J Korean Neurol Assoc.
2015 Nov;33(4):265-271. 10.17340/jkna.2015.4.4.
Effects of Community-based Stroke Education and Advocacy on the Time from Stroke Onset to Hospital Arrival in Ischemic Stroke Patients
- Affiliations
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- 1Department of Preventive Medicine and Institute of Wonkwang Medical Science, Wonkwang University School of Medicine, Iksan, Korea. pmokj@wonkwang.ac.kr
- 2Regional Cardiocerebrovascular Center, Wonkwang University Hospital, Iksan, Korea.
- 3Department of Neurology, Wonkwang University School of Medicine, Iksan, Korea.
- 4Division of Cardiology, Department of Internal Medicine, Wonkwang University School of Medicine, Iksan, Korea.
- 5Department of Preventive Medicine, Konkuk University School of Medicine, Seoul, Korea.
- 6Division of Chronic Disease Control, Korea Centers for Disease Control and Prevention, Cheongju, Korea.
- KMID: 2129313
- DOI: http://doi.org/10.17340/jkna.2015.4.4
Abstract
- BACKGROUND
We assessed the effects of stroke community-based education and advocacy on the time from stroke onset to hospital arrival in ischemic stroke patients.
METHODS
Stroke community-based education and advocacy were implemented between May 2014 and December 2014 in Iksan, Jeollabukdo. The extent of ambulance utilization, time from stroke onset to hospital arrival, and proportions of arrivals within certain golden-time windows were compared with those of patients admitted from May to December 2013 (before vs. after intervention).
RESULTS
The demographic and clinical characteristics did not differ significantly between the patients admitted in 2013 and 2014, nor did the proportion of ambulance utilization (33.6% and 39.4%, respectively; p=0.195). The median time from stroke onset to hospital arrival changed from 582 min in 2013 to 367 min in 2014, although not statistically significant (p=0.062). The proportion of hospital arrivals within 3 hours from stroke onset increased significantly from 28.5% in 2013 to 42.3% in 2014 (p=0.002).
CONCLUSIONS
A comprehensive community-based stroke intervention may increase the probability of hospital arrival within the golden-time window, thereby leading to a better prognosis.
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