Patient‐reported factors associated with early arrival for stroke treatment

• DOI: 10.1002/brb3.2225
• Publication Date: 2021-06-04T22:32:41Z
• Authors: Heidi S. Eddelien; Jawad H. Butt; André C. Amtoft; Nicholine S. K. N...; Emilie S. Jensen; Ida M. K. Danielsen; Thomas Christensen; Anne K. Danielsen; Nete Hornnes; Christina Kruuse
• Keywords: Stroke

Timely evaluation and initiation of treatment is the key for improving stroke outcomes, although minimizing time from symptom onset to first contact with healthcare professionals remains a challenge. We aimed identify patient-related factors associated early hospital arrival.In this cross-sectional survey, we included patients or transient ischemic attack admitted directly one two noncomprehensive units transferred comprehensive centers in Capital Region Denmark. Patient-reported arrival were analyzed using multivariable logistic regression analysis adjusted age, sex, education, living arrangement, brain location stroke, severity, patient-perceived history prior risk factors, knowledge symptoms.In total, 479 acute (median age 74 (25th-75th percentile, 64-80), 40% women), whom 46.4% arrived within 180 min onset. Factors bystanders choosing emergency medical service (EMS) professional (adjusted odds ratio (OR), 3.41; 95% confidence interval, CI [1.57, 7.35]) patient's perceived severity above median score 25 on 100-point verbal scale OR, 2.44; 3.82]). Living alone reduced likelihood 0.53; [0.33, 0.86]).Only when symptoms as severe EMS was selected contact, ensured.