Arrival by ambulance is associated with acute stroke intervention in young adults

Nandakumar Nagaraja, Pratik Bhattacharya, Gregory Norris, William Coplin, Sandra Narayanan, Andrew Xavier, Kumar Rajamani, Seemant Chaturvedi

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

Background and purpose: Timely intervention in young stroke patients minimizes long term disability. We hypothesized that arrival to the emergency department by ambulance would be associated with increased rate of stroke intervention with intravenous t-PA or intra arterial procedures. Methods: Charts of 77 patients aged 15-49 years diagnosed with ischemic stroke were analyzed. Data was collected on demographics, arrival to emergency department by ambulance, whether initial hospital at presentation was a Primary Stroke Center, and intervention by intravenous t-PA or intra arterial procedures. Data was analyzed by Fisher's exact test, and significant variables were included in multivariable analysis. Results: Arrival by ambulance was significantly associated with acute stroke intervention in young adults (p = 0.016). Gender and Primary Stroke Center certification did not make a difference in patients getting stroke intervention. Conclusion: Young adults with stroke symptoms were more likely to receive acute stroke intervention if they arrived by ambulance. Larger multi-center studies should address whether Primary Stroke Centers are more likely to provide either IV thrombolysis or interventional therapies in young patients with acute ischemic stroke.

Original languageEnglish (US)
Pages (from-to)168-169
Number of pages2
JournalJournal of the Neurological Sciences
Volume316
Issue number1-2
DOIs
StatePublished - May 15 2012
Externally publishedYes

Keywords

  • Ambulance
  • Stroke intervention
  • Young adults

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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