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Stroke awareness decreases prehospital delay after acute ischemic stroke in Korea.

DC Field Value Language
dc.contributor.author남효석-
dc.contributor.author허지회-
dc.date.accessioned2014-12-20T16:39:50Z-
dc.date.available2014-12-20T16:39:50Z-
dc.date.issued2011-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/93141-
dc.description.abstractBACKGROUND: Delayed arrival at hospital is one of the major obstacles in enhancing the rate of thrombolysis therapy in patients with acute ischemic stroke. Our study aimed to investigate factors associated with prehospital delay after acute ischemic stroke in Korea. METHODS: A prospective, multicenter study was conducted at 14 tertiary hospitals in Korea from March 2009 to July 2009. We interviewed 500 consecutive patients with acute ischemic stroke who arrived within 48 hours. Univariate and multivariate analyses were performed to evaluate factors influencing prehospital delay. RESULTS: Among the 500 patients (median 67 years, 62% men), the median time interval from symptom onset to arrival was 474 minutes (interquartile range, 170-1313). Early arrival within 3 hours of symptom onset was significantly associated with the following factors: high National Institutes of Health Stroke Scale (NIHSS) score, previous stroke, atrial fibrillation, use of ambulance, knowledge about thrombolysis and awareness of the patient/bystander that the initial symptom was a stroke. Multivariable logistic regression analysis indicated that awareness of the patient/bystander that the initial symptom was a stroke (OR 4.438, 95% CI 2.669-7.381), knowledge about thrombolysis (OR 2.002, 95% CI 1.104-3.633) and use of ambulance (OR 1.961, 95% CI 1.176-3.270) were significantly associated with early arrival. CONCLUSIONS: In Korea, stroke awareness not only on the part of patients, but also of bystanders, had a great impact on early arrival at hospital. To increase the rate of thrombolysis therapy and the incidence of favorable outcomes, extensive general public education including how to recognize stroke symptoms would be important.-
dc.description.statementOfResponsibilityopen-
dc.format.extent2-
dc.relation.isPartOfBMC NEUROLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAged-
dc.subject.MESHAwareness*-
dc.subject.MESHBrain Ischemia/diagnosis*-
dc.subject.MESHEmergency Medical Services*-
dc.subject.MESHFemale-
dc.subject.MESHHealth Knowledge, Attitudes, Practice*-
dc.subject.MESHHospitalization-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHOdds Ratio-
dc.subject.MESHProspective Studies-
dc.subject.MESHRegression Analysis-
dc.subject.MESHRepublic of Korea-
dc.subject.MESHStroke/diagnosis*-
dc.subject.MESHTime Factors-
dc.titleStroke awareness decreases prehospital delay after acute ischemic stroke in Korea.-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Neurology (신경과학)-
dc.contributor.googleauthorYoung Seo Kim-
dc.contributor.googleauthorSang-Soon Park-
dc.contributor.googleauthorHee-Joon Bae-
dc.contributor.googleauthorA-Hyun Cho-
dc.contributor.googleauthorYong-Jin Cho-
dc.contributor.googleauthorMoon-Ku Han-
dc.contributor.googleauthorJi Hoe Heo-
dc.contributor.googleauthorKyusik Kang-
dc.contributor.googleauthorDong-Eog Kim-
dc.contributor.googleauthorHahn Young Kim-
dc.contributor.googleauthorGyeong-Moon Kim-
dc.contributor.googleauthorSun Uk Kwon-
dc.contributor.googleauthorHyung-Min Kwon-
dc.contributor.googleauthorByung-Chul Lee-
dc.contributor.googleauthorKyung Bok Lee-
dc.contributor.googleauthorSeung-Hoon Lee-
dc.contributor.googleauthorSu-Ho Lee-
dc.contributor.googleauthorYong-Seok Lee-
dc.contributor.googleauthorHyo Suk Nam-
dc.contributor.googleauthorMi-Sun Oh-
dc.contributor.googleauthorJong-Moo Park-
dc.contributor.googleauthorJoung-Ho Rha-
dc.contributor.googleauthorKyung-Ho Yu-
dc.contributor.googleauthorByung-Woo Yoon-
dc.identifier.doi10.1186/1471-2377-11-2-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA01273-
dc.contributor.localIdA04369-
dc.relation.journalcodeJ00368-
dc.identifier.eissn1471-2377-
dc.identifier.pmid21211051-
dc.subject.keywordSymptom Onset-
dc.subject.keywordAcute Ischemic Stroke-
dc.subject.keywordEmergency Medical Service-
dc.subject.keywordMultivariable Logistic Regression Analysis-
dc.subject.keywordEarly Arrival-
dc.contributor.alternativeNameNam, Hyo Suk-
dc.contributor.alternativeNameHeo, Ji Hoe-
dc.contributor.affiliatedAuthorNam, Hyo Suk-
dc.contributor.affiliatedAuthorHeo, Ji Hoe-
dc.rights.accessRightsfree-
dc.citation.volume11-
dc.citation.startPage2-
dc.identifier.bibliographicCitationBMC NEUROLOGY, Vol.11 : 2, 2011-
dc.identifier.rimsid28058-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers

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