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J Korean Neurol Assoc. 2009;27(2):123-128.
- Influence of Stroke Knowledge on Pre-hospital Delay of Acute Ischemic Stroke Patients
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Jae Jin Lee
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Departments of Neurology, College of Medicine, Chosun University and Haenam Woori Hospitala, Gwangju, Korea
- 뇌졸중에 대한 지식이 급성기 뇌졸중 환자들의
병원도착 전 시간 지연에 주는 영향
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이재진, 추인성 김후원 김진호 안성환
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조선대학교 의과대학 신경과학교실, 해남우리병원 신경과a
- Abstract
- Background
Most stroke patients are unable to receive thrombolytic therapy because they do not reach a hospital within
3 hours from symptom onset. The aim of this study was to determine the factors (including knowledge of stroke) that
affect the admission delay.
Methods
From May 2007 to December 2007, consecutive ischemic stroke patients presenting within 3 days from
symptom onset and their relatives were interviewed about their knowledge of the following aspects of stroke: stroke
warning signs, thrombolytic therapy, the 3-hour time limit for admission delay, and use of emergency medical services.
Clinical data of patients were collected from medical records.
Results
One hundred and fifty-three patients were finally included, 37 of which (24.2%) reached our hospital within 3 hours
from symptom onset. In univariate and multivariate analyses, factors independently associated with an admission delay of
less than 3 hours were age (odds ratio [OR]=0.95, 95% confidence interval [CI]=0.91?0.99; p=0.008), atrial fibrillation
(OR=5.02, CI=1.35?18.70; p=0.016), NIHSS score at admission (OR=1.09, CI=1.01?1.18; p=0.028), and knowledge of the 3-hour
time limit (OR=3.55, CI=1.45?8.72; p=0.006). In the patients with an NIHSS score of >4 points, knowledge of the 3-hour time
limit was the only independent factor associated with an admission delay of less than 3 hours. This knowledge was
significantly associated with graduation from high school (p=0.038).
Conclusions
Knowledge of the 3-hour time limit was the only modifiable factor that influenced an admission delay of
less than 3 hours. Therefore, educating the public about stroke, including about the 3-hour time limit, could increase the
ability to apply thrombolysis to acute stroke patients. Key Words: Stroke, Thrombolysis, Emergency medical services, Education
Keywords :
- 초록
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