Tiempos de llegada de pacientes con ataque cerebrovascular en un hospital regional de alta complejidad

Background: Stroke is a time-dependent emergency. Most patients with acute ischemic stroke are excluded from reperfusion therapies due to late consultation. Aims: To estimate the arrival times of patients with stroke to the Emergency Room (ER) of a public hospital. To identify factors associated w...

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Autores principales:	Soto V.,Álvaro, Morales I.,Gladys, Echeverría V.,Gonzalo, Belén Colinas G.,María, Canales O.,Pedro, Contreras B.,Daniela
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2019
Materias:	Emergency Services, Medical Hospitals Neurologists Stroke Thrombectomy Trombolytic Therapy
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000901154
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spelling	oai:scielo:S0034-988720190009011542020-01-07Tiempos de llegada de pacientes con ataque cerebrovascular en un hospital regional de alta complejidadSoto V.,ÁlvaroMorales I.,GladysEcheverría V.,GonzaloBelén Colinas G.,MaríaCanales O.,PedroContreras B.,Daniela Emergency Services, Medical Hospitals Neurologists Stroke Thrombectomy Trombolytic Therapy Background: Stroke is a time-dependent emergency. Most patients with acute ischemic stroke are excluded from reperfusion therapies due to late consultation. Aims: To estimate the arrival times of patients with stroke to the Emergency Room (ER) of a public hospital. To identify factors associated with early consultation. Material and Methods: A convenience sample, 583 patients aged 71 ± 13 years (55% males) consulting for stroke at an emergency room was analyzed in terms of delay between onset of symptoms and arrival to the ER, demographics and etiology of stroke. Results: The admission diagnoses were ischemic stroke in 76%, intracerebral hemorrhage in 12%, transient ischemic attack in 9% and subarachnoid hemorrhage in 3%. The median time of arrival was 8 hours and 11 minutes after the onset of symptoms. Nineteen percent of consultations for ischemic stroke occurred within 3 hours of symptom onset, and 38% within 6 hours. In the logistic regression analysis, having an address near the hospital and the severity of stroke were associated with early consultation with a combined odds ratio of 5.97 (95% confidence intervals 3.23-11.04). Conclusions: There were significant differences in the arrival times of patients with stroke. Only a low proportion of patients with ischemic stroke consulted within the window for reperfusion therapies. Severe strokes and living near the hospital were associated with early consultation.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.147 n.9 20192019-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000901154es10.4067/s0034-98872019000901154
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Emergency Services, Medical Hospitals Neurologists Stroke Thrombectomy Trombolytic Therapy
spellingShingle	Emergency Services, Medical Hospitals Neurologists Stroke Thrombectomy Trombolytic Therapy Soto V.,Álvaro Morales I.,Gladys Echeverría V.,Gonzalo Belén Colinas G.,María Canales O.,Pedro Contreras B.,Daniela Tiempos de llegada de pacientes con ataque cerebrovascular en un hospital regional de alta complejidad
description	Background: Stroke is a time-dependent emergency. Most patients with acute ischemic stroke are excluded from reperfusion therapies due to late consultation. Aims: To estimate the arrival times of patients with stroke to the Emergency Room (ER) of a public hospital. To identify factors associated with early consultation. Material and Methods: A convenience sample, 583 patients aged 71 ± 13 years (55% males) consulting for stroke at an emergency room was analyzed in terms of delay between onset of symptoms and arrival to the ER, demographics and etiology of stroke. Results: The admission diagnoses were ischemic stroke in 76%, intracerebral hemorrhage in 12%, transient ischemic attack in 9% and subarachnoid hemorrhage in 3%. The median time of arrival was 8 hours and 11 minutes after the onset of symptoms. Nineteen percent of consultations for ischemic stroke occurred within 3 hours of symptom onset, and 38% within 6 hours. In the logistic regression analysis, having an address near the hospital and the severity of stroke were associated with early consultation with a combined odds ratio of 5.97 (95% confidence intervals 3.23-11.04). Conclusions: There were significant differences in the arrival times of patients with stroke. Only a low proportion of patients with ischemic stroke consulted within the window for reperfusion therapies. Severe strokes and living near the hospital were associated with early consultation.
author	Soto V.,Álvaro Morales I.,Gladys Echeverría V.,Gonzalo Belén Colinas G.,María Canales O.,Pedro Contreras B.,Daniela
author_facet	Soto V.,Álvaro Morales I.,Gladys Echeverría V.,Gonzalo Belén Colinas G.,María Canales O.,Pedro Contreras B.,Daniela
author_sort	Soto V.,Álvaro
title	Tiempos de llegada de pacientes con ataque cerebrovascular en un hospital regional de alta complejidad
title_short	Tiempos de llegada de pacientes con ataque cerebrovascular en un hospital regional de alta complejidad
title_full	Tiempos de llegada de pacientes con ataque cerebrovascular en un hospital regional de alta complejidad
title_fullStr	Tiempos de llegada de pacientes con ataque cerebrovascular en un hospital regional de alta complejidad
title_full_unstemmed	Tiempos de llegada de pacientes con ataque cerebrovascular en un hospital regional de alta complejidad
title_sort	tiempos de llegada de pacientes con ataque cerebrovascular en un hospital regional de alta complejidad
publisher	Sociedad Médica de Santiago
publishDate	2019
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000901154
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Tiempos de llegada de pacientes con ataque cerebrovascular en un hospital regional de alta complejidad

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