ArticleSA journal of radiology2018
A retrospective analysis of time delays in patients presenting with stroke to an academic emergency department.
Article in SA journal of radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
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
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prehospital delay and associated factors among stroke patients in Africa: A systematic review and meta-analysis.PloS one · 2025Pooled it
- Stroke in Sierra Leone: Insights From a Retrospective Review to Support the Development of a Neurosurgical Department in the Country.Neurosurgery practice · 2026Article
- Acute Suspected Stroke Clinical Pathway Use in Tasmanian Emergency Departments: A Retrospective Study.Emergency medicine Australasia : EMA · 2026Observational
- Barriers to thrombolysis in acute ischaemic stroke: an epidemiological review from a tertiary hospital in the Eastern Cape, South Africa.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- Factors facilitating pre-hospital delays in stroke patients' presentation to hospital by their caretakers in Uganda and suggested interventions.BMC neurology · 2025Article
- Time delays in emergency stroke care in a low-resource referral hospital in Ghana.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2025Article
- Missed golden hours of stroke patients at Zweditu Memorial Hospital in Addis Ababa, Ethiopia.BMC neurology · 2025Article
- Impact of short-term (24 h) blood pressure variability on 30-days clinical outcomes of acute strokes at two tertiary hospitals in Dar-es-Salaam.Frontiers in stroke · 2025Article
- The impact of tobacco smoking and smoking cessation on lung cancer and stroke incidence among people with HIV on antiretroviral therapy in South Africa: a simulation modeling study.BMJ global health · 2024Article
- Article
- Stroke signs knowledge and factors associated with a delayed hospital arrival of patients with acute stroke in Kinshasa.Heliyon · 2024Article
- Addressing disparities in the global epidemiology of stroke.Nature reviews. Neurology · 2024Review
- Access to acute stroke care: A retrospective descriptive analysis of stroke patients' journey to a district hospital.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2022Article
- Functioning Problems Associated with Health Conditions with Greatest Disease Burden in South Africa: A Scoping Review.International journal of environmental research and public health · 2022Article
- Acute stroke in the emergency department: A chart review at KwaZulu-Natal hospital.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2020Article
- Access to acute care resources in various income settings to treat new-onset stroke: A survey of acute care providers.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundStroke presents commonly to the emergency department (ED), and is a common cause of morbidity and mortality in South Africa. Early ED presentation and early neuroimaging are required in order for thrombolysis to be a potential therapeutic modality.
objectivesTo determine the time to ED presentation, time to computed tomography (CT) scan and the potential influencing factors for patients with stroke.
methodsA retrospective record review of all patients who presented with clinical features of stroke to a tertiary academic ED in Johannesburg, South Africa, from 01 January to 31 December 2014.
resultsData from 232 eligible stroke patients were analysed. The median time to presentation to the ED was 33 h with the majority of patients (81.3%) presenting after the 4.5 h window for thrombolysis. The median time to CT was 8 h. Only 3.9% of patients had a CT scan within one hour of arrival. Patients with loss of consciousness were associated with earlier hospital presentation (
conclusionPatients with stroke commonly present late to hospital. If we are to make a difference in this group of vulnerable patients, further education and training needs to be emphasised regarding 'time is brain'. Communication and commitment is also required by the emergency medical services, ED and radiology staff in order to prioritise stroke patients and to reduce delays.
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.