Arrival by ambulance is associated with acute stroke intervention in young adults

详细信息    查看全文

• 作者：Nandakumar Nagaraja ; Pratik Bhattacharya ; ^{pdbhatta@med.wayne.edu} ; Gregory Norris ; William Coplin ; Sandra Narayanan ; Andrew Xavier ; Kumar Rajamani ; Seemant Chaturvedi
• 关键词：Ambulance ; Stroke intervention ; Young adults
• 刊名：Journal of the Neurological Sciences
• 出版年：2012
• 出版时间：15 May, 2012
• 年：2012
• 卷：316
• 期：1-2
• 页码：168-169
• 全文大小：116 K

文摘

Background and purpose

Timely intervention in young stroke patients minimizes long term disability. We hypothesized that arrival to the emergency department by ambulance would be associated with increased rate of stroke intervention with intravenous t-PA or intra arterial procedures.

Methods

Charts of 77 patients aged 15-49 years diagnosed with ischemic stroke were analyzed. Data was collected on demographics, arrival to emergency department by ambulance, whether initial hospital at presentation was a Primary Stroke Center, and intervention by intravenous t-PA or intra arterial procedures. Data was analyzed by Fisher's exact test, and significant variables were included in multivariable analysis.

Results

Arrival by ambulance was significantly associated with acute stroke intervention in young adults (p = 0.016). Gender and Primary Stroke Center certification did not make a difference in patients getting stroke intervention.

Conclusion

Young adults with stroke symptoms were more likely to receive acute stroke intervention if they arrived by ambulance. Larger multi-center studies should address whether Primary Stroke Centers are more likely to provide either IV thrombolysis or interventional therapies in young patients with acute ischemic stroke.