Status and influencing factors of pre-hospital delay in young and middle-aged Chinese patients with acute ischemic stroke

• DOI: 10.3389/fpubh.2025.1539219
• Publication Date: 2025-06-04T05:38:59Z
• Authors: Dan Liu; Yuqi Fang; Zhuan Yin; Qingxiang Zhu; Chaofeng Li
• Keywords: Stroke

Objective The purpose of this study was to investigate the status quo prehospital delay in young and middle-aged AIS patients analyze main factors affecting patients. Thus, it can provide reference for reducing promote secondary prevention stroke. Methods This cross-sectional conducted from May 2023 February 2024 using convenient sampling method, included ischemic stroke two top three hospitals Hunan Province. Through questionnaire survey, social support scale, health literacy scale medical coping style were used investigate. Results A total 671 investigated. According standard 3 h onset symptoms hospital, divided into delayed group non-delayed group. results showed that 534 with pre-hospital occurred, an incidence 79.6%. Binary logistic regression analysis extended time were: place at home (OR = 4.997, p 0.011), first numbness weakness limbs 3.500, 0.027), avoidance 1.298, 0.027) submission 1.721, < 0.001). shorten are: known 0.120, 0.001), headache vomiting 0.052, disturbance consciousness 0.087, level 0.891, 0.001) 0.688, Conclusion is high, current situation not optimistic. Factors location onset, symptoms, whether they knew AIS, support, literacy, style. In future, these aspects be considered reduce development people before hospital