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Geographical location of ischemic stroke patients affects thrombolysis availability in Denmark.
J Neurol Sci
February 2025
Pre-Hospital Center, Region Zealand, Denmark; Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark. Electronic address:
Introduction: Early recognition and treatment of stroke is paramount for good outcome. Transport distance may result in delayed arrival for revascularization therapy. We investigated how transport time and distance to the revascularization unit affected the probability of receiving intravenous thrombolysis in Denmark between 2015 and 2020, for patients calling the Emergency Medical Services within three hours of symptom onset.
View Article and Find Full Text PDFGeographical differences in thrombolysis treatment for acute ischaemic stroke.
Tidsskr Nor Laegeforen
December 2024
Nevrologisk avdeling, Universitetssykehuset Nord-Norge, Tromsø, og, Institutt for klinisk medisin, Universitetet i Tromsø, Tromsø.
Background: Administering intravenous thrombolysis (IVT) as soon as possible after symptom onset impacts on the functional outcome for patients with acute ischaemic stroke. The study aimed to assess whether the distance from hospital impacts on the access to IVT for acute ischaemic stroke at the University Hospital of North Norway in Tromsø (UNN Tromsø).
Material And Method: This prospective quality study included 231 patients admitted with acute ischaemic stroke to UNN in the period 1 January 2019-31 December 2019.
Factors associated with late hospital arrival in acute stroke patients of Bangladesh.
Emerg Med J
December 2024
Department of Public Health, North South University, Dhaka, Bangladesh.
Objectives: Underutilisation of thrombolysis is a major problem in patients with stroke in Bangladesh as patients do not arrive within the therapeutic window due to delays in their way to emergency department. This study aims to assess the time delay from patients' symptom onset to arrival in the hospital and the factors that are associated with it.
Methods: This cross-sectional survey of a prospective cohort of stroke patients was conducted between January and March 2023.
The State of STEMI Care Across NSW: A Comparison of Rural, Regional, and Metropolitan Centres.
Heart Lung Circ
December 2024
Cardiology Department, Orange Health Service, Western NSW Local Health District, Orange, NSW, Australia.
Background: At a global level, regional variation in the management of ST-elevation myocardial infarction (STEMI) is influenced by patient demographics and geography. Rural patients with STEMI are disadvantaged in reaching timely care owing to distance and limited ambulance and healthcare resources. Optimising models of STEMI care is key to overcoming the excess rural vs metropolitan cardiovascular morbidity and mortality.
View Article and Find Full Text PDFIn-Hospital Outcomes Associated With Initial Fibrinolysis Versus Primary Percutaneous Coronary Intervention Among Patients Residing in Rural Areas Presenting With ST-Segment Elevation Myocardial Infarction.
Hosp Pharm
November 2024
University of South Carolina School of Medicine Greenville, Greenville, SC, USA.
Fibrinolysis is more commonly used to manage ST-segment elevation myocardial infarction (STEMI) in rural versus urban areas. However, little is known about the outcomes associated with this treatment strategy in rural individuals. We sought to compare in-hospital outcomes associated with the use of fibrinolysis versus primary percutaneous coronary intervention (PCI) among patients residing in rural areas presenting with STEMI.
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