Determinants of use of emergency medical services in a population with stroke symptoms: the Second Delay in Accessing Stroke Healthcare (DASH II) Study.

Abstract:

BACKGROUND AND PURPOSE:With the advent of time-dependent thrombolytic therapy for ischemic stroke, it has become increasingly important for stroke patients to arrive at the hospital quickly. This study investigates the association between the use of emergency medical services (EMS) and delay time among individuals with stroke symptoms and examines the predictors of EMS use. METHODS:The Second Delay in Accessing Stroke Healthcare Study (DASH II) was a prospective study of 617 individuals arriving at emergency departments in Denver, Colo, Chapel Hill, NC, and Greenville, SC, with stroke symptoms. RESULTS:EMS use was associated with decreased prehospital and in-hospital delay. Those who used EMS had a median prehospital delay time of 2.85 hours compared with 4.03 hours for those who did not use EMS (P:=0.002). Older individuals were more likely to use EMS (odds ratio [OR] 1.21 for each 5-year increase, 95% CI 1.14 to 1.29), as were individuals who expressed a high sense of urgency about their symptoms (OR 1.69, 95% CI 1.09 to 2.62). Knowledge of stroke symptoms was not associated with increased EMS use (OR 0.63, 95% CI 0.40 to 0.98). Patients were more likely to use EMS if someone other than the patient first identified that there was a problem (OR 2.35, 95% CI 1.61 to 3.44). CONCLUSIONS:Interventions aimed at increasing EMS use among stroke patients need to stress the urgency of stroke symptoms and the importance of calling 911 and need to be broad-based, encompassing not only those at high risk for stroke but also their friends and family.

journal_name

Stroke

journal_title

Stroke

authors

Schroeder EB,Rosamond WD,Morris DL,Evenson KR,Hinn AR

doi

10.1161/01.str.31.11.2591

subject

Has Abstract

pub_date

2000-11-01 00:00:00

pages

2591-6

issue

11

eissn

0039-2499

issn

1524-4628

journal_volume

31

pub_type

杂志文章,多中心研究

相关文献

STROKE文献大全
  • Sarcoidosis presenting with stroke.

    abstract::A 25-year-old black man with sarcoidosis presented with transient ischemic attacks followed by sudden, persistent right hemiparesis. He gave a history of recent, recurrent lower motor neuron facial palsy. Computed tomography demonstrated an infarct in the left internal capsule. Chest x-ray film showed bilateral hilar ...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.20.3.400

    authors: Brown MM,Thompson AJ,Wedzicha JA,Swash M

    更新日期:1989-03-01 00:00:00

  • Clinical trials of neuroprotective therapies.

    abstract::There have been numerous failures in the field of acute stroke therapy over many years, but the first large clinical trial showing preliminary indications of efficacy and safety of a neuroprotective drug, NXY-059, has now been fully reported. If confirmed, it will mean that a second therapy for acute stroke has been i...

    journal_title:Stroke

    pub_type: 杂志文章,评审

    doi:10.1161/01.STR.0000252090.44428.82

    authors: Zivin JA

    更新日期:2007-02-01 00:00:00

  • Importance of cerebral artery recanalization in patients with stroke with and without neurological improvement after intravenous thrombolysis.

    abstract:BACKGROUND AND PURPOSE:Recanalization status after intravenous thrombolysis (IVT) in patients with ischemic stroke is a reference point to proceed with a rescue reperfusion intervention, although early neurological improvement (NI) may preclude endovascular procedures. We aimed to evaluate the importance of restoration...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.111.000048

    authors: Kharitonova TV,Melo TP,Andersen G,Egido JA,Castillo J,Wahlgren N,SITS investigators.

    更新日期:2013-09-01 00:00:00

  • Detection of thrombus in acute ischemic stroke: value of thin-section noncontrast-computed tomography.

    abstract:BACKGROUND AND PURPOSE:Previous studies on the hyperdense middle cerebral artery (MCA) sign were conducted using > or =5-mm thickness noncontrast-computed tomography (NCT). The purpose of this study was to compare thin-section NCT with 5-mm NCT in the detection of thrombus in acute ischemic stroke. METHODS:Enrolled we...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.STR.0000185720.03803.41

    authors: Kim EY,Lee SK,Kim DJ,Suh SH,Kim J,Heo JH,Kim DI

    更新日期:2005-12-01 00:00:00

  • Anticoagulant-related hemorrhage in acute cerebral embolism.

    abstract::Five patients with nonseptic cerebral embolism of cardiac origin are reported in whom early anticoagulant therapy resulted in clinical deterioration or death from frank hemorrhage into the acute infarct. In each patient an initial CT scan excluded the presence of intracerebral hemorrhage and a second CT scan, after cl...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.15.3.426

    authors: Shields RW Jr,Laureno R,Lachman T,Victor M

    更新日期:1984-05-01 00:00:00

  • Calcium antagonist PY 108-068: demonstration of its efficacy in various types of experimental brain ischemia.

    abstract::The protective properties of PY 108-068 against ischemic disturbances in the brain were investigated in vitro and in vivo. The calcium antagonistic effects were demonstrated on isolated, calcium-loaded arterial rings of feline cerebral arteries. Determination of brain tissue oxygenation with pO2 microelectrodes showed...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.15.4.679

    authors: Wiernsperger N,Gygax P,Hofmann A

    更新日期:1984-07-01 00:00:00

  • How well do standard stroke outcome measures reflect quality of life? A retrospective analysis of clinical trial data.

    abstract:BACKGROUND AND PURPOSE:Quality of life (QoL) is important to stroke survivors yet is often recorded as a secondary measure in acute stroke randomized controlled trials. We examined whether commonly used stroke outcome measures captured aspects of QoL. METHODS:We examined primary outcomes by National Institutes of Heal...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.113.001126

    authors: Ali M,Fulton R,Quinn T,Brady M,VISTA Collaboration.

    更新日期:2013-11-01 00:00:00

  • Structure of plaque at carotid bifurcation: high-resolution MRI with histological correlation.

    abstract:BACKGROUND AND PURPOSE:The composition of carotid atherosclerosis was visualized by using 3D MRI at high resolution with 200-micrometer (3) voxels. Magnetic resonance signal characteristics were correlated with plaque components, including collagenous cap, necrotic core, and calcification, to define resolution and othe...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/hs1101.098663

    authors: Coombs BD,Rapp JH,Ursell PC,Reilly LM,Saloner D

    更新日期:2001-11-01 00:00:00

  • Comparison of computed tomographic and magnetic resonance perfusion measurements in acute ischemic stroke: back-to-back quantitative analysis.

    abstract:BACKGROUND AND PURPOSE:Magnetic resonance perfusion (MRP) and computed tomographic perfusion (CTP) are being increasingly applied in acute stroke trials and clinical practice, yet the comparability of their perfusion values is not well validated. The aim of this study was to validate the comparability of CTP and MRP me...

    journal_title:Stroke

    pub_type: 杂志文章,随机对照试验

    doi:10.1161/STROKEAHA.114.005419

    authors: Lin L,Bivard A,Levi CR,Parsons MW

    更新日期:2014-06-01 00:00:00

  • Baroreflex: a new therapeutic target in human stroke?

    abstract:BACKGROUND AND PURPOSE:Autonomic dysfunction, including increased sympathetic drive and blunted baroreflex, has repeatedly been observed in acute stroke. Of clinical importance is that the stroke-related autonomic imbalance seems to be linked to worse outcome after stroke. Here, we discuss the role of baroreflex impair...

    journal_title:Stroke

    pub_type: 杂志文章,评审

    doi:10.1161/STROKEAHA.109.565838

    authors: Sykora M,Diedler J,Turcani P,Hacke W,Steiner T

    更新日期:2009-12-01 00:00:00

  • Variations in case fatality and dependency from stroke in western and central Europe. The European BIOMED Study of Stroke Care Group.

    abstract:BACKGROUND AND PURPOSE:There are significant variations in mortality rates from stroke in Europe. A European Union BIOMED Concerted Action was established to assess and determine the reasons for the variations in case fatality and disability after stroke. METHODS:Hospital-based stroke registers were established in 12 ...

    journal_title:Stroke

    pub_type: 杂志文章,多中心研究

    doi:10.1161/01.str.30.2.350

    authors: Wolfe CD,Tilling K,Beech R,Rudd AG

    更新日期:1999-02-01 00:00:00

  • Vasodilator proteins: role in delayed cerebral vasospasm.

    abstract::Blood proteins could play a critical role in the pathogenesis of cerebral vasospasm in subarachnoid hemorrhage (SAH) as agonists and as antagonists of vasoconstriction. The present study was designed primarily to quantify the inhibition produced by antithrombin III of the phasic responses elicited by cumulative doses ...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.17.2.207

    authors: White RP

    更新日期:1986-03-01 00:00:00

  • Low-grade carotid stenosis: looking beyond the lumen with MRI.

    abstract:BACKGROUND AND PURPOSE:The management of carotid atherosclerosis is well-established for symptomatic stenosis above 69%, but the optimal approach for managing lower degrees of narrowing remains uncertain. Because the risk of stroke increases with higher grades of stenosis, we are inclined to consider low-grade disease ...

    journal_title:Stroke

    pub_type: 杂志文章,评审

    doi:10.1161/01.STR.0000185726.83152.00

    authors: Wasserman BA,Wityk RJ,Trout HH 3rd,Virmani R

    更新日期:2005-11-01 00:00:00

  • Contribution of obesity and abdominal fat mass to risk of stroke and transient ischemic attacks.

    abstract:BACKGROUND AND PURPOSE:Waist circumference has been shown to be a better predictor of cardiovascular risk than body mass index (BMI). Our case-control study aimed to evaluate the contribution of obesity and abdominal fat mass to the risk of stroke and transient ischemic attacks (TIA). METHODS:We recruited 1137 partici...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.108.523001

    authors: Winter Y,Rohrmann S,Linseisen J,Lanczik O,Ringleb PA,Hebebrand J,Back T

    更新日期:2008-12-01 00:00:00

  • Detection of hyperacute primary intraparenchymal hemorrhage by magnetic resonance imaging.

    abstract:BACKGROUND:MRI has become increasingly used in the acute setting to manage patients with stroke. There has been concern that MRI may not be sensitive in the detection of acute intracranial hemorrhage. We assessed whether strongly susceptibility-weighted MRI would be sensitive to intraparenchymal hemorrhage in the first...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.27.12.2321

    authors: Patel MR,Edelman RR,Warach S

    更新日期:1996-12-01 00:00:00

  • Cerebral cortical and white matter reactivity to carbon dioxide.

    abstract::We measured cerebrovascular reactivity to carbon dioxide in the cerebral cortex and the subcortical white matter of 12 healthy adult volunteers (four young subjects aged 21-24, four middle-aged subjects aged 34-40, and four elderly subjects aged 62-85 years). Blood flow was computed from the concentration history of x...

    journal_title:Stroke

    pub_type: 杂志文章,评审

    doi:10.1161/01.str.20.4.453

    authors: Reich T,Rusinek H

    更新日期:1989-04-01 00:00:00

  • Leukoaraiosis in relation to prognosis for patients with lacunar infarction.

    abstract:BACKGROUND AND PURPOSE:Close relations between leukoaraiosis detected by computed tomography or magnetic resonance imaging and stroke, particularly lacunar infarction, have been reported. We studied whether leukoaraiosis is related to long-term prognosis for patients with lacunar infarction. METHODS:We examined monthl...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.23.10.1434

    authors: Miyao S,Takano A,Teramoto J,Takahashi A

    更新日期:1992-10-01 00:00:00

  • Significance of Cerebral Small-Vessel Disease in Acute Intracerebral Hemorrhage.

    abstract:BACKGROUND AND PURPOSE:The significance of structural changes associated with cerebral small-vessel disease (SVD), including white matter lesions (WML), lacunes, and brain atrophy, to outcome from acute intracerebral hemorrhage is uncertain. We determined associations of computed tomographic radiological manifestations...

    journal_title:Stroke

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1161/STROKEAHA.115.012147

    authors: Sato S,Delcourt C,Heeley E,Arima H,Zhang S,Al-Shahi Salman R,Stapf C,Woo D,Flaherty ML,Vagal A,Levi C,Davies L,Wang J,Robinson T,Lavados PM,Lindley RI,Chalmers J,Anderson CS,INTERACT2 Investigators.

    更新日期:2016-03-01 00:00:00

  • Systematic Review of Guidelines for the Management of Asymptomatic and Symptomatic Carotid Stenosis.

    abstract:BACKGROUND AND PURPOSE:We systematically compared and appraised contemporary guidelines on management of asymptomatic and symptomatic carotid artery stenosis. METHODS:We systematically searched for guideline recommendations on carotid endarterectomy (CEA) or carotid angioplasty/stenting (CAS) published in any language...

    journal_title:Stroke

    pub_type: 杂志文章,评审

    doi:10.1161/STROKEAHA.115.003390

    authors: Abbott AL,Paraskevas KI,Kakkos SK,Golledge J,Eckstein HH,Diaz-Sandoval LJ,Cao L,Fu Q,Wijeratne T,Leung TW,Montero-Baker M,Lee BC,Pircher S,Bosch M,Dennekamp M,Ringleb P

    更新日期:2015-11-01 00:00:00

  • Effect of BQ-123 and tissue plasminogen activator on vasospasm after subarachnoid hemorrhage in monkeys.

    abstract:BACKGROUND AND PURPOSE:We aimed to determine the effect of intracisternal administration of an endothelin-A receptor antagonist (BQ-123) against vasospasm in a monkey model and to determine whether this drug would have adverse interactions with intracisternal tissue plasminogen activator (TPA). METHODS:Thirty-three mo...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.27.9.1629

    authors: Kim CJ,Bassiouny M,Macdonald RL,Weir B,Johns LM

    更新日期:1996-09-01 00:00:00

  • Stent-based thrombectomy versus intravenous tissue plasminogen activator in patients with acute middle cerebral artery occlusion.

    abstract:BACKGROUND AND PURPOSE:Our goal was to compare outcomes of patients with proximal middle cerebral artery occlusions treated with intravenous tissue plasminogen activator (tPA) with those of patients treated with stent-based thrombectomy (SBT). METHODS:Patients with proximal middle cerebral artery occlusions included i...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.112.673665

    authors: Leker RR,Eichel R,Gomori JM,Ramirez de Noriega F,Ben-Hur T,Cohen JE

    更新日期:2012-12-01 00:00:00

  • Biophysical mechanisms of stroke.

    abstract:BACKGROUND:Stroke is the third leading cause of death and the leading cause of long-term disability in the United States. Although a host of genetic, biochemical, physiological, anatomic, and histological factors have been implicated, to varying degrees, in the pathogenesis of stroke, biophysical factors are believed t...

    journal_title:Stroke

    pub_type: 杂志文章,评审

    doi:10.1161/01.str.28.10.2067

    authors: Hademenos GJ,Massoud TF

    更新日期:1997-10-01 00:00:00

  • Early recurrent embolism associated with nonvalvular atrial fibrillation: a retrospective study.

    abstract::Nonvalvular atrial fibrillation (NVAF) can be a source of cardiogenic brain embolism. We retrospectively reviewed the clinical features of 56 patients with acute brain infarction and NVAF. Based on clinical criteria, 35 infarcts (63%) were classified as probably embolic, 13 infarcts (23%) as probably nonembolic and 8 ...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.14.5.688

    authors: Hart RG,Coull BM,Hart D

    更新日期:1983-09-01 00:00:00

  • Failure of aspirin treatment after stroke.

    abstract:BACKGROUND AND PURPOSE:Despite its low efficacy, aspirin is the most widely used drug for secondary stroke prevention. The reasons why stroke recurs while patients are on aspirin are unknown. We have analyzed a series of patients who had recurrent strokes while on aspirin. METHODS:Out of 2231 consecutive patients who ...

    journal_title:Stroke

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.str.25.2.275

    authors: Bornstein NM,Karepov VG,Aronovich BD,Gorbulev AY,Treves TA,Korczyn AD

    更新日期:1994-02-01 00:00:00

  • Impact of Low Ankle-Brachial Index on the Risk of Recurrent Vascular Events.

    abstract::Background and Purpose- Low ankle-brachial index (ABI) identifies a stroke subgroup with high risk of recurrent stroke, cardiovascular events, and death. However, limited data exist on the relationship between low ABI and stroke in low and middle-income countries. Therefore, we evaluated the prevalence of ABI ≤0.90 (w...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.118.022180

    authors: Abboud H,Monteiro Tavares L,Labreuche J,Arauz A,Bryer A,Lavados PM,Massaro A,Munoz Collazos M,Steg PG,Yamout BI,Vicaut E,Amarenco P

    更新日期:2019-04-01 00:00:00

  • Incomplete brain infarction of reperfused cortex may be quantitated with iomazenil.

    abstract:BACKGROUND AND PURPOSE:[123I]Iomazenil is a specific radioligand for the central benzodiazepine receptor that may be useful as an indicator of the intactness of cortical neurons after focal cerebral ischemia. We evaluated the binding of this receptor in reperfused cortex among patients with ischemic stroke to detect vi...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.28.1.124

    authors: Nakagawara J,Sperling B,Lassen NA

    更新日期:1997-01-01 00:00:00

  • Brain metabolic changes in young vs aged rats during hypoxia.

    abstract::Brain energy state and glycolytic metabolites were measured in young (6 month) and aged (28 month) male rats under normoxic (70% nitrous oxide, 30% oxygen) or hypoxic (PaO2 = 25 mm Hg) test conditions. Hypoxic ischemia was induced in one cerebral hemisphere by ligation of one carotid artery. Under normoxic test condit...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.16.5.860

    authors: Hoffman WE,Pelligrino D,Miletich DJ,Albrecht RF

    更新日期:1985-09-01 00:00:00

  • ICES (Intraoperative Stereotactic Computed Tomography-Guided Endoscopic Surgery) for Brain Hemorrhage: A Multicenter Randomized Controlled Trial.

    abstract:BACKGROUND AND PURPOSE:Intracerebral hemorrhage (ICH) is a devastating disease without a proven therapy to improve long-term outcome. Considerable controversy about the role of surgery remains. Minimally invasive endoscopic surgery for ICH offers the potential of improved neurological outcome. METHODS:We tested the hy...

    journal_title:Stroke

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1161/STROKEAHA.116.013837

    authors: Vespa P,Hanley D,Betz J,Hoffer A,Engh J,Carter R,Nakaji P,Ogilvy C,Jallo J,Selman W,Bistran-Hall A,Lane K,McBee N,Saver J,Thompson RE,Martin N,ICES Investigators.

    更新日期:2016-11-01 00:00:00

  • Late-phase contrast-enhanced ultrasound reflects biological features of instability in human carotid atherosclerosis.

    abstract:BACKGROUND AND PURPOSE:Development of translational functional imaging modalities for atherosclerosis risk stratification is sought for stroke prediction. Our group has developed late-phase contrast-enhanced ultrasound (LP-CEUS) to quantify microbubble contrast retention within carotid atherosclerosis and shown it to s...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.111.631200

    authors: Shalhoub J,Monaco C,Owen DR,Gauthier T,Thapar A,Leen EL,Davies AH

    更新日期:2011-12-01 00:00:00

  • Predictors of Mortality in Acute Ischemic Stroke Intervention: Analysis of the North American Solitaire Acute Stroke Registry.

    abstract:BACKGROUND AND PURPOSE:Failure to recanalize predicts mortality in acute ischemic stroke. In the North American Solitaire Acute Stroke registry, we investigated parameters associated with mortality in successfully recanalized patients. METHODS:Logistic regression was used to evaluate baseline characteristics and recan...

    journal_title:Stroke

    pub_type: 杂志文章,多中心研究

    doi:10.1161/STROKEAHA.115.009530

    authors: Linfante I,Walker GR,Castonguay AC,Dabus G,Starosciak AK,Yoo AJ,Abou-Chebl A,Britz GW,Marden FA,Alvarez A,Gupta R,Sun CH,Martin C,Holloway WE,Mueller-Kronast N,English JD,Malisch TW,Bozorgchami H,Xavier A,Rai AT,F

    更新日期:2015-08-01 00:00:00