Delayed Hospital Arrival for Acute Stroke
Authors: Maureen A. Smith
Journal: Annals of Internal Medicine (1999)

Letters16 February 1999Delayed Hospital Arrival for Acute StrokeMaureen A. Smith, MD, MPH, Eyal Shahar, MD, MPH, and Russell V. Luepker, MD, MSMaureen A. Smith, MD, MPHUniversity of Minnesota School of Public Health; Minneapolis, MN 55454-1015 (Smith)University of Minnesota School of Public Health; Minneapolis, MN 55454-1015 (Shahar)University of Minnesota School of Public Health; Minneapolis, MN 55454-1015 (Luepker)Search for more papers by this author, Eyal Shahar, MD, MPHUniversity of Minnesota School of Public Health; Minneapolis, MN 55454-1015 (Smith)University of Minnesota School of Public Health; Minneapolis, MN 55454-1015 (Shahar)University of Minnesota School of Public Health; Minneapolis, MN 55454-1015 (Luepker)Search for more papers by this author, and Russell V. Luepker, MD, MSUniversity of Minnesota School of Public Health; Minneapolis, MN 55454-1015 (Smith)University of Minnesota School of Public Health; Minneapolis, MN 55454-1015 (Shahar)University of Minnesota School of Public Health; Minneapolis, MN 55454-1015 (Luepker)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-130-4-199902160-00007 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:Dr. Lacy's comments underscore the importance of developing and testing new interventions to shorten delays from the onset of stroke symptoms to hospital admission. Their 1997 data are similar to our data for 1991 to 1993 and suggest that current limited approaches to public and provider education have not reduced delay. Comprehensive public and professional education programs seem to be effective (1), but the amount of education needed may be considerable. Patients at highest risk for stroke are a population of particular interest. However, a recent study suggested that persons at risk for stroke were generally unaware of ...References1. Barsan WG, Brott TG, Broderick JP, Haley EC, Levy DE, Marler JR. Urgent therapy for acute stroke. Effects of a stroke trial on untreated patients. Stroke. 1994;25:2132-7. CrossrefMedlineGoogle Scholar2. Pancioli AM, Broderick J, Kothari R, Brott T, Tuchfarber A, Miller R, et al . Public perception of stroke warning signs and knowledge of potential risk factors. JAMA. 1998;279:1288-92. CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: University of Minnesota School of Public Health; Minneapolis, MN 55454-1015 (Smith)University of Minnesota School of Public Health; Minneapolis, MN 55454-1015 (Shahar)University of Minnesota School of Public Health; Minneapolis, MN 55454-1015 (Luepker) PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoDelayed Hospital Arrival for Acute Stroke: The Minnesota Stroke Survey Maureen A. Smith , Katherine M. Doliszny , Eyal Shahar , Paul G. McGovern , Donna K. Arnett , and Russell V. Luepker Delayed Hospital Arrival for Acute Stroke Clifton R. Lacy , Maureen Bueno , and John B. Kostis Metrics 16 February 1999Volume 130, Issue 4_Part_1Page: 328KeywordsElderlyStroke Issue Published: 16 February 1999 Copyright & PermissionsCopyright © 1999 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...