Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avis › Tidsskriftartikel › Forskning › peer review
Understanding the seriousness of a stroke is essential for appropriate help-seeking and early arrival at a stroke centre : A cross-sectional study of stroke patients and their bystanders. / Iversen, Ane Bull; Blauenfeldt, Rolf Ankerlund; Johnsen, Søren Paaske et al.
I: European Stroke Journal, Bind 5, Nr. 4, 12.2020, s. 351-361.Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avis › Tidsskriftartikel › Forskning › peer review
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TY - JOUR
T1 - Understanding the seriousness of a stroke is essential for appropriate help-seeking and early arrival at a stroke centre
T2 - A cross-sectional study of stroke patients and their bystanders
AU - Iversen, Ane Bull
AU - Blauenfeldt, Rolf Ankerlund
AU - Johnsen, Søren Paaske
AU - Sandal, Birgitte Forsum
AU - Christensen, Bo
AU - Andersen, Grethe
AU - Christensen, Morten Bondo
PY - 2020/12
Y1 - 2020/12
N2 - Introduction: Only a minority of patients with acute ischaemic stroke receive reperfusion treatment, primarily due to prehospital delay. We aimed to investigate predictors of a primary contact to the emergency medical services, arrival at stroke centre within 3 h of symptom onset and initiation of reperfusion therapy in patients with acute stroke.Patients and methods: We conducted a cross-sectional study of consecutive patients with acute ischaemic stroke, intracerebral haemorrhage or transient ischaemic attack. Structured interviews of patients and bystanders were performed and combined with clinical information from the Danish Stroke Registry. Eligible patients were aged >= 18 years and were independent in activities of daily living before the stroke.Results: We included 435 patients. Presence of a bystander at symptom onset and knowledge of >= 2 core symptoms of stroke were associated with a primary emergency medical services contact. Higher stroke severity and patients or bystanders perceiving the situation as very serious were associated with a primary emergency medical services contact (OR(patients)2.10; 95% CI 1.12-3.95 and OR(bystanders)22.60; 95% CI 4.98-102.67),Conclusion:Having a bystander, knowledge of >= 2 core symptoms and understanding that stroke is a serious event are associated with appropriate help-seeking behaviour, shorter prehospital delay and higher chance of reperfusion therapy in acute stroke patients.
AB - Introduction: Only a minority of patients with acute ischaemic stroke receive reperfusion treatment, primarily due to prehospital delay. We aimed to investigate predictors of a primary contact to the emergency medical services, arrival at stroke centre within 3 h of symptom onset and initiation of reperfusion therapy in patients with acute stroke.Patients and methods: We conducted a cross-sectional study of consecutive patients with acute ischaemic stroke, intracerebral haemorrhage or transient ischaemic attack. Structured interviews of patients and bystanders were performed and combined with clinical information from the Danish Stroke Registry. Eligible patients were aged >= 18 years and were independent in activities of daily living before the stroke.Results: We included 435 patients. Presence of a bystander at symptom onset and knowledge of >= 2 core symptoms of stroke were associated with a primary emergency medical services contact. Higher stroke severity and patients or bystanders perceiving the situation as very serious were associated with a primary emergency medical services contact (OR(patients)2.10; 95% CI 1.12-3.95 and OR(bystanders)22.60; 95% CI 4.98-102.67),Conclusion:Having a bystander, knowledge of >= 2 core symptoms and understanding that stroke is a serious event are associated with appropriate help-seeking behaviour, shorter prehospital delay and higher chance of reperfusion therapy in acute stroke patients.
KW - stroke
KW - Help-seeking behavior
KW - prehospital triage
KW - Acute ischaemic stroke, intracerebral haemorrhage, stroke knowledge, help-seeking behaviour, prehospital delay, emergency medical services contact, reperfusion therapy
KW - DECISION
KW - MANAGEMENT
KW - TISSUE-PLASMINOGEN ACTIVATOR
KW - stroke knowledge
KW - Acute ischaemic stroke
KW - reperfusion therapy
KW - TIME
KW - CAMPAIGNS
KW - intracerebral haemorrhage
KW - help-seeking behaviour
KW - PREHOSPITAL DELAY
KW - emergency medical services contact
KW - OUTCOMES
KW - SCALE
KW - prehospital delay
U2 - 10.1177/2396987320945834
DO - 10.1177/2396987320945834
M3 - Journal article
C2 - 33598553
VL - 5
SP - 351
EP - 361
JO - European Stroke Journal
JF - European Stroke Journal
SN - 2396-9873
IS - 4
ER -