Urgent stroke care services for patients with acute in-hospital stroke

• Published in: Japanese Journal of Stroke Vol. 28; no. 3; pp. 426 - 430
• Main Authors: Wakugawa, Yoko, Nagao, Tetsuhiko, Koga, Masatoshi, Ibayashi, Setsuro, Nakane, Hiroshi, Yokoyama, Yoko
• Format: Journal Article
• Language: Japanese
• Published: The Japan Stroke Society 2006
• Subjects: acute in-hospital stroke; rt-PA; stroke care services
• ISSN: 0912-0726; 1883-1923
• DOI: 10.3995/jstroke.28.426

We assessed the current status of urgent medical services for patients with acute in-hospital stroke before the era of rt-PA. Nineteen consecutive patients with acute in-hospital stroke were enrolled. The main causes of hospitalization were cardiac disease in 10 and digestive disease in 3 patients. The major subtypes of stroke were cardioembolic stroke (n=5) and atherothrombotic infarction (n=5). The median NIHSS score was 5.5, and 4 patients suffered stroke during sleep. The median delay in detection from onset was 5.7 hours. In the late detected group, tendencies for having a lower NIHSS score and/or for suffering during sleep were observed. Acute in-hospital stroke was common at the cardiology department. The delay in detection may be longer for patients with mild symptoms and/or onset during sleep.