Pre-hospital delay in the use of intravenous rt-PA for acute ischemic stroke in Japan

Inatomi, Yuichiro; Yonehara, Toshiro; Hashimoto, Yoichiro; Hirano, Teruyuki; Uchino, Makoto

doi:10.1016/j.jns.2008.02.018

Cited by 33 publications

(35 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the delayed group, more patients had aggravated symptoms by the time they arrived at the ED, compared with the non-delayed group, similar to previous findings (8). The cause of this delay, which was not investigated in this study, could be a lack of understanding of symptom seriousness, with some patients expecting natural symptom resolution showing progressive symptoms and delaying medical attention (21).…”

Section: Discussionsupporting

confidence: 84%

“…We did not observe differences in initial symptoms such as consciousness, sensory and motor impairment, headache, dizziness, and language or visual disturbances. Patients with altered consciousness may tend to arrive earlier (8,10,12).…”

Section: Discussionmentioning

confidence: 99%

“…A lower proportion of patients arrived via EMS in the delayed group than the non-delayed group, as EMS shortens the prehospital delay by accelerating the transportation and triage processes (8,10,(12)(13)(14)(15). In Korea, an EMS call is to 1-1-9, a single number with free transportation.…”

Section: Discussionmentioning

confidence: 99%

“…However, most patients do not receive it: in one study, 30 (11.2%) of 267 patients had thrombolytic therapy, and only about 30% of acute stroke patients arrived within 2 h to receive thrombolytic therapy despite the known effectiveness of thrombolytics (7,8). Intravenous thrombolytic therapy is not recommended beyond its therapeutic time window due to the high risk of complications such as cerebral hemorrhage and poor neurological outcomes, leading to high medical costs and socioeconomic problems (3,9).…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Factors Associated with Prehospital Delay for Acute Stroke in Ulsan, Korea

Kim

Ahn

Kim

et al. 2011

The Journal of Emergency Medicine

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Factors Associated with Prehospital Delay for Acute Stroke in Ulsan, Korea

Kim

Ahn

Kim

et al. 2011

The Journal of Emergency Medicine

View full text Add to dashboard Cite

“…42 Patients with stroke who activate the EMS system by calling 911 and are transported by EMS clearly demonstrate shorter delay times and more rapid assessment and treatment. 23,[42][43][44][45][46][47][48][49] Notification of EMS of a call for a patient with a possible stroke should be assigned a high priority to ensure rapid transportation. 43 A significant challenge is that the EMS system is not nationally regulated in the United States, which makes it difficult to design and mandate specific educational programs and care protocols.…”

Section: Emergency Medical Servicesmentioning

confidence: 99%

Revised and Updated Recommendations for the Establishment of Primary Stroke Centers

Alberts

Latchaw

Jagoda

et al. 2011

Stroke

192

167

View full text Add to dashboard Cite

for the Brain Attack CoalitionBackground and Purpose-The formation and certification of Primary Stroke Centers has progressed rapidly since the Brain Attack Coalition's original recommendations in 2000. The purpose of this article is to revise and update our recommendations for Primary Stroke Centers to reflect the latest data and experience. Methods-We conducted a literature review using MEDLINE and PubMed from March 2000 to January 2011. The review focused on studies that were relevant for acute stroke diagnosis, treatment, and care. Original references as well as meta-analyses and other care guidelines were also reviewed and included if found to be valid and relevant. Levels of evidence were added to reflect current guideline development practices. Results-Based on the literature review and experience at Primary Stroke Centers, the importance of some elements has been further strengthened, and several new areas have been added. These include (1) the importance of acute stroke teams; (2) the importance of Stroke Units with telemetry monitoring; (3) performance of brain imaging with MRI and diffusion-weighted sequences; (4) assessment of cerebral vasculature with MR angiography or CT angiography; (5) cardiac imaging; (6) early initiation of rehabilitation therapies; and (7) certification by an independent body, including a site visit and disease performance measures. Conclusions-Based on the evidence, several elements of Primary Stroke Centers are particularly important for improving the care of patients with an acute stroke. Additional elements focus on imaging of the brain, the cerebral vasculature, and the heart. These new elements may improve the care and outcomes for patients with stroke cared for at a Primary Stroke Center. (Stroke. 2011;42:2651-2665.)

show abstract

Social factors influencing hospital arrival time in acute ischemic stroke patients

Iosif

Papathanasiou²,

Staboulis

et al. 2011

Neuroradiology

View full text Add to dashboard Cite

Instructing patients at high risk for stroke to live with a housemate appears beneficial for timely arrival at the hospital. The establishment of dedicated acute stroke call and transportation center should improve the percentage of early arrival. A national information campaign is needed to increase the level of awareness of the population concerning beneficial social behaviors and optimal reaction to symptoms of acute ischemic stroke.

show abstract

Pre-hospital delay in the use of intravenous rt-PA for acute ischemic stroke in Japan

Cited by 33 publications

References 28 publications

Factors Associated with Prehospital Delay for Acute Stroke in Ulsan, Korea

Factors Associated with Prehospital Delay for Acute Stroke in Ulsan, Korea

Revised and Updated Recommendations for the Establishment of Primary Stroke Centers

Social factors influencing hospital arrival time in acute ischemic stroke patients

Contact Info

Product

Resources

About