PMID: 15233413Jul 6, 2004Paper

Factors associated with hospital arrival time for stroke patients

The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses
Lenora M Maze, Tamilyn Bakas

Abstract

Patients who experience a sudden ischemic stroke can benefit from administration of intravenous tissue plasminogen activator (tPA) to reduce the resulting disability, yet few arrive in time to be eligible for tPA administration. The purpose of this study was to determine (a) the stroke warning signs that most commonly result in the decision to seek hospital care, (b) who makes the decision to seek hospital care, (c) the most common mode of transportation to the hospital, (d) hospital arrival time in relation to the onset of the first warning sign, and (e) factors most associated with hospital arrival time for stroke survivors. Using a descriptive, cross-sectional design, data from a convenience sample of 50 stroke survivors and/or their companions (family, friends, or others seeking hospital care for the patient) were obtained by face-to-face interview during the patient's hospital stay using a structured interview guide developed by the investigator. The most common stroke warning sign resulting in the decision to seek medical care was sudden confusion and trouble speaking or understanding speech, followed by sudden numbness or weakness on one side of the body. Patients themselves were the most common initiators of care, follo...Continue Reading

Citations

Nov 22, 2008·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Angela B Krock, Lori Massaro
Jan 20, 2007·Heart & Lung : the Journal of Critical Care·Julie ZerwicLaura Tucco
Aug 8, 2009·International Journal of Stroke : Official Journal of the International Stroke Society·K R EvensonW D Rosamond
Jun 12, 2010·International Journal of Stroke : Official Journal of the International Stroke Society·Yvonne Teuschl, Michael Brainin
Dec 7, 2017·Frontiers in Neurology·Jeremy N Pulvers, John D G Watson
Oct 3, 2009·Stroke; a Journal of Cerebral Circulation·Judith H LichtmanLarry B Goldstein
Sep 20, 2011·The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses·Melissa JohnsonTamilyn Bakas
Apr 29, 2010·The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses·Melissa Johnson, Tamilyn Bakas

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