Pre-hospital delays and intravenous thrombolysis in urban and rural areas

Kozera G, Chwojnicki K, Gójska‐Grymajło A, Gąsecki D, Schminke U, Nyka WM. Pre‐hospital delays and intravenous thrombolysis in urban and rural areas. 
Acta Neurol Scand: 2012: 126: 171–177. 
© 2011 John Wiley & Sons A/S. Introduction–  It is crucial to understand the reasons behind pre‐ and in‐h...

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Published in:Acta neurologica Scandinavica 2012-09, Vol.126 (3), p.171-177
Main Authors: Kozera, G., Chwojnicki, K., Gójska-Grymajło, A., Gąsecki, D., Schminke, U., Nyka, W. M.
Format: Article
Language:English
Subjects:
Administration, Intravenous
Adult
Aged
Aged, 80 and over
Antineoplastic agents
Biological and medical sciences
cerebrovascular diseases
Chemotherapy
Female
Fibrinolytic Agents - administration & dosage
Hospitalization
Humans
iv-trombolysis
Male
Medical sciences
Middle Aged
Neurology
Pharmacology. Drug treatments
pre-hospital delays
Retrospective Studies
rural area
Rural Population
Stroke - drug therapy
Stroke - epidemiology
stroke units
Thrombolytic Therapy - methods
Time Factors
urban area
Urban Population
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Summary:Kozera G, Chwojnicki K, Gójska‐Grymajło A, Gąsecki D, Schminke U, Nyka WM. Pre‐hospital delays and intravenous thrombolysis in urban and rural areas. 
Acta Neurol Scand: 2012: 126: 171–177. 
© 2011 John Wiley & Sons A/S. Introduction–  It is crucial to understand the reasons behind pre‐ and in‐hospital delays to improve nationwide access to effective treatment for acute stroke. Aims–  To evaluate the pre‐ and in‐hospital delays and to compare the intravenous (IV) thrombolysis rates in the urban and rural areas of the Province of Pomerania, Poland. Materials & methods–  We evaluated the medical records of 2134 patients treated in the stroke units (SUs) and consecutively reported to the Pomeranian Stroke Register from June 2006–December 2007. Results–  The time of ischaemic stroke onset was known in 488 (59%) of the 834 urban patients and in 744 (70%) of the 1063 rural patients (P 45 min was similar in both locations: urban, 314/488 (64.3%) vs rural, 490/744 (65.8%). Although the proportion of patients who reached the emergency room within 3 h was higher in the rural areas (29.0% vs 24.3%; P = 0.02), only 4.2% of these patients received IV thrombolysis compared with 23.1% in the urban areas (P 
ISSN:0001-6314
1600-0404
DOI:10.1111/j.1600-0404.2011.01616.x