Patient and hospital delays in acute ischaemic stroke in a Dublin teaching hospital

Sean J. Pittock, D. Meldrum, O. Hardiman, C. Deane, P. Dunne, A. Hussey, M. Gorman, J. T. Moroney

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13 Scopus citations

Abstract

A limiting factor for thrombolysis in ischaemic stroke is delayed presentation to hospital. Prolonged A&E stay and delayed rehabilitation affects care. We evaluated the delay in presentation, A&E stay and rehabilitation delivery in 117 consecutive stroke patients. The mean presentation delay was 16.0±23.7 hours. A prior history of TIA or stroke, a reduced Glascow Coma Scale and larger strokes were associated with shorter delays to presentation. Longer delays occurred in patients living alone. The mean time spent in A&E was 11 hours, those with larger strokes spent shorter time. There were significant delays in referral to, and assessment by certain rehabilitation disciplines. Delayed presentation in stroke is a barrier to thrombolysis. Increasing public awareness may reduce this delay. In addition, prolonged A&E stay and delayed rehabilitation may adversely affect management, outcome and duration of hospital stay. Further study is required to investigate the reasons and possible solutions for such deficiencies.

Original languageEnglish (US)
Pages (from-to)167-171
Number of pages5
JournalIrish Medical Journal
Volume96
Issue number6
StatePublished - Jun 1 2003

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ASJC Scopus subject areas

  • Medicine(all)

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Pittock, S. J., Meldrum, D., Hardiman, O., Deane, C., Dunne, P., Hussey, A., Gorman, M., & Moroney, J. T. (2003). Patient and hospital delays in acute ischaemic stroke in a Dublin teaching hospital. Irish Medical Journal, 96(6), 167-171.