ArticleeNeurologicalSci2020
Factors affecting time between symptom onset and emergency department arrival in stroke patients.
Article in eNeurologicalSci, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- Prehospital delay and associated factors among stroke patients in Africa: A systematic review and meta-analysis.PloS one · 2025Pooled it
- Clinical symptoms associated with prehospital delay in first-ever acute stroke.Biomolecules & biomedicine · 2026Observational
- Aligning emergency admission and stroke center catchment areas: Association with intravenous thrombolysis rates.SAGE open medicine · 2026Article
- Precipitation, EMS use, and time to presentation of Acute Ischemic stroke in the get with the guidelines-stroke registry.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 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
- Sex Differences in Clinical Presentation of Women and Men Evaluated at a Comprehensive Stroke Center for Suspected Stroke.Cerebrovascular diseases extra · 2025Article
- Characteristics of Dutch ED patients and their journey through the acute care chain: A province-wide flash-mob study.PloS one · 2025Observational
- A pilot comparison of the retention rates of FAST and BEFAST stroke warning-sign mnemonics.Frontiers in neurology · 2025Article
- Contemporary mortality of neonatal germinal matrix hemorrhage and incidence of hydrocephalus requiring cerebrospinal fluid diversion in a substantially rural patient population.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024Article
- Time-Sensitive Quality Metrics of Acute Stroke Care: A Comprehensive Stroke Center Experience.The Eurasian journal of medicine · 2024Article
- Recognition of Early Cardiovascular Disease Symptoms in Hypertensive and Dyslipidemic Individuals of Icheon, Korea: Insights into Educational Levels and Health Literacy.Healthcare (Basel, Switzerland) · 2024Article
- Article
- HIV Infection and 90-Day Stroke Outcomes in Uganda: A Prospective Observational Cohort Study.Neurology. Clinical practice · 2023Article
- Clinical characteristic of a Haitian stroke cohort and a scoping review of the literature of stroke among the Haitian population.Journal of clinical and translational research · 2023Article
- Changing Trends in Demographics, Risk Factors, and Clinical Features of Patients With Infective Endocarditis-Related Stroke, 2005-2015.Neurology · 2023Article
- Arrival time at a referral hospital and functional disability of people with stroke: a cohort study.Sao Paulo medical journal = Revista paulista de medicina · 2023Article
- 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
- Impact of onset-to-door time on outcomes and factors associated with late hospital arrival in patients with acute ischemic stroke.PloS one · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeDelays in seeking care compromise diagnosis, treatment options, and outcomes in ischemic strokes. This study identified factors associated with time between stroke symptom onset and emergency department (ED) arrival at a private nonprofit medical center serving a large rural catchment area in central Texas, with the goal of identifying symptomatic, demographic, and historical factors that might influence seeking care.
methodsDemographic and clinical data from a large tertiary care center's Get With The Guidelines (GWTG) database were evaluated in 1874 patients presenting to the ED with a diagnosis of transient ischemic attack (TIA), intracranial hemorrhage, subarachnoid hemorrhage, or ischemic stroke. The dependent variable was time between discovery of stroke symptoms and presentation at the hospital (time-to-ED). Factors entered into regression models predicting time-to-ED within 4 h or categorical time-to-ED.
resultsThe average time from symptom onset to presentation was 15.0 h (
conclusionsA combination of demographics, stroke severity, timing, and health history contributes to delays in presenting for treatment for ischemic stroke. Stroke education concentrating on symptom recognition may benefit from a special focus on high-risk individuals as highlighted in this study.
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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.