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Evaluation Times for Patients with In-Hospital Strokes Stroke 24:1817-1822, Alberts,M.J.,et al, 1993 See this aricle in Pubmed Article Abstract Sixty-three patients were identified with in-hospital strokes and adequate time data.In-hospital stroke patients were recognized most frequently by nurses(63%)and by the patient(16%).Patients on a cardiology service and general surgery service accounted for 48%of all in-hospital strokes.The mean and median times from stroke recognition to a neurology evaluation were 14.5 and 2.5 hours,respectively.Total delays differed significantly with service and locale(P=.004).Patients on the Duke neurology service were evaluated significantly sooner(median delay,0.5 hour)than patients on the Duke medical(median delay,5.8 hours)or Duke surgical(median delay,20.5 hours;P<.01 by Wilcox rank sum)services.Patients on the Yale surgical service were evaluated significantly sooner than patients on the Duke medical(P=.0006)or surgical(P=.0001)services.The time between physician notification and calling for a neurology evaluation accounted for>60%of the total time delay for patients not on a neurology service.A substantial number of in-hospital stroke patients experience a long delay between symptom recognition and a neurological evaluation.While medical personnel are usually notified very soon after an in-hospital stroke is recognized, such patients often do not receive a rapid neurological evaluation. Additional education of hospital staff may reduce these time delays.

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(click to filter results - removes previous filter) cerebrovascular accident cerebrovascular accident,in-hospital cerebrovascular accident,postoperative cerebrovascular accident,time of presentation coronary artery bypass in-hospital myocardial infarction myocardial infarction,acute review article

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