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
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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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