Delay in the presentation of patients to hospital is the main factor for failure to adhere to the Royal College of Physicians’ guidelines in the management of suspected subarachnoid haemorrhage

Chu, Guiyang; Kugathasan, U; Myint, Phyo Kyaw

doi:10.7861/clinmedicine.6-5-511

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Demographic Profile Of Patients1

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2015

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“…The delay in arrival of patients to the ER and in initiation of treatment after arrival has previously been studied in context of stroke and myocardial infarction. 10,11 Delay is usually due to ignorance of symptoms, or unavailability of transport facilities, and results in deviation from standard protocols and guidelines leading to a poorer outcome. Only 32 (3.3%) patients reached the hospital using commercially available ambulance services.…”

Section: Demographic Profile Of Patientsmentioning

confidence: 99%

Profile of Patients Hospitalized through the Emergency Room to the Medicine Ward and their Short-term Outcome at a Tertiary Care Hospital in Delhi

Choudhary

Goel

Pruthi

et al. 2015

Prehosp. Disaster med.

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Of the 1,547 patients who needed urgent hospitalization, 248 (16%) died within the first week, one-half of them within the first 24 hours. An advanced age, abnormal GCS score, low MMSE score, increased systolic BP, leukocytosis, acidosis, and uremia were found to be associated with a fatal outcome. Therefore, nearly one-half of the patients who would have a fatal short-term outcome were likely to do so within the first 24 hours, making the first day of presentation "the golden day" period.

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Section: Demographic Profile Of Patientsmentioning

confidence: 99%