Factors associated with late arrival of acute stroke patients to emergency department in Saudi Arabia

SAGE Open Medicine
Ali M Al KhathaamiHoda A Jradi

Abstract

Tissue plasminogen activator within 4.5 h of onset is effective for acute ischemic stroke. However, only small proportion of patients is treated due to delayed presentation. We aimed to examine the factors associated with delays of stroke patients in Riyadh, Saudi Arabia. A cross-sectional survey was conducted at King Abdulaziz Medical City, Riyadh, Saudi Arabia, during a 6-month period. An interviewer administered structured questionnaire addressed to the acute stroke patients or their relatives was used to explore the factors associated with delayed arrival. A total of 227 patients attending the emergency department were interviewed. The mean age was 60.4 ± 15.6 years. Approximately 56.4% presented after 4.5 h of stroke onset. Factors associated with late arrival were being alone during the onset of stroke, not being transported in an ambulance, not knowing that they were experiencing a stroke, and residing outside the city of Riyadh. More than half of patients missed the golden hours for thrombolysis due to delayed presentation. Reasons include lack of knowledge, underuse of ambulance and difficult access to care. Urgent community-based interventions are needed to address these factors.

References

Jan 1, 1992·Health Education Quarterly·L J Bauman, E G Adair
Dec 1, 1993·Stroke; a Journal of Cerebral Circulation·E FeldmannS R Levine
May 1, 1997·Stroke; a Journal of Cerebral Circulation·L S WilliamsD J Marriott
Apr 21, 1998·Cerebrovascular Diseases·S al-RajehH Miniawi
Dec 29, 1998·Annals of Emergency Medicine·R KothariT Liu
Nov 4, 2000·Stroke; a Journal of Cerebral Circulation·D L MorrisS Hamilton
Jan 10, 2002·Stroke; a Journal of Cerebral Circulation·Laurent DerexPaul Trouillas
Apr 19, 2003·Stroke; a Journal of Cerebral Circulation·Krassen NedeltchevHeinrich P Mattle
Mar 18, 2004·Journal of Neurology, Neurosurgery, and Psychiatry·C CarrollJ Gibson
Apr 17, 2010·Stroke; a Journal of Cerebral Circulation·Marie ErikssonUNKNOWN Riks-Stroke Collaboration
Jun 26, 2010·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Margaret C FangAllison B Rosen
Jun 29, 2010·Journal of Neurology, Neurosurgery, and Psychiatry·A G RuddUNKNOWN Intercollegiate Working Party for Stroke
Jan 6, 2011·International Journal of Stroke : Official Journal of the International Stroke Society·Ali M Al KhathaamiMohammed Aljumah
Feb 22, 2012·Cerebrovascular Diseases·O C SingerUNKNOWN Arbeitsgruppe Schlaganfall Hessen
May 18, 2013·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Ahmed AlaqeelYousef Mohammad
Jan 23, 2014·Lancet·Valery L FeiginUNKNOWN Global Burden of Diseases, Injuries, and Risk Factors Study 2010 (GBD 2010) and the GBD Stroke Experts Group
Jun 17, 2014·The Pan African Medical Journal·Asirvatham Alwin Robert, Marwan Mohamed Zamzami
May 3, 2015·Neurology·Leander R BuismanWilliam K Redekop
Oct 28, 2015·Neuroepidemiology·Valery L FeiginUNKNOWN GBD 2013 Stroke Panel Experts Group

❮ Previous
Next ❯

Citations

Dec 5, 2020·Surgical Neurology International·Sherif Elsayed Elkheshin, Ahmed Y Soliman

❮ Previous
Next ❯

Software Mentioned

Stata

Related Concepts

Related Feeds

Brain Ischemia

Brain ischemia is a condition in which there is insufficient blood flow to the brain to meet metabolic demand. Discover the latest research on brain ischemia here.

Related Papers

Annals of Emergency Medicine
Karin RossnagelStefan N Willich
Stroke; a Journal of Cerebral Circulation
Laurent DerexPaul Trouillas
Annals of Indian Academy of Neurology
V V AshrafA S Girija
© 2022 Meta ULC. All rights reserved