지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
Background: Prehospital delay in acute ischemic stroke makes many patients ineligible for acute treatment. The aim of this study was to investigate the socioeconomic status (SES) affects prehospital delays after ischemic stroke. Methods: We analyzed prospectively registered 236 patients with acute ischemic stroke who admitted the emergency department (ED) of 5 participating hospitals within 48 hours of symptoms onset. Household income, level of education, and family arrangement were used as indicators for SES. Prehospital delay was defined as time from symptom onset to the ED arrival. Bivariate and multivariable regression analyses were conducted to evaluate factors influencing ED arrival within 3 hours of symptom onset. Results: The median time of prehospital delay was 7.0 [interquartile range (IQR) 2.5 to 24] hours; 74 patients (31.4%) arrived within 3 hours and 114 (48.3%) within 6 hours. Patients living alone showed significantly longer prehospital delay (median 19 vs. 7 hours, P = 0.022). Multivariate analysis identified patients with monthly household income ≥ 3 × 106 KW [vs. < 0.99 × 106 KW, odds ratio (OR), 2.54; 95% confidence interval (CI), 1.1-5.85], high National Institutes of Health Stroke Scale (NIHSS) score (OR, 1.08; 95% CI, 1.02-1.14), and stroke attributable to cardioembolism compared to small vessel occlusion (SVO) (OR, 3.09; 95% CI, 1.19-8.02) as being independently associated ED arrival within 3 hours of symptom onset. Conclusion: SES except living alone does not show a significant association with prehospital dealy, however, high income is associated with ED arrival within 3 hours of symptom onset. Policies are needed to reduce stroke disparity in ED arrival time. (Korean J Stroke 2010;12:26-32)
목차
등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Adams HP Jr / 1993 / Classification of subtype of acute ischemic stroke. Definitions for use in a multicenter clinical trial. TOAST. Trial of Org 10172 in Acute Stroke Treat
Adams HP Jr / 2003 / Stroke Council of the American Stroke Association. Guidelines for the early management of patients with ischemic stroke: a scientific statement from the
Alter DA / 2004 / Socioeconomic status, service patterns, and perceptions of care among survivors of acute myocardial infarction in Canada / JAMA 291 : 1100 ~ 1107
Azzimondi G / 1997 / D’Alessandro R. Variables associated with hospital arrival time after stroke: effect of delay on the clinical efficiency of early treatment / Stroke 28
Chang KC / 2004 / Prehospital delay after acute stroke in Kaohsiung, / Stroke 35 : 700 ~ 704
Adams HP Jr / 2003 / Stroke Council of the American Stroke Association. Guidelines for the early management of patients with ischemic stroke: a scientific statement from the
Alter DA / 2004 / Socioeconomic status, service patterns, and perceptions of care among survivors of acute myocardial infarction in Canada / JAMA 291 : 1100 ~ 1107
Azzimondi G / 1997 / D’Alessandro R. Variables associated with hospital arrival time after stroke: effect of delay on the clinical efficiency of early treatment / Stroke 28
Chang KC / 2004 / Prehospital delay after acute stroke in Kaohsiung, / Stroke 35 : 700 ~ 704
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