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ISSN 0028-3851 (Print)

2007, Number 4

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Rev Neurol Neurocir Psiquiat 2007; 40 (4)

Time delay for medical care as prognostic factor in stroke

Figueirôa FLS, Marins EG, Brandão JCN, Andrade-Filho AS

Language: Portugués
References: 20
Page: 102-108
PDF size: 57.93 Kb.


Text Extraction

Many therapies had been proposed for acute stroke, few of them had been proved useful for clinical practice. It is possible that the therapeutic window for stroke is narrow, whichever treatment tried.
Objective. This study aims to assess if time delay for medical care is associated to prognosis in acute stroke patients.
Methods. Patients with acute stroke admitted to a private tertiary hospital in Salvador, Bahia, northeastern Brazil were followed up to hospital discharge. Prognosis were measured by the modified Rankin Scale, as good for scores 0-2 and poor for scores 3-6. Time delay for first medical attention was analyzed as a categorical variable, cut points in 3, 6 and 12 hours, and delay for neurologist consultation with cut points in 6 and 12 hours after hospital admission. Median time for first care was compared among good and poor prognosis patients using the Mann-Whitney test.
Results. 88 patients fulfilled the criteria, 61% were female, 74% were over 60 years age, mean time for first care was 6,9h, median time in 3,3h, interquartile from 1 to 9h, mean time for neurologist was 11,2h, median time in 7h, interquartile 2,3 to 18h. Good prognosis frequencies were the same among patients receiving first care before and after 6 hours (40%), similar for patients receiving first care before and after 3 hours (44 x 38%), and for neurologist visiting before and after 6 hours (46 x 43%) and 12 hours (41 x 48%).


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