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Cited by 316

The DOI matches its Crossref record; 9 of the 9 references it cites were found in a registry or an index.

Prehospital and Emergency Department Delays After Acute Stroke: The Genentech Stroke Presentation Survey

Open access
Morris, Dexter L., Rosamond, Wayne, Madden, Kenneth, Schultz, Carol, Hamilton, Scott·2000·Stroke

Abstract

Background and Purpose —Patient delays in seeking treatment for stroke and delays within the Emergency Department (ED) are major factors in the lack of use of thrombolytic therapy for stroke. The Genentech Stroke Presentation Survey was a multicentered prospective registry of patients with acute stroke. The study was designed to characterize prehospital delays and delays within the ED. Methods —Patients with stroke symptoms presenting to 48 EDs participating in a clinical trial of acute stroke therapy were enrolled prospectively. A 1-page data form was completed from patient interviews and medical records. Results —A total of 1207 subjects were entered into the study. Ninety-four percent of the 721 subjects with complete data had a diagnosis of stroke or transient ischemic attack, 13% were black, 50% were female, and 67% were aged >65 years. The median time from symptom onset to ED arrival was 2.6 (interquartile range 1.2 to 6.3) hours. The median time from ED arrival until CT scan completion was 1.1 (0.7 to 1.8) hours, and the total delay time (symptom onset until CT scan completion) had a median of 4.0 (2.3 to 8.3) hours. Patients who arrived by emergency medical services had significantly shorter prehospital delay times and times to CT scan. Age, race, sex, and educational level did not appear to affect prehospital delay times. Conclusions —Despite its limitations, this large geographically diverse study strongly suggests that the use of emergency medical services is an important modifiable determinant of delay time for the treatment of acute stroke.

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Metadata

Authors
Morris, D. L., Rosamond, W., Madden, K., Schultz, C., & Hamilton, S.
Venue
Stroke
Published
2000-11
Volume
31
Issue
11
Pages
2585-2590
ISSN
  • 0039-2499 (ISSN-L)
  • 1524-4628
OpenAlex
W2160411267
Cited by
316
References
9
FWCI
6.44
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Prehospital and Emergency Department Delays After Acute Stroke: The Genentech Stroke Presentation Survey. https://app.cochat.ai/papers/10.1161/01.str.31.11.2585
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Morris, D. L., Rosamond, W., Madden, K., Schultz, C., & Hamilton, S. (2000). Prehospital and Emergency Department Delays After Acute Stroke: The Genentech Stroke Presentation Survey. Stroke. https://doi.org/10.1161/01.str.31.11.2585

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.