ArticlePloS one2020
Factors related to time of stroke onset versus time of hospital arrival: A SITS registry-based study in an Egyptian stroke center.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Knowledge and attitudes about stroke among Egyptian adults: results from an online cross-sectional survey.BMC public health · 2026Article
- Relationship between stroke onset timing and clinical outcomes in ischemic and hemorrhagic strokes: a systematic review.International journal of cardiology. Cardiovascular risk and prevention · 2026Review
- Late neurological improvement during hospitalization is a predicative factor for acute ischemic stroke.European journal of medical research · 2025Article
- Determinants of the time period from stroke onset to arrival at the emergency department: a GIS integrated hospital-based cross-sectional study.Scientific reports · 2025Article
- The role of the SIRT1-BMAL1 pathway in regulating oxidative stress in the early development of ischaemic stroke.Scientific reports · 2024Article
- Radio frequency identification technology reduce intravenous thrombolysis time in acute ischemic stroke.PloS one · 2023Article
- In-Hospital Emergency Treatment Delay Among Chinese Patients with Acute Ischaemic Stroke: Relation to Hospital Arrivals and Implications for Triage Pathways.International journal of general medicine · 2023Article
- Gender disparity versus equality in acute stroke: a Middle Eastern country hospital-based study.The Egyptian journal of neurology, psychiatry and neurosurgery · 2023Article
- The expression profiling of serum miR-92a, miR-134 and miR-375 in acute ischemic stroke.Future science OA · 2022Article
- Implications of Circadian Rhythm in Stroke Occurrence: Certainties and Possibilities.Brain sciences · 2021Review
- Limited changes in locomotor recovery and unaffected white matter sparing after spinal cord contusion at different times of day.PloS one · 2021Article
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11 authors.
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Abstract
backgroundHigh-quality data on time of stroke onset and time of hospital arrival is required for proper evaluation of points of delay that might hinder access to medical care after the onset of stroke symptoms. PURPOSE: Based on (SITS Dataset) in Egyptian stroke patients, we aimed to explore factors related to time of onset versus time of hospital arrival for acute ischemic stroke (AIS). MATERIAL AND
methodsWe included 1,450 AIS patients from two stroke centers of Ain Shams University, Cairo, Egypt. We divided the day to four quarters and evaluated relationship between different factors and time of stroke onset and time of hospital arrival. The factors included: age, sex, duration from stroke onset to hospital arrival, type of management, type of stroke (TOAST classification), National Institute of Health Stroke Scale (NIHSS) on admission and favorable outcome modified Rankin Scale (mRS ≤2).
resultsPre-hospital: highest stroke incidence was in the first and fourth quarters. There was no significant difference in the mean age, sex, type of stroke in relation to time of onset. NIHSS was significantly less in onset in third quarter of the day. Percentage of patients who received thrombolytic therapy was higher with onset in the first 2 quarters of the day (p = <0.001). In-hospital: there was no difference in percentage of patients who received thrombolytic therapy nor in outcome across 4 quarters of arrival to hospital.
conclusionPre-hospital factors still need adjustment to improve percentage of thrombolysis, while in-hospital factors showed consistent performance.
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