Pre-hospital delay in patients with signs of acute stroke

Introduction. Acute stroke is the second leading cause of death and the third leading cause of disability in the world. The main goal of the medical treatment is to provide the patient with thrombolytic therapy within 4.5 hours from symptom onset. The majority of patients experience first symptoms o...

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Autor principal:	Živanović Slavoljub R.
Formato:	article
Lenguaje:	EN SR
Publicado:	Serbian Medical Society, Belgrade 2021
Materias:	stroke primary health care urgent medical care Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/71c80f22debf42279912bc7f3180bce8
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spelling	oai:doaj.org-article:71c80f22debf42279912bc7f3180bce82021-12-05T21:29:06ZPre-hospital delay in patients with signs of acute stroke0354-71322217-399410.5937/opmed27-33882https://doaj.org/article/71c80f22debf42279912bc7f3180bce82021-01-01T00:00:00Zhttps://scindeks-clanci.ceon.rs/data/pdf/0354-7132/2021/0354-71322103053Q.pdfhttps://doaj.org/toc/0354-7132https://doaj.org/toc/2217-3994Introduction. Acute stroke is the second leading cause of death and the third leading cause of disability in the world. The main goal of the medical treatment is to provide the patient with thrombolytic therapy within 4.5 hours from symptom onset. The majority of patients experience first symptoms outside of health facilities, so the recognition of the symptoms, by the people who are present, is of great importance. Severe strokes, using an ambulance, and younger age coincide with decreased pre-hospital delay. Objective. We aimed to show how long is the pre-hospital delay of the patients with stroke symptoms and how it affects the patient`s treatment. Method. The research is a cross-sectional study of the ER, Belgrade, from 1.1.2015. to 31.12.2018. taking into account patients diagnosed with a stroke, suspected stroke, or TIA. Pre-hospital delay is a time from symptoms onset to the moment of seeing the physician. The patients were divided into three groups according to the delay time: up until 3h, 3-24h, and more than 24h. Statistical data processing was performed in SPSS 11 program, and statistical significance was defined at level p<0,05. Results. 119 participants took part in the study. Their average age was 65.53 ± 14.24, 46.22% were males, and 53.78% females. In the first three hours from the onset of the symptoms 44.54% of the patients arrived in the ER, 31.93% in 3-24h, and 23.53% arrived after 24h. Conclusion. More than half of the patients come to ER in time when thrombolytic therapy is no longer effective.Živanović Slavoljub R.Serbian Medical Society, Belgradearticlestrokeprimary health careurgent medical careMedicine (General)R5-920ENSROpšta Medicina, Vol 27, Iss 3-4, Pp 53-60 (2021)
institution	DOAJ
collection	DOAJ
language	EN SR
topic	stroke primary health care urgent medical care Medicine (General) R5-920
spellingShingle	stroke primary health care urgent medical care Medicine (General) R5-920 Živanović Slavoljub R. Pre-hospital delay in patients with signs of acute stroke
description	Introduction. Acute stroke is the second leading cause of death and the third leading cause of disability in the world. The main goal of the medical treatment is to provide the patient with thrombolytic therapy within 4.5 hours from symptom onset. The majority of patients experience first symptoms outside of health facilities, so the recognition of the symptoms, by the people who are present, is of great importance. Severe strokes, using an ambulance, and younger age coincide with decreased pre-hospital delay. Objective. We aimed to show how long is the pre-hospital delay of the patients with stroke symptoms and how it affects the patient`s treatment. Method. The research is a cross-sectional study of the ER, Belgrade, from 1.1.2015. to 31.12.2018. taking into account patients diagnosed with a stroke, suspected stroke, or TIA. Pre-hospital delay is a time from symptoms onset to the moment of seeing the physician. The patients were divided into three groups according to the delay time: up until 3h, 3-24h, and more than 24h. Statistical data processing was performed in SPSS 11 program, and statistical significance was defined at level p<0,05. Results. 119 participants took part in the study. Their average age was 65.53 ± 14.24, 46.22% were males, and 53.78% females. In the first three hours from the onset of the symptoms 44.54% of the patients arrived in the ER, 31.93% in 3-24h, and 23.53% arrived after 24h. Conclusion. More than half of the patients come to ER in time when thrombolytic therapy is no longer effective.
format	article
author	Živanović Slavoljub R.
author_facet	Živanović Slavoljub R.
author_sort	Živanović Slavoljub R.
title	Pre-hospital delay in patients with signs of acute stroke
title_short	Pre-hospital delay in patients with signs of acute stroke
title_full	Pre-hospital delay in patients with signs of acute stroke
title_fullStr	Pre-hospital delay in patients with signs of acute stroke
title_full_unstemmed	Pre-hospital delay in patients with signs of acute stroke
title_sort	pre-hospital delay in patients with signs of acute stroke
publisher	Serbian Medical Society, Belgrade
publishDate	2021
url	https://doaj.org/article/71c80f22debf42279912bc7f3180bce8
work_keys_str_mv	AT zivanovicslavoljubr prehospitaldelayinpatientswithsignsofacutestroke
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Pre-hospital delay in patients with signs of acute stroke

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