ArticleSAGE open medicine2018
Factors associated with late arrival of acute stroke patients to emergency department in Saudi Arabia.
Article in SAGE open medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Organizational Factors Determining Access to Reperfusion Therapies in Ischemic Stroke-Systematic Literature Review.International journal of environmental research and public health · 2022Pooled it
- Telestroke strategies to enhance acute stroke management in rural settings: A systematic review and meta-analysis.Brain and behavior · 2020Pooled it
- Awareness of Stroke Symptoms, Risk Factors, and Utilization of Neuroradiology Services Among the General Public in Saudi Arabia.Healthcare (Basel, Switzerland) · 2026Article
- Missed golden hours of stroke patients at Zweditu Memorial Hospital in Addis Ababa, Ethiopia.BMC neurology · 2025Article
- Emergency Department Time Targets for Interhospital Transfer of Patients with Acute Ischemic Stroke.Journal of personalized medicine · 2023Article
- Article
- Article
- Factors associated with decision time to seek care in the face of ischemic stroke.Revista da Escola de Enfermagem da U S P · 2023Article
- Factors Affecting the Delay of intravenous Thrombolysis in Hyperacute Ischemic Stroke Patients: A Single Centre Study.International journal of general medicine · 2023Article
- Article
- Stroke thrombolysis in a middle-income country: A case study exploring the determinants of its implementation.Frontiers in neurology · 2022Article
- Pre- and in-hospital delays in the use of thrombolytic therapy for patients with acute ischemic stroke in rural and urban Egypt.Frontiers in neurology · 2022Article
- Factors Affecting Pre-Hospital and In-Hospital Delays in Treatment of Ischemic Stroke; a Prospective Cohort Study.Archives of academic emergency medicine · 2021Article
- Endoscopic interlaminar lumbar discectomy: How to decrease the learning curve.Surgical neurology international · 2020Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTissue plasminogen activator within 4.5 h of onset is effective for acute ischemic stroke. However, only small proportion of patients is treated due to delayed presentation. We aimed to examine the factors associated with delays of stroke patients in Riyadh, Saudi Arabia.
methodsA cross-sectional survey was conducted at King Abdulaziz Medical City, Riyadh, Saudi Arabia, during a 6-month period. An interviewer administered structured questionnaire addressed to the acute stroke patients or their relatives was used to explore the factors associated with delayed arrival.
resultsA total of 227 patients attending the emergency department were interviewed. The mean age was 60.4 ± 15.6 years. Approximately 56.4% presented after 4.5 h of stroke onset. Factors associated with late arrival were being alone during the onset of stroke, not being transported in an ambulance, not knowing that they were experiencing a stroke, and residing outside the city of Riyadh.
conclusionMore than half of patients missed the golden hours for thrombolysis due to delayed presentation. Reasons include lack of knowledge, underuse of ambulance and difficult access to care. Urgent community-based interventions are needed to address these factors.
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