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Related Experiment Videos

Delay between stroke onset and emergency department evaluation.

L B Goldstein1, M G Edwards, D P Wood

  • 1Department of Medicine (Neurology), The Duke Center for Cerebrovascular Disease, and The Center for Clinical Health Policy Research, Duke University, Durham, NC 27710, USA. golds004@mc.duke.edu

Neuroepidemiology
|August 8, 2001
PubMed
Summary
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Public education aims to reduce stroke symptom delays. However, fewer ischemic stroke patients presented within 3 hours in 1999 compared to 1998, suggesting educational program revision may be needed.

Area of Science:

  • Neurology
  • Public Health
  • Emergency Medicine

Background:

  • Public educational programs aim to shorten the time between ischemic stroke symptom onset and emergency department evaluation.
  • Increased patient presentation soon after stroke onset indicates successful public outreach and education efforts.

Purpose of the Study:

  • To evaluate the effectiveness of public educational programs in reducing delays for ischemic stroke patients.
  • To analyze trends in patient presentation times to emergency departments in a 'Stroke Belt' region.

Main Methods:

  • Prospective identification of 506 ischemic stroke patients admitted to an academic medical center from 1998-1999.
  • Data collection included demographics, stroke characteristics, and time from symptom onset to emergency department arrival.

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Main Results:

  • A significantly higher proportion of ischemic stroke patients presented within 3 hours in 1998 (18%) compared to 1999 (8%).
  • Less severe strokes and younger patients experienced longer delays in presentation.
  • Presentation time was not significantly different based on race or sex.

Conclusions:

  • The proportion of ischemic stroke patients presenting within 3 hours decreased by 10% between 1998 and 1999.
  • Findings suggest a potential need to revise current public stroke-related educational programs to improve timely emergency care.