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Type: Journal article
Title: Time to hospital admission for acute stroke: an observational study
Author: Broadley, S.
Thompson, P.
Citation: Medical Journal of Australia, 2003; 178(7):329-331
Publisher: Australasian Med Publ Co Ltd
Issue Date: 2003
ISSN: 0025-729X
Statement of
Simon A Broadley and Philip D Thompson
Abstract: Objectives: To determine the time from symptom onset to hospital admission of patients with suspected acute stroke, final diagnoses and patient eligibility for thrombolytic therapy. Design: Hospital-based, prospective, observational study. Setting: Royal Adelaide Hospital Stroke Unit, South Australia. Patients: All patients admitted to the unit with suspected acute stroke over 11 months (11 April to 10 October 2000 and 20 August 2001 to 19 January 2002). Main outcome measures: Time from symptom onset to admission; final diagnosis. Results: Of 284 patients admitted, 39 (14%) had diagnoses other than stroke (including eight with transient ischaemic attacks), 42 (15%) had haemorrhagic stroke and 203 (71%) had ischaemic stroke. Median time to admission after symptom onset was 6 hours (range, 30 min to 13 days), with 100 patients admitted within 3 hours of symptom onset (35%), and 80 within 2 hours (28%). Thirty-seven patients (13%) could have been considered for thrombolysis (diagnosis of non-severe but disabling ischaemic stroke and admission time < 3 hours). Location at stroke onset was the only independent predictor of time to admission. Conclusions: Most patients with stroke do not present urgently to the emergency department, rendering them less likely to be considered for thrombolytic therapy.
Keywords: Humans; Thrombolytic Therapy; Patient Admission; Prospective Studies; Time Factors; Adult; Aged; Aged, 80 and over; Middle Aged; Coronary Care Units; Patient Acceptance of Health Care; South Australia; Female; Male; Stroke
Description: The document attached has been archived with permission from the editor of the Medical Journal of Australia. An external link to the publisher’s copy is included.
RMID: 0020030242
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