Delays in Recognition, Treatment of In-Hospital Stroke

Elderly man in hospital bed
Elderly man in hospital bed
Despite being surrounded by health professionals, patients who experience in-hospital stroke face delays in symptom recognition and treatment.

A sizeable minority of strokes occur in hospitalized patients. However, little is known about the presentation, care, and outcomes of stroke in this subgroup of patients.

Alexandra P. Saltman, MD, of the University of Toronto, and colleagues compared processes of stroke care delivery, including time to neuroimaging and rates of thrombolysis, as well as outcomes, including death and disability, in those with in-hospital vs community-onset stroke. We used multiple logistic regression models to adjust for age, sex, comorbid conditions, and stroke type and severity.

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