Abstract

Clinical Features of Patients Who Come to Hospital at the Super Acute Phase of Stroke

Background: The number of patients who are adopted for acute thrombolytic therapy and/or thrombectomy treatment has not increased for many years. To reveal the clinical reason of this will be important for setting up an effective campaign of stroke awareness.

Methods: Acute stroke patients admitted in hospital within 24 hrs were consecutively screened. The clinical backgrounds were compared between patients for every 6hrs and 6 to 24hrs and also between patients who have taken thrombolysis and/or thrombectomy (interventional therapy) and conventional therapy.

Results: One hundred fifty-four patients and 177 patients were admitted in hospital within 6hrs and 6 to 24 hrs, respectively. There was no difference of the percentage of previous stroke and anti-thrombotic medication between patients admitted within 6 hrs and 6 to 24 hrs. Among patients within 6hrs, the average age was younger and the percentage of diabetes and previous stroke was lower in the interventional therapy group compared with the conventional therapy group (72.2 yo vs. 76.8yo, 7.7% vs. 28.1% and 11.5% vs. 33.6%, respectively).

Conclusions: It can be advised that educating patients by the family doctor might be important for stroke awareness. Moreover, relatively younger healthy people will be the main target for the campaign of stroke awareness.


Author(s):

Taizen Nakase and Akifumi Suzuki



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