?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=A+study+of+factors+delaying+hospital+arrival+and+predictors+of+mortality+in+patients+presenting+to+emergency+department+with+stroke%3A+A+developing+state+scenario&rft.creator=Khan%2C+Mudassir+Azeez&rft.creator=Sankapithilu%2C+Ganraj+Bhat&rft.creator=Nagaraja%2C+Vinayak&rft.creator=Chandra%2C+Subhash&rft.subject=Online+Journal+of+Health+and+Allied+Sciences&rft.description=Background%3A+Thrombolytic+therapy+for+acute+ischemic+stroke+has+recently+become+available+in+India+but+its+success+depends+on+initiating+the+treatment+in+the+narrow+therapeutic+time+window.+There+is+commonly+a+delay+of+several+hours+before+patients+with+acute+stroke+seek+medical+attention.+Materials+and+Methods%3A+A+prospective+study+was+conducted+to+assess+the+factors+influencing+this+delay+in+admission+of+acute+stroke+cases.+134cases+(101+males%2C+33+females)+of+acute+stroke+that+arrived+within+72+hours+at+our+hospital+casualty+were+recruited.+A+standardized+structured+questionnaire+was+given+to+patients+or+their+attendants.+Results%3A+The+median+time+to+casualty+arrival+was+9+hours+with+13.4%25+cases+arriving+within+3+hours+and+36.5+%25+cases+within+6+hours.+Distances+from+hospital%2C+referral%2C+belief+in+myths+and+alternate+medicine+and+low+threat+perception+of+symptoms+of+stroke+were+independent+factors+associated+with+delay+in+arrival.+Living+in+city%2C+day+time+onset%2C+urgency+shown+by+attendant%2C+availability+of+transport+and+presence+of+family+history+were+associated+with+early+arrival.+There+was+no+correlation+with+patients'+or+attendants'+sex%2C+educational+status%2C+history+of+previous+stroke+or+transient+ischemic+attack%2C+subtype+or+severity+of+stroke%2C+time+of+stroke+and+availability+of+transport.+134+patients+(65.7%25+were+from+rural+population%2C+55.22%25-smokers%2C+46.76%25-alcoholics)+with+mean+(SD)+age+of+53.83%2B%2F-18.02years+%5Bsignificantly+lower+in+females+(mean+difference%3D9.73years+p%3D0.002)%5D%2C+were+admitted+and+diagnosed+to+have+stroke.+87.3%25+had+first+episode+of+stroke+and+12.7+had+more+than+one+episode+of+stroke.+ICF+rate+was+26.1%25.+ICF+rate+has+no+relation+with+age+(p%3D0.516)%2C+sex+(p%3D0.460)%2C+number+of+episodes+(0.795)%2C+underlying+hypertension+(p%3D0.905).+Odds+of+diabetics+dying+were+12+times+higher+than+non-diabetics.+Inpatient+mortality+was+also+significantly+higher+in+smokers+compared+with+non-smokers+(p%3D0.004)%2C+in+patients+with+right-sided+compared+with+left-sided+hemiplegic+(p%3D0.029)+and+who+couldn%E2%80%99t+afford+computed+tomography+(CT)+scan+(p%3D0.007).+Kaplan+Meier+curve+in+Image-1+shows+the+survival+following+admission+to+emergency+ward.+Conclusion%3A+Adequate+measures+need+to+be+taken+to+improve+the+public+awareness+of+stroke+and+the+role+of+local+doctors.+Our+study+has+shown+that+active+smokers%2C+involvement+of+the+right+side+and+non+performance+of+CT+were+independent+predictors+of+mortality+which+have+not+been+shown+earlier.+Also%2C+we+found+that+diabetes+mellitus+is+independent+predictor+of+mortality+in+stroke%2C+which+has+been+seen+in+earlier+studies+too.&rft.publisher=Dr.+B.S.+Kakkilaya&rft.contributor=Kakkilaya%2C+Dr+Srinivas&rft.date=2010-10-15&rft.type=Journal+(On-line%2FUnpaginated)&rft.type=PeerReviewed&rft.format=application%2Fpdf&rft.identifier=http%3A%2F%2Fcogprints.org%2F7184%2F1%2F2010-3-2.pdf&rft.identifier=++Khan%2C+Mudassir+Azeez+and+Sankapithilu%2C+Ganraj+Bhat+and+Nagaraja%2C+Vinayak+and+Chandra%2C+Subhash++(2010)+A+study+of+factors+delaying+hospital+arrival+and+predictors+of+mortality+in+patients+presenting+to+emergency+department+with+stroke%3A+A+developing+state+scenario.++%5BJournal+(On-line%2FUnpaginated)%5D+++++&rft.relation=http%3A%2F%2Fcogprints.org%2F7184%2F