TITLE

Eventos prehospitalarios y mortalidad intrahospitalaria después de enfermedad cerebrovascular aguda

AUTHOR(S)
Chiquete, Erwin; Ruiz-Sandoval, José Luis
PUB. DATE
January 2007
SOURCE
Revista Mexicana de Neurociencia;ene/feb2007, Vol. 8 Issue 1, p41
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: After suffering stroke, early arrival to hospital is mandatory for adequate management. Objective: We aimed to identify factors influencing hospital arrival and prehospital events associated with in-hospital mortality of patients with acute stroke, before the establishment of a stroke unit and outside of clinical trials. Methods: A first-step stroke surveillance system was conducted on 94 consecutive patients. Prehospital delay of < 3 hours from stroke onset and in-hospital mortality were the main research outcomes. Independent predictors were identified by logistic regression. Results: Twenty-five percent of patients arrived in < 3 hours; corresponding to 38, 27 and 13% for ischaemic stroke, subarachnoid haemorrhage and intracerebral haemorrhage, respectively. Age ≥ 65 years (OR: 2.80; 95% CI: 1.31-4.61) and stroke occurring in the night (OR: 2.22; 95% Ch 1.07-3.60) predicted arrival in < 3 hours. Prehospital factors predicting in-hospital mortality were arrival on ambulance (OR: 7. 10; 95% Ch 3.23-9.93) indicating delay in first-aid posts, impaired consciousness at stroke onset (OR: 2.43; 95% Ch 1.49-3.04), and having > 1 risk factor for stroke (OR: 2. 12; 95% Ch 1.18-2.84). Conclusions: The use of first-aid services did not improve prehospital delay due to temporal retention of the patients with acute stroke in these units before the definite arrival to our center. Hence, some prehospital factors influence in-hospital mortality in acute stroke.
ACCESSION #
24728823

 

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