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Factors Related to Early Versus Late Hospital Arrival in Acute Ischemic Stroke

Author

Listed:
  • Mohammad Mojtahed

    (Iran University of Medical Sciences, Iran)

  • Sara Esmaeili

    (Lindau Alumni Network, Lindau, Germany)

  • Sepideh Allahdadian

    (University of British Columbia, Canada)

  • Samira Chaibakhsh

    (Iran University of Medical Sciences, Iran)

  • Ali Mojtahed

    (Tehran University of Medical Sciences, Iran)

  • Samaneh Tanhapour Khotbehsara

    (Iran University of Medical Sciences, Iran)

  • Sina Eskandari Delfan

    (Iran University of Medical Sciences, Iran)

  • Mahya Naderkhani

    (Iran University of Medical Sciences, Iran)

  • Zahra Mirzaasgari

    (Iran University of Medical Sciences, Iran)

Abstract

Background: The onset-to-arrival time affects the decision of intravenous thrombolysis therapy which is associated with stroke’s prognosis. This study aimed to evaluate factor associated with early and late arrival of patients with Acute Ischemic Stroke and the effect on patients’ outcomes. Materials and Methods: Patients confirmed with acute ischemic stroke in central stroke centers were included in a prospective study. The patients were grouped into early arrivers (less than 4.5 hours) and late arrivers (at and after 4.5 hours). Patients’ data were obtained from the stroke registry system. Results: In Summary, Higher initial NIHSS, less than 15 km from the hospital, a history of CVA, Diabetes, Abnormal blood pressure, EMS transportation, Atrial fibrillation, and current use of anticoagulants, Not using opium, and not smoking was significantly associated with early arrival time. Normal blood pressure AF was a negative and significant (p-value=0.001, Odds ratio: 0.38) predictor of the late arrival. Normal blood pressure was a positive and significant (p-value

Suggested Citation

  • Mohammad Mojtahed & Sara Esmaeili & Sepideh Allahdadian & Samira Chaibakhsh & Ali Mojtahed & Samaneh Tanhapour Khotbehsara & Sina Eskandari Delfan & Mahya Naderkhani & Zahra Mirzaasgari, 2023. "Factors Related to Early Versus Late Hospital Arrival in Acute Ischemic Stroke," European Journal of Medical and Health Sciences, European Open Science, vol. 5(4), pages 1-5, July.
    • Handle: RePEc:epw:ejmed0:v:5:y:2023:i:4:id:41753
    DOI: 10.24018/ejmed.2023.5.4.1753
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