ArticleJournal of family medicine and primary care
Causes of delayed arrival with acute ischemic stroke beyond the window period of thrombolysis.
Article in Journal of family medicine and primary care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 36 citations in OpenAlex.
- Impact of academic center for evidence-based practice star model on door-to-needle times in patients with acute ischemic stroke.Pakistan journal of medical sciences · 2025Article
- Stroke systems of care in South-East Asia Region (SEAR): commonalities and diversities.The Lancet regional health. Southeast Asia · 2023Review
- Prevalence and determinants of delays in care among premature deaths due to acute cardiac conditions and stroke in residents of a district in India.The Lancet regional health. Southeast Asia · 2023Article
- The weekend effect in stroke mortality: evidence from Austrian acute care hospitals.International journal of health economics and management · 2022Article
- Lived experiences of stroke survivors in India: A phenomenological study.Belitung nursing journal · 2022Article
- Factors Influencing Early Hospital Arrival of Patients with Acute Ischemic Stroke, Cross-Sectional Study at Teaching Hospital in Mogadishu Somalia.Journal of multidisciplinary healthcare · 2022Article
- Exploring Stroke Rehabilitation in Malaysia: Are Robots Better than Humans for Stroke Recuperation?The Malaysian journal of medical sciences : MJMS · 2021Review
- Demographic characteristics and types of stroke in Southwestern Saudi Arabia, and the potential demand of neuro endovascular specialists.Neurosciences (Riyadh, Saudi Arabia) · 2021Article
- The application of the emergency green channel integrated management strategy in intravenous thrombolytic therapy for AIS.American journal of translational research · 2021Article
- Knowledge, Prevention Practice and Associated Factors of Stroke Among Hypertensive and Diabetic Patients - A Systematic Review.Risk management and healthcare policy · 2021Review
- Article
- Factors affecting prehospital delay in rural and urban patients with stroke: a prospective survey-based study in Southwest Germany.BMC neurology · 2020Article
- Modes of Calcium Regulation in Ischemic Neuron.Indian journal of clinical biochemistry : IJCB · 2019Review
- Barriers to Effective Prehospital and Hyperacute Stroke Care in India: A Physician Perspective.Journal of emergencies, trauma, and shockArticle
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextEarly thrombolytic therapy in acute ischemic stroke has proven to reduce the associated morbidity. Many factors are in play, delaying the arrival of patients.
aimTo ascertain the factors causing delay in patients with acute ischemic stroke presenting beyond the window period of thrombolysis in and around Chennai, Tamil Nadu, India. SUBJECTS AND
methodsAn observational cross-sectional study involving 200 patients with acute ischemic stroke at Sri Ramachandra Medical College, Chennai, India between June 2015 and July 2016 was conducted. The data was collected by direct interview using a questionnaire designed to study factors such as age, family structure, residence, distance from the hospital, education status, wake-up stroke, transport, symptoms, knowledge about symptoms, seriousness of symptoms, waiting on symptoms, insurance and point of admission. Data was analyzed for means, frequencies, percentages and multiple linear regression analysis was performed to identify factors independently influencing delayed arrival.
resultsMean age of the cohort was 58.08 years: 142 men and 58 women. Mean time of delayed arrival was 13.6 hours. Multiple linear regression analysis revealed that seriousness of symptoms (
conclusionPatients not perceiving their symptoms to be serious, residing in a rural area, not arriving to the emergency, and having a stroke while awake were all the significant predictors of pre-hospital delay in our study. Awareness among the masses about symptom recognition and early arrival to a tertiary care center will reduce the delay and associated morbidity. Primary care physicians notably play a significant role in educating patients at risk, identifying the symptoms of stroke and referring them for thrombolysis.
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