http://www.medpagetoday.com/Cardiology/Strokes/51379?
'Time is brain' mantra forgotten for hospitalized patients.
Delays in the recognition and treatment of strokes occurring during hospitalization are common, and in-hospital strokes tend to be more severe and have worse outcomes than strokes occurring among those who are not hospitalized, researchers reported.
Compared with community-onset strokes, patients with in-hospital strokes generally waited longer for neuroimaging (median 4.5 vs 1.2 hours; P<0.001) and received thrombolysis less often (12% vs. 19% of ischemic strokes), researcher Moria K. Kapral, MD, of Toronto General Hospital, Ontario, Canada, and colleagues wrote in JAMA Neurology, published online May 4.
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There was also a greater delay between stroke recognition
and thrombolysis (median 2 hours among in-hospital stroke patients vs.
1.2 hours for community-occurring stroke, P<0.001), but
after adjustment for relevant factors such as age and stroke severity,
mortality rates at 30 days and 1 year were similar between the two
groups."Patients with in-hospital strokes were really very different from the community-onset stroke population," Kapral said in a press briefing.
Yea they missed my dissection and I stayed for observation overnight. did not set an alarm so I woke up in midday with an overnight stroke. I regret not buying a portable battery charger for my phone, maybe if I set an alarm for 7-8 like I usually did the stroke could have been diagnosed further. But because I was sleeping nobody noticed I was losing braincells fst.
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