Onset-to-alarm time in patients with acute stroke: Results from a Mexican population

González-Aquines, Alejandro; Cordero-Pérez, Adolfo C; Ramírez-Martínez, Luis A; Sanchez-Teran, Helda; Escobedo-Zúñiga, Nicolás; Treviño-Herrera, Alan Baltazar; Góngora‐Rivera, Fernando; Pérez-Vázquez, Gil; Contreras-Salazar, Kelly; Gómez-Padilla, Daniel

doi:10.1177/1747493018790130

Cited by 6 publications

(7 citation statements)

References 7 publications

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“…We identified 67 studies addressing pre-hospital organizational factors associated with delay or access to ART ( Appendix A - Table A3 ). Activation of stroke code, pre-hospital notification and use of pre-hospital emergency services [ 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 ], mobile stroke units [ 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 ], implementation of specific electronic apps to insert and share clinical data with the hospital stuff [ 33 ], use of ambulance [ 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 ], telestroke [ 47 , 48 ], implementation of specific pre-hospital protocols [ 49 , 50 ], education campaigns […”

Section: Resultsmentioning

confidence: 99%

Organizational Factors Determining Access to Reperfusion Therapies in Ischemic Stroke-Systematic Literature Review

Botelho

Rios

Fidalgo

et al. 2022

IJERPH

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Background: After onset of acute ischemic stroke (AIS), there is a limited time window for delivering acute reperfusion therapies (ART) aiming to restore normal brain circulation. Despite its unequivocal benefits, the proportion of AIS patients receiving both types of ART, thrombolysis and thrombectomy, remains very low. The organization of a stroke care pathway is one of the main factors that determine timely access to ART. The knowledge on organizational factors influencing access to ART is sparce. Hence, we sought to systematize the existing data on the type and frequency of pre-hospital and in-hospital organizational factors that determine timely access to ART in patients with AIS. Methodology: Literature review on the frequency and type of organizational factors that determine access to ART after AIS. Pubmed and Scopus databases were the primary source of data. OpenGrey and Google Scholar were used for searching grey literature. Study quality analysis was based on the Newcastle-Ottawa Scale. Results: A total of 128 studies were included. The main pre-hospital factors associated with delay or access to ART were medical emergency activation practices, pre-notification routines, ambulance use and existence of local/regional-specific strategies to mitigate the impact of geographic distance between patient locations and Stroke Unit (SU). The most common intra-hospital factors studied were specific location of SU and brain imaging room within the hospital, and the existence and promotion of specific stroke treatment protocols. Most frequent factors associated with increased access ART were periodic public education, promotion of hospital pre-notification and specific pre- and intra-hospital stroke pathways. In specific urban areas, mobile stroke units were found to be valid options to increase timely access to ART. Conclusions: Implementation of different organizational factors and strategies can reduce time delays and increase the number of AIS patients receiving ART, with most of them being replicable in any context, and some in only very specific contexts.

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Section: Resultsmentioning

confidence: 99%

Organizational Factors Determining Access to Reperfusion Therapies in Ischemic Stroke-Systematic Literature Review

Botelho

Rios

Fidalgo

et al. 2022

IJERPH

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“…On the other hand, existing comorbidities, such as stroke history and related risk factors (e.g., hypertension, atrial fibrillation) play an important role in earlier response ( 7 , 10 – 13 ). Consequently, it is not just the knowledge of stroke symptoms that prompt timely hospital arrival but also the response to symptoms ( 12 , 14 ). It is thus crucial that people correctly identify symptoms pointing toward a stroke that they or their loved ones encounter ( 15 ).…”

Section: Introductionmentioning

confidence: 99%

FAST Heroes: Results of Cross-Country Implementation of a Global School-Based Stroke Education Campaign

Tsakpounidou

Merwe

Klinke

et al. 2022

Front. Public Health

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BackgroundEducating the at-risk population about stroke symptoms and requirement of calling an ambulance when stroke strikes is challenging. This exploratory cross-country study provides insights to the FAST Heroes educational campaign and outcomes hitherto achieved.AimsThe primary aim of the study was to measure the transfer of stroke-related knowledge to parents after a global school-based FAST Heroes educational campaign for 5- to 9-year-old children in 14 different countries. The secondary aim was to evaluate parents and teachers' acceptability toward the program.MethodsThe duration of the program was 5 h; 1 h per week, joining face-to-face educational sessions with workbooks, cartoons, web-based learning, and other fun activities. Outcomes were measured before implementation (t1), after implementation (t2), and at 6-month follow-up (t3). Program acceptability and stroke knowledge were evaluated by feedback surveys for teachers and parents.ResultsWorldwide, 4,202 parents completed the program with their children and answered surveys at t1 and t2. They increased their knowledge of three stroke symptoms from 48 to 83% (p < 0.001). All three surveys were completed by 86 parents, who improved their knowledge of stroke symptoms, 55% (t1), 79% (t2), and 94% (t3) (p < 0.001). Overall, the educational messages were successfully passed onward.ConclusionsFindings confirm the primary aim of the study that is knowledge about stroke transfer well from children to their families through the FAST Heroes program. Second, parents and teachers globally consider the program feasible and worthwhile. The results will inform further rollout of the campaign.

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“…The ability to act quickly and obtain the most appropriate treatment is crucial to a favourable outcome of stroke (Gonzalez-Aquines et al, 2018). Studies have noted that speedy action reduces emergency medical system response times and optimises in-hospital response times which may lead to an increase in thrombolysis rates to 57% (California Acute Stroke Pilot Registry [CASPR] Investigators, 2005).…”

Section: Introductionmentioning

confidence: 99%

Preschool children deliver stroke knowledge to their families with the FAST 112 Heroes educational programme

Tsakpounidou

Proios

2021

Health Education Journal

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Background: FAST (Face, Arm, Speech, Time) 112 Heroes is an educational programme that delivers information to children and their extended families helping them identify the principal signs of stroke and informing them how to respond appropriately in the event of a stroke. Objectives: To examine the baseline stroke literacy that extended families possess, as well as to assess whether children enrolled in FAST 112 Heroes programme effectively convey stroke knowledge to their extended family. Design: Field trial. Setting: Four schools in Northern Greece – two public and two private. Methods: Parents of preschool aged (5–7 years) children completed stroke knowledge questionnaires, before the programme began and one week after the completion of the FAST 112 Heroes programme. Findings were analysed. Results: In total, 240 parents of kindergarten children (146 women, 94 men; 20–59 years old; mean age: 38.81) completed the pre-programme questionnaire, whereas only 80 of them (33.33%) completed the post-programme questionnaire. Before the programme started, 30 out of 80 parents (37.5%) recognised the three rudimentary stroke symptoms, compared to 68 out of 80 (85%) after the completion of the programme ( p = .00). Parental awareness of the emergency number 112 and of the FAST acronym before programme implementation was relatively poor. Conclusions: Improvement of stroke knowledge post-implementation was observed in the extended family of preschool children enrolled in the FAST 112 Heroes programme which suggests that the latter delivered stroke information to their families effectively.

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Onset-to-alarm time in patients with acute stroke: Results from a Mexican population

Cited by 6 publications

References 7 publications

Organizational Factors Determining Access to Reperfusion Therapies in Ischemic Stroke-Systematic Literature Review

Organizational Factors Determining Access to Reperfusion Therapies in Ischemic Stroke-Systematic Literature Review

FAST Heroes: Results of Cross-Country Implementation of a Global School-Based Stroke Education Campaign

Preschool children deliver stroke knowledge to their families with the FAST 112 Heroes educational programme

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