Delayed Hospital Arrival for Acute Stroke
Authors: Clifton R. Lacy
Journal: Annals of Internal Medicine (1999)

Letters16 February 1999Delayed Hospital Arrival for Acute StrokeClifton R. Lacy, MD, Maureen Bueno, RN, PhD, and John B. Kostis, MDClifton R. Lacy, MDUniversity of Medicine and Dentistry of New Jersey,; Robert Wood Johnson Medical School; New Brunswick, NJ 08903Search for more papers by this author, Maureen Bueno, RN, PhDUniversity of Medicine and Dentistry of New Jersey,; Robert Wood Johnson Medical School; New Brunswick, NJ 08903Search for more papers by this author, and John B. Kostis, MDUniversity of Medicine and Dentistry of New Jersey,; Robert Wood Johnson Medical School; New Brunswick, NJ 08903Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-130-4-199902160-00006 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Smith and colleagues (1) described time delay between stroke symptom onset and hospital arrival. This retrospective medical record review, done in the Minneapolis-St. Paul area between 1991 and 1993, found that approximately half the patients with acute stroke arrived at the hospital within 3 hours and two thirds arrived within 6 hours of symptom onset.In 1997, we prospectively assessed 454 consecutive patients presenting to the 10 hospitals of the Robert Wood Johnson Health System with symptoms of acute stroke (2). We found that 45% of patients presented to the emergency department within 3 hours of symptom ...References1. Smith MA, Doliszny KM, Shahar E, McGovern PG, Arnett DK, Luepker RV. Delayed hospital arrival for acute stroke: the Minnesota Stroke Survey. Ann Intern Med. 1998;129:190-6. LinkGoogle Scholar2. Lacy CR, Bueno M, Kostis JB. Stroke Time Registry for Outcomes Knowledge and Epidemiology (S.T.R.O.K.E.) [Abstract]. J Stroke Cerebrovasc Dis. 1997;6:470. CrossrefGoogle Scholar3. Adams HP, Brott TG, Crowell RM, Furlan AJ, Gomez CR, Grotta J, et al . Guidelines for the management of patients with acute ischemic stroke. A statement for healthcare professionals from a special writing group of the Stroke Council, American Heart Association. Stroke. 1994;25:1901-14. CrossrefMedlineGoogle Scholar4. Adams HP, Brott TG, Furlan AJ, Gomez CR, Grotta J, Helgason CM, et al . Guidelines for thrombolytic therapy for acute stroke: a supplement to the guidelines for the management of patients with acute ischemic stroke. A statement for healthcare professionals from a special writing group of the Stroke Council, American Heart Association. Stroke. 1996;27:1711-8. MedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: University of Medicine and Dentistry of New Jersey,; Robert Wood Johnson Medical School; New Brunswick, NJ 08903 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 Maureen A. Smith , Eyal Shahar , and Russell V. Luepker Metrics Cited ByDeterminants of Emergency Medical Services Use in a Brazilian Population with Acute Ischemic StrokePerfusion MRI of Infarcted and Noninfarcted Brain Tissue in Stroke 16 February 1999Volume 130, Issue 4_Part_1Page: 328KeywordsEmergency departmentRacial and ethnic issuesStroke Issue Published: 16 February 1999 CopyrightCopyright © 1999 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...