Are we missing an opportunity? Prehospital delay in patients with acute ischemic stroke and known atrial fibrillation
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2024 |
| Outros Autores: | , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) |
| Texto Completo: | http://hdl.handle.net/10362/165488 |
Resumo: | Publisher Copyright: © 2024 Sociedade Portuguesa de Cardiologia |
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Are we missing an opportunity? Prehospital delay in patients with acute ischemic stroke and known atrial fibrillationAcute ischemic strokeAtrial fibrillationStroke code activationStroke knowledgeStroke recognitionCardiology and Cardiovascular MedicinePublisher Copyright: © 2024 Sociedade Portuguesa de CardiologiaIntroduction and Objectives: The follow-up of patients with atrial fibrillation (AF) presents an opportunity to alert patients and their families on how to recognize and act in the event of stroke. Our aim was to compare stroke recognition-to-door time and prehospital stroke code activation in patients with known AF (KAF) and AF detected after stroke (AFDAS). Methods: We performed a retrospective cohort study of consecutive patients receiving acute recanalization treatment for acute ischemic stroke between January 2016 and August 2022, with AF as a potential stroke cause. Patients were divided into KAF and AFDAS, and stroke recognition-to-door time and prehospital stroke code activation were compared. In the KAF subgroup, we assessed whether the use of preadmission anticoagulation was associated with the studied prehospital parameters. Results: We included 438 patients, 290 female (66.2%), mean age 79.3±9.4 years. In total, 238 patients had KAF (54.3%) and 200 (45.7%) had AFDAS. Of those with KAF, 114 (48.1%) were pretreated with anticoagulation. Patients with KAF and AFDAS had no differences in stroke recognition-to-door time (74.0 [55.0–101.0] vs. 78.0 [60.0–112.0] min; p=0.097) or prehospital stroke code activation [148 (64.6%) vs. 128 (65.3%); p=0.965]. In the KAF subgroup, preadmission anticoagulation did not influence stroke recognition-to-door time or mode of hospital admission. Conclusion: Stroke recognition-to-door time and prehospital stroke code activation were similar between patients with known or newly diagnosed AF. Preadmission anticoagulation treatment also did not affect the studied parameters. Our findings highlight a missed opportunity to promote stroke knowledge in patients followed due to AF.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)RUNMagriço, MartaSerôdio, MiguelRamos, João NunoVentura, RitaSobral-Pinho, AndréMarto, João PedroViana-Baptista, Miguel2024-03-26T23:54:16Z2024-062024-06-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/165488eng0870-2551PURE: 85955862https://doi.org/10.1016/j.repc.2023.11.005info:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2024-11-11T01:38:33Zoai:run.unl.pt:10362/165488Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-28T17:50:44.564194Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse |
| dc.title.none.fl_str_mv |
Are we missing an opportunity? Prehospital delay in patients with acute ischemic stroke and known atrial fibrillation |
| title |
Are we missing an opportunity? Prehospital delay in patients with acute ischemic stroke and known atrial fibrillation |
| spellingShingle |
Are we missing an opportunity? Prehospital delay in patients with acute ischemic stroke and known atrial fibrillation Magriço, Marta Acute ischemic stroke Atrial fibrillation Stroke code activation Stroke knowledge Stroke recognition Cardiology and Cardiovascular Medicine |
| title_short |
Are we missing an opportunity? Prehospital delay in patients with acute ischemic stroke and known atrial fibrillation |
| title_full |
Are we missing an opportunity? Prehospital delay in patients with acute ischemic stroke and known atrial fibrillation |
| title_fullStr |
Are we missing an opportunity? Prehospital delay in patients with acute ischemic stroke and known atrial fibrillation |
| title_full_unstemmed |
Are we missing an opportunity? Prehospital delay in patients with acute ischemic stroke and known atrial fibrillation |
| title_sort |
Are we missing an opportunity? Prehospital delay in patients with acute ischemic stroke and known atrial fibrillation |
| author |
Magriço, Marta |
| author_facet |
Magriço, Marta Serôdio, Miguel Ramos, João Nuno Ventura, Rita Sobral-Pinho, André Marto, João Pedro Viana-Baptista, Miguel |
| author_role |
author |
| author2 |
Serôdio, Miguel Ramos, João Nuno Ventura, Rita Sobral-Pinho, André Marto, João Pedro Viana-Baptista, Miguel |
| author2_role |
author author author author author author |
| dc.contributor.none.fl_str_mv |
NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) RUN |
| dc.contributor.author.fl_str_mv |
Magriço, Marta Serôdio, Miguel Ramos, João Nuno Ventura, Rita Sobral-Pinho, André Marto, João Pedro Viana-Baptista, Miguel |
| dc.subject.por.fl_str_mv |
Acute ischemic stroke Atrial fibrillation Stroke code activation Stroke knowledge Stroke recognition Cardiology and Cardiovascular Medicine |
| topic |
Acute ischemic stroke Atrial fibrillation Stroke code activation Stroke knowledge Stroke recognition Cardiology and Cardiovascular Medicine |
| description |
Publisher Copyright: © 2024 Sociedade Portuguesa de Cardiologia |
| publishDate |
2024 |
| dc.date.none.fl_str_mv |
2024-03-26T23:54:16Z 2024-06 2024-06-01T00:00:00Z |
| dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
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http://hdl.handle.net/10362/165488 |
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http://hdl.handle.net/10362/165488 |
| dc.language.iso.fl_str_mv |
eng |
| language |
eng |
| dc.relation.none.fl_str_mv |
0870-2551 PURE: 85955862 https://doi.org/10.1016/j.repc.2023.11.005 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia |
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