Navigation Links
Many Stroke Patients Don't Call 911, Study Finds
Date:4/30/2013

By Steven Reinberg
HealthDay Reporter

TUESDAY, April 30 (HealthDay News) -- More than one-third of people having a stroke don't call 911, even though that's the fastest route to potentially lifesaving treatment, a new study reports.

"Prompt diagnosis and early management is essential to decrease morbidity and mortality after stroke," said lead researcher Dr. James Ekundayo, an assistant professor of family and community medicine at Meharry Medical College in Nashville, Tenn.

"If about one-third does not arrive by ambulance, the implication is that they will have delayed evaluation and treatment with lifesaving drugs," Ekundayo said.

For patients with ischemic stroke -- a blood clot blocking a blood vessel in the brain -- prior research has shown that administration of clot-busting drugs within two hours of symptom onset greatly reduces the odds of disability three months later. Ischemic stroke is more common than hemorrhagic stroke, which occurs when a blood vessel bleeds into the brain.

The study -- published April 29 in the journal Circulation: Cardiovascular Quality and Outcomes -- looked at how more than 200,000 stroke patients arrived at hospital emergency rooms from 2003 to 2010. About 64 percent arrived by ambulance and the rest used other forms of transportation, the researchers found.

Patients who used emergency medical services (EMS) had shorter pre-hospital and in-hospital delays, the study found. "They arrived early, had prompter evaluation and received more rapid treatment," Ekundayo said.

Time to treatment is faster partly because EMS notifies the receiving hospital about the patient, "and the emergency room staff is ready to act as soon as the patient arrives," Ekundayo added. EMS teams also know which hospitals have advanced stroke care and can take patients directly there.

Calls to EMS were less frequent among minority groups and in rural areas, the researchers found.

Dr. Ralph Sacco, past president of the American Heart Association, said this finding shows a need for "more focused education campaigns on the importance of calling 911 among these groups."

Sacco, chairman of neurology at the University of Miami Miller School of Medicine, said this study "amplifies the need to call 911 if you think you are having a stroke."

Experts say "time is brain," meaning the faster a stroke patient gets to the hospital, the better the outcome. Among patients who arrived within two hours of symptoms starting, 79 percent had come by ambulance.

About 61 percent who called 911 got to the hospital within three hours, as opposed to 40 percent who didn't call EMS, the study found.

About 55 percent of the ambulance callers had a brain scan within 25 minutes of arrival at the emergency room, compared with 36 percent who didn't use EMS. Those eligible for a clot-busting drug received it sooner if they used an ambulance: 67 percent using EMS got the drug within three hours of symptoms starting compared to 44 percent who didn't call EMS.

Those who didn't call 911 were likely to say they didn't want to be a bother, or they didn't recognize the severity of the symptoms, the study authors said.

Each year in the United States nearly 800,000 people have a new or recurrent stroke. Recognizing stroke symptoms and calling EMS are the best way to improve the outcome, the experts said.

Experts recommend using the acronym F.A.S.T. as a simple way to remember the symptoms of a stroke. Here are the signs:

  • Face drooping: Is one side of the face drooping, or is it numb? Ask the person to smile.
  • Arm weakness: Is one arm weak or numb? Ask the person to raise both arms. Does one arm drift down?
  • Speech difficulty: Is speech slurred, or is the person unable to speak or hard to understand? Can the person repeat a simple sentence, such as "The sky is blue"?
  • Time to call 911: If any of these symptoms exist -- even if they go away -- call 911 and get the person to a hospital immediately.

More information

For more information on stroke, visit the National Stroke Association.

SOURCES: James Ekundayo, M.D., Dr.P.H., assistant professor, Department of Family and Community Medicine, Meharry Medical College, Nashville, Tenn.; Ralph Sacco, M.D., past president, American Heart Association, and chairman, neurology, University of Miami Miller School of Medicine, Miami, Fla.; April 30, 2013, Circulation: Cardiovascular Quality and Outcomes


'/>"/>
Copyright©2012 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Predictors identified for rehospitalization among post-acute stroke patients
2. Could Menthol Cigarettes Pose Even Higher Stroke Risk?
3. NJ stroke researchers report advances in spatial neglect research at AAN Conference
4. Mobile Stroke Units Might Trim Time to Treatment
5. Spouses of Cancer Patients May Have Raised Risk of Heart Disease, Stroke
6. Stopping Blood Thinners Raises Stroke Risk for Patients With Irregular Heartbeat
7. Cedars-Sinai stroke team earns award for improving regions quality of care
8. Procedure gives patients with A-fib who cant take blood thinners alternative to reduce stroke
9. Irregular Heartbeat Poses Greater Stroke Risk for Women Than Men
10. Elderly women with irregular heart beat at higher risk for stroke
11. Rate of Hospitalizations for Stroke Has Declined in U.S.
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Many Stroke Patients Don't Call 911, Study Finds 
(Date:5/26/2016)... ... 2016 , ... Cardiac arrhythmia is a common complication following ... survival, reports a team of UPMC researchers in the largest study of its ... Thoracic and Cardiovascular Surgery, provide critical information that will hopefully lead to better ...
(Date:5/26/2016)... ... 26, 2016 , ... MadgeTech will be showcasing its line of data ... Hampshire at the MadgeTech headquarters. With products sold in more than 100 countries around ... including NASA. , In 2012, NASA strategically set up 17 RHTemp101A MadgeTech ...
(Date:5/26/2016)... Farmingdale, NY (PRWEB) , ... May 26, 2016 ... ... and Hereditary Retinal Degeneration” for the Foundation Fighting Blindness, Long Island Chapter on ... free to the public. , Dr. Maisel, founder of Retina Group of ...
(Date:5/26/2016)... ... ... In an effort to provide hair restoration information to the widest possible audience, Dr. Parsa ... not use the app. Dr. Mohebi, the founder of Parsa Mohebi Hair Restoration, is making ... , Dr. Mohebi says, “The positive response to the Snapchat videos we started last month ...
(Date:5/26/2016)... (PRWEB) , ... May 26, 2016 , ... ... of healthcare supply chain solutions, today announced the organization has earned its ISO ... international standards and is compliant with all rules and policies associated with ISO ...
Breaking Medicine News(10 mins):
(Date:5/26/2016)... WELLESLEY, Massachusetts , May 26, 2016 ... sequencing (NGS) has matured into an essential life science ... research and development applications. BCC Research reveals in its ... of a second growth phase, one powered by a ... applied fields.      (Logo: http://photos.prnewswire.com/prnh/20140723/694805 ...
(Date:5/25/2016)... , May 25, 2016  Zymo Research Corp. ... their new reference materials that help researchers obtain ... collection to analyses. The rapid growth of the ... researchers to have standard methods to improve the ... Biases inherently exist at every step of the ...
(Date:5/25/2016)... Digital Health Dialog, LLC dba EngagedMedia ... US Patent and Trademark Office of U.S. Patent ... for electronic opt-­in and processing of discount coupons ... compliance and otherwise. Logo - http://photos.prnewswire.com/prnh/20160524/371583LOGO ... "Our technology allows for individuals to opt­-in to ...
Breaking Medicine Technology: