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A shorter system delay for haemorrhagic stroke than ischaemic stroke among patients who use emergency medical service

A shorter system delay for haemorrhagic stroke than ischaemic stroke among patients who use... INTRODUCTIONFor patients with acute stroke, time until initial treatment in hospital may be critical. For each minute that passes in the early chain of care, 1.9 million nerve cells will die. For patients in whom brain ischaemia is the cause of stroke, early revascularisation is the most appropriate treatment. For patients with a haemorrhage, in most cases, there still is no direct acute treatment, even though interventions such as surgery, reversing oral anticoagulant treatment and lowering of blood pressure may be beneficial in selected cases. Therefore, regardless of the aetiology, it is important that the time between the onsets of symptoms until a diagnosis is established is as short as possible. The length of this delay can be divided into patient delay, that is the patient's decision time, and system delay which, for patients calling the dispatch centre for the emergency medical services (EMS), can be defined as the time from first contact until the CT scan.A number of factors influence the length of these two types of delay. In essence, they include (i) the severity of symptoms; (ii) the patient's interpretation of the symptoms; (iii) the actions of bystanders; (iv) logistic factors including distance to hospital and EMS http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Acta Neurologica Scandinavica Wiley

A shorter system delay for haemorrhagic stroke than ischaemic stroke among patients who use emergency medical service

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References (32)

Publisher
Wiley
Copyright
Copyright © 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd
ISSN
0001-6314
eISSN
1600-0404
DOI
10.1111/ane.12895
pmid
29315463
Publisher site
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Abstract

INTRODUCTIONFor patients with acute stroke, time until initial treatment in hospital may be critical. For each minute that passes in the early chain of care, 1.9 million nerve cells will die. For patients in whom brain ischaemia is the cause of stroke, early revascularisation is the most appropriate treatment. For patients with a haemorrhage, in most cases, there still is no direct acute treatment, even though interventions such as surgery, reversing oral anticoagulant treatment and lowering of blood pressure may be beneficial in selected cases. Therefore, regardless of the aetiology, it is important that the time between the onsets of symptoms until a diagnosis is established is as short as possible. The length of this delay can be divided into patient delay, that is the patient's decision time, and system delay which, for patients calling the dispatch centre for the emergency medical services (EMS), can be defined as the time from first contact until the CT scan.A number of factors influence the length of these two types of delay. In essence, they include (i) the severity of symptoms; (ii) the patient's interpretation of the symptoms; (iii) the actions of bystanders; (iv) logistic factors including distance to hospital and EMS

Journal

Acta Neurologica Scandinavica – Wiley

Published: Jan 1, 2018

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