Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/9679
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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 1326-5377 |
Statement of Responsibility: | 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Description: | The document attached has been archived with permission from the editor of the Medical Journal of Australia.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. |
DOI: | 10.5694/j.1326-5377.2003.tb05224.x |
Published version: | http://www.mja.com.au/public/issues/178_07_070403/bro10164_fm.html |
Appears in Collections: | Aurora harvest 4 Medicine publications |
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hdl_9679.pdf | Published version | 100.65 kB | Adobe PDF | View/Open |
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