Patient factors associated with treatment time for stroke before and after the onset of COVID-19.
Geriatr Nurs
; 56: 1-6, 2024.
Article
em En
| MEDLINE
| ID: mdl-38181484
ABSTRACT
OBJECTIVES:
Prior to our study, little was known about factors related to time-to-treatment for stroke pre- and post-COVID-19.DESIGN:
This was a retrospective cohort study to evaluate factors associated with delayed door-to-needle time among patients with acute ischemic stroke over two time-periods.RESULTS:
Final sample consisted of 932 charts with mean age of 68.1(±15.6). Significant factors associated with shorter door-to-needle time included ≤ four hours since symptom onset and stroke occurring during post-Covid-19 time-period. Those on anti-coagulants had 72 % higher odds of longer door-to-needle time. As patients got older and stroke symptoms were more severe, less time was spent in door-to-imaging.CONCLUSION:
Results highlight the importance of early recognition of stroke symptoms and rapid transport to the hospital. Faster response times in post-Covid-19 time-period may be attributable to systematic processes put in place to address pandemic-related challenges. Outcomes may depend on research to identify gaps in stroke treatment.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Acidente Vascular Cerebral
/
AVC Isquêmico
/
COVID-19
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
/
Humans
Idioma:
En
Revista:
Geriatr Nurs
Ano de publicação:
2024
Tipo de documento:
Article