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Updated: Jun 21, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

Reducing prehospital delay in acute stroke.

Miriam Bouckaert¹, Robin Lemmens, Vincent Thijs

¹Department of Neurology, University Hospitals Leuven, Leuven, Belgium.

Nature Reviews. Neurology

|August 12, 2009

Summary

Limited patients receive acute ischemic stroke thrombolysis due to delays. Improving public and professional awareness of stroke symptoms and actions can significantly increase timely treatment rates.

Area of Science:

Neurology
Emergency Medicine
Public Health

Background:

Thrombolytic therapy offers proven benefits for acute ischemic stroke.
Low rates of thrombolysis are attributed to missed therapeutic windows caused by prehospital delays.

Purpose of the Study:

To explore the extent of prehospital delay in stroke care.
To identify factors contributing to delayed hospital arrival for stroke patients.
To describe strategies for reducing prehospital delay in stroke treatment.

Main Methods:

Review of existing literature on prehospital delay in acute ischemic stroke.
Analysis of factors influencing patient and healthcare system delays.
Synthesis of educational and interventional strategies to mitigate delays.

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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

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Prehospital Thrombolysis: A Manual from Berlin

Prehospital Thrombolysis: A Manual from Berlin

Published on: November 26, 2013

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

Main Results:

Lack of public knowledge regarding stroke symptoms and appropriate actions is a major cause of delay.
Deficiencies in stroke identification by emergency medical services and general practitioners also contribute to delays.
Educational programs targeting the public and healthcare professionals can improve stroke treatment rates.

Conclusions:

Prehospital delay is a critical barrier to effective thrombolysis in acute ischemic stroke.
Addressing public awareness and improving healthcare provider recognition are key to reducing delays.
Implementing comprehensive educational strategies can enhance timely access to stroke treatment.