Admission time and profile of patients presenting with acute stroke admitted to emergency department with no neurovascular unit [Délais d’admission et profil des patients présentant un accident vasculaire cérébral admis aux urgences d’hôpitaux ne disposant pas d’une unité neurovasculaire]
Redjaline A.,Center Hospitalier Of Firminy |
Perrillat Y.,Center Hospitalier Dannonay |
Marrone G.,Center hospitalier du Gier |
Ballereau F.,Center Hospitalier Of Firminy |
And 4 more authors.
Annales Francaises de Medecine d'Urgence | Year: 2015
Objective: To determine the admission time frame to the emergency room (ER) of patients with acute ischemic stroke (AIS). Patients and methods: Observational prospective multicenter study conducted from the 1st of December 2011 to the 31st of December 2012 which included all ER patients with AIS from four hospitals. Two groups were compared: group 1 included patients admitted within 3h30 following the onset of their symptoms, and group 2 for patients admitted after 3h30. Results: 339 patients have been included: 104 (31%) in group 1 and 235 (69%) in group 2. Median age (interquartile) was 81 years (71-87). Factors significantly associated to group 1 patients vs group 2 patients are a first call to centre 15 (33% [CI95, 24-42] vs 22% [CI95, 17-28], p=0.03), a first call to firefighters (19% [CI95, 11-26] vs 7% [CI95, 4-11], p<0.01) or a first call to relatives (19% [CI95, 12-27] vs 11% [CI95, 7-14], p=0.02) and transport to hospital by firefighters (41% [32-51] vs 25% [CI95, 19-30], p<0.01). Among the 104 patients in group 1, there was an indication of thrombolysis for three patients (3%) and thrombolysis has been performed for one patient (<1%). For patients in this group, the reason for non-indication of thrombolysis was missing for 21% of them. Conclusions: Public information actions and health professional information are needed in our area in order to reduce the admission time frame of patients with an AIS and to increase the rate of patients who may be eligible for thrombolysis. © 2015, Société française de médecine d'urgence and Springer-Verlag France.