Urgent stroke care services for patients with acute in-hospital stroke
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....
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| Published in | Japanese Journal of Stroke Vol. 28; no. 3; pp. 426 - 430 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
The Japan Stroke Society
2006
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0912-0726 1883-1923 |
| DOI | 10.3995/jstroke.28.426 |
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| Abstract | 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. |
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| AbstractList | 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. |
| Author | Ibayashi, Setsuro Wakugawa, Yoko Koga, Masatoshi Nagao, Tetsuhiko Yokoyama, Yoko Nakane, Hiroshi |
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| References | 1) Report of the Quality Standards Subcommittee of the American Academy of Neurology.: Practice Advisory : Thrombolytic Therapy for Acute Ischemic Stroke. Neurology 47:835-839, 1996 6) Brott T, Adams HP Jr, Olinger CP, et al : Measurements of acute cerebral infarction : a clinical examination scale. Stroke 20:864-870, 1989 8) Azzimondi G, Bassein L, Fiorani L, et al : Variables associated with hospital arrival time after stroke : effect of delay on the clinical efficiency of early treatment. Stroke 28:537-542, 1997 9) Kwan J, Hand P, Sandercock P.: Improving the efficiency of delivery of thrombolysis for acute stroke : a systematic review. QJM 97:273-279, 2004 10) Daley S, Braimah J, Sailor S, et al : Education to improve stroke awareness and emergent response. The NINDS rt-PA Stroke Study Group. J Neurosci Nurs 29:393-396, 1997 2) 日本脳卒中学会医療向上・社会保険委員会:rt-PA(アルテプラーゼ)静注療法指針部会.rt-PA(アルテプラーゼ)静注療法適正治療指針.脳卒中 27:327-354, 2005 7) 荒木信夫:急性期脳卒中の実態 1.病型別・年代別頻度―欧米,アジアとの比較.小林祥泰(編):脳卒中データバンク2005,東京,中山書店, 2005, pp24-25 3) The National Institute of Neurological Disorders and Stroke (NINDS) rt-PA Stroke Study Group.: A systems approach to immediate evaluation and management of hyperacute stroke. Experience at eight centers and implications for community practice and patient care. Stroke 28:1530-1540, 1997 5) Mines D, Rosenzweig S, Campa JF, et al : Reducing treatment delay and improving diagnostic accuracy for patients with acute stroke. JAMA 281:31-34, 1999 4) Lattimore SU, Chalela J, Davis L, et al : Impact of establishing a primary stroke center at a community hospital on the use of thrombolytic therapy : the NINDS Suburban Hospital Stroke center experience. Stroke 34:e55-57, 2003 |
| References_xml | – reference: 1) Report of the Quality Standards Subcommittee of the American Academy of Neurology.: Practice Advisory : Thrombolytic Therapy for Acute Ischemic Stroke. Neurology 47:835-839, 1996 – reference: 10) Daley S, Braimah J, Sailor S, et al : Education to improve stroke awareness and emergent response. The NINDS rt-PA Stroke Study Group. J Neurosci Nurs 29:393-396, 1997 – reference: 6) Brott T, Adams HP Jr, Olinger CP, et al : Measurements of acute cerebral infarction : a clinical examination scale. Stroke 20:864-870, 1989 – reference: 2) 日本脳卒中学会医療向上・社会保険委員会:rt-PA(アルテプラーゼ)静注療法指針部会.rt-PA(アルテプラーゼ)静注療法適正治療指針.脳卒中 27:327-354, 2005 – reference: 8) Azzimondi G, Bassein L, Fiorani L, et al : Variables associated with hospital arrival time after stroke : effect of delay on the clinical efficiency of early treatment. Stroke 28:537-542, 1997 – reference: 5) Mines D, Rosenzweig S, Campa JF, et al : Reducing treatment delay and improving diagnostic accuracy for patients with acute stroke. JAMA 281:31-34, 1999 – reference: 7) 荒木信夫:急性期脳卒中の実態 1.病型別・年代別頻度―欧米,アジアとの比較.小林祥泰(編):脳卒中データバンク2005,東京,中山書店, 2005, pp24-25 – reference: 3) The National Institute of Neurological Disorders and Stroke (NINDS) rt-PA Stroke Study Group.: A systems approach to immediate evaluation and management of hyperacute stroke. Experience at eight centers and implications for community practice and patient care. Stroke 28:1530-1540, 1997 – reference: 9) Kwan J, Hand P, Sandercock P.: Improving the efficiency of delivery of thrombolysis for acute stroke : a systematic review. QJM 97:273-279, 2004 – reference: 4) Lattimore SU, Chalela J, Davis L, et al : Impact of establishing a primary stroke center at a community hospital on the use of thrombolytic therapy : the NINDS Suburban Hospital Stroke center experience. Stroke 34:e55-57, 2003 |
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| Title | Urgent stroke care services for patients with acute in-hospital stroke |
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