ArticleIrish journal of medical science2011
Predictors of early arrival at the emergency department in acute ischaemic stroke.
Article in Irish journal of medical science, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
4 citing papers in PubMed, 4 citations in OpenAlex.
- Reasons for Prehospital Delay in Acute Ischemic Stroke.Journal of the American Heart Association · 2019Article
- If Time Is Brain Where Is the Improvement in Prehospital Time after Stroke?Frontiers in neurology · 2017Review
- Utilization of emergency medical service increases chance of thrombolytic therapy in patients with acute ischemic stroke.Journal of the Formosan Medical Association = Taiwan yi zhi · 2014Article
- Barriers and disparities in emergency medical services 911 calls for stroke symptoms in the United States adult population: 2009 BRFSS Survey.The western journal of emergency medicine · 2014Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA requirement of an effective acute stroke service is the early arrival of patients to the hospital emergency department (ED). This will allow the possible use of thrombolytic therapy or other acute interventions within a limited time window.
aimsWe investigated the predictors of early arrival in a single hospital serving a mixed urban and rural catchment area.
methodsA retrospective review of all case notes for 1 year was performed.
resultsOf 105 acute strokes, 91 were cerebral infarcts and a total of 71 cases presenting initially to the ED had timing available for analysis. 39.4% presented within 3 h, and 12.7% were potentially suitable for thrombolysis. Those living closer to the hospital were not more likely to arrive within 3 h (Z = -0.411, p = 0.68). Presenting directly to the hospital by emergency services (or private transport) was significantly associated with early arrival in a univariate comparison (p < 0.001), and in a multivariate model.
conclusionThe only independent predictor of early arrival to the ED is direct presentation. Improved public education of the importance of recognition of stroke symptoms and rapid contact with the emergency services will improve the early attendance following acute stroke, allowing increased use of acute stroke treatments.
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Registered trials
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