Joon Park Sang-Soon Kim Young Lee Yong-Seok Nam Hyo Oh Mi-Sun Park Jong-Moo Rha Joung-Ho Yu Kyung-Ho Yoon Byung-Woo |
| author_facet | Lee Su-Ho Lee Seung-Hoon Lee Kyung Lee Byung-Chul Kwon Hyung-Min Kwon Sun Kim Gyeong-Moon Kim Hahn Kim Dong-Eog Kang Kyusik Heo Ji Han Moon-Ku Cho Yong-Jin Cho A-Hyun Bae Hee-Joon Park Sang-Soon Kim Young Lee Yong-Seok Nam Hyo Oh Mi-Sun Park Jong-Moo Rha Joung-Ho Yu Kyung-Ho Yoon Byung-Woo |
| author_sort | Lee Su-Ho |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Delayed arrival at hospital is one of the major obstacles in enhancing the rate of thrombolysis therapy in patients with acute ischemic stroke. Our study aimed to investigate factors associated with prehospital delay after acute ischemic stroke in Korea.</p> <p>Methods</p> <p>A prospective, multicenter study was conducted at 14 tertiary hospitals in Korea from March 2009 to July 2009. We interviewed 500 consecutive patients with acute ischemic stroke who arrived within 48 hours. Univariate and multivariate analyses were performed to evaluate factors influencing prehospital delay.</p> <p>Results</p> <p>Among the 500 patients (median 67 years, 62% men), the median time interval from symptom onset to arrival was 474 minutes (interquartile range, 170-1313). Early arrival within 3 hours of symptom onset was significantly associated with the following factors: high National Institutes of Health Stroke Scale (NIHSS) score, previous stroke, atrial fibrillation, use of ambulance, knowledge about thrombolysis and awareness of the patient/bystander that the initial symptom was a stroke. Multivariable logistic regression analysis indicated that awareness of the patient/bystander that the initial symptom was a stroke (OR 4.438, 95% CI 2.669-7.381), knowledge about thrombolysis (OR 2.002, 95% CI 1.104-3.633) and use of ambulance (OR 1.961, 95% CI 1.176-3.270) were significantly associated with early arrival.</p> <p>Conclusions</p> <p>In Korea, stroke awareness not only on the part of patients, but also of bystanders, had a great impact on early arrival at hospital. To increase the rate of thrombolysis therapy and the incidence of favorable outcomes, extensive general public education including how to recognize stroke symptoms would be important.</p> |
| first_indexed | 2024-04-12T18:56:05Z |
| format | Article |
| id | doaj.art-c6ef5f670a0746c68ee5a5f526573423 |
| institution | Directory Open Access Journal |
| issn | 1471-2377 |
| language | English |
| last_indexed | 2024-04-12T18:56:05Z |
| publishDate | 2011-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Neurology |
| spelling | doaj.art-c6ef5f670a0746c68ee5a5f5265734232022-12-22T03:20:19ZengBMCBMC Neurology1471-23772011-01-01111210.1186/1471-2377-11-2Stroke awareness decreases prehospital delay after acute ischemic stroke in koreaLee Su-HoLee Seung-HoonLee KyungLee Byung-ChulKwon Hyung-MinKwon SunKim Gyeong-MoonKim HahnKim Dong-EogKang KyusikHeo JiHan Moon-KuCho Yong-JinCho A-HyunBae Hee-JoonPark Sang-SoonKim YoungLee Yong-SeokNam HyoOh Mi-SunPark Jong-MooRha Joung-HoYu Kyung-HoYoon Byung-Woo<p>Abstract</p> <p>Background</p> <p>Delayed arrival at hospital is one of the major obstacles in enhancing the rate of thrombolysis therapy in patients with acute ischemic stroke. Our study aimed to investigate factors associated with prehospital delay after acute ischemic stroke in Korea.</p> <p>Methods</p> <p>A prospective, multicenter study was conducted at 14 tertiary hospitals in Korea from March 2009 to July 2009. We interviewed 500 consecutive patients with acute ischemic stroke who arrived within 48 hours. Univariate and multivariate analyses were performed to evaluate factors influencing prehospital delay.</p> <p>Results</p> <p>Among the 500 patients (median 67 years, 62% men), the median time interval from symptom onset to arrival was 474 minutes (interquartile range, 170-1313). Early arrival within 3 hours of symptom onset was significantly associated with the following factors: high National Institutes of Health Stroke Scale (NIHSS) score, previous stroke, atrial fibrillation, use of ambulance, knowledge about thrombolysis and awareness of the patient/bystander that the initial symptom was a stroke. Multivariable logistic regression analysis indicated that awareness of the patient/bystander that the initial symptom was a stroke (OR 4.438, 95% CI 2.669-7.381), knowledge about thrombolysis (OR 2.002, 95% CI 1.104-3.633) and use of ambulance (OR 1.961, 95% CI 1.176-3.270) were significantly associated with early arrival.</p> <p>Conclusions</p> <p>In Korea, stroke awareness not only on the part of patients, but also of bystanders, had a great impact on early arrival at hospital. To increase the rate of thrombolysis therapy and the incidence of favorable outcomes, extensive general public education including how to recognize stroke symptoms would be important.</p>http://www.biomedcentral.com/1471-2377/11/2 |
| spellingShingle | Lee Su-Ho Lee Seung-Hoon Lee Kyung Lee Byung-Chul Kwon Hyung-Min Kwon Sun Kim Gyeong-Moon Kim Hahn Kim Dong-Eog Kang Kyusik Heo Ji Han Moon-Ku Cho Yong-Jin Cho A-Hyun Bae Hee-Joon Park Sang-Soon Kim Young Lee Yong-Seok Nam Hyo Oh Mi-Sun Park Jong-Moo Rha Joung-Ho Yu Kyung-Ho Yoon Byung-Woo Stroke awareness decreases prehospital delay after acute ischemic stroke in korea BMC Neurology |
| title | Stroke awareness decreases prehospital delay after acute ischemic stroke in korea |
| title_full | Stroke awareness decreases prehospital delay after acute ischemic stroke in korea |
| title_fullStr | Stroke awareness decreases prehospital delay after acute ischemic stroke in korea |
| title_full_unstemmed | Stroke awareness decreases prehospital delay after acute ischemic stroke in korea |
| title_short | Stroke awareness decreases prehospital delay after acute ischemic stroke in korea |
| title_sort | stroke awareness decreases prehospital delay after acute ischemic stroke in korea |
| url | http://www.biomedcentral.com/1471-2377/11/2 |
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