Physician's Office Hours Affect Time to Stroke Treatment

Delay in assessment for those who have a stroke outside office hours
By Jane Parry
HealthDay Reporter

FRIDAY, Sept. 19 (HealthDay News) -- People who experience a transient ischemic attack or a minor stroke outside their primary physician's office hours wait longer before seeking treatment than those who have a stroke during general practice opening hours, according to a report published online Sept. 18 in BMJ.

Daniel S. Lasserson, of the University of Oxford in Oxford, U.K., and colleagues analyzed data on 91,000 patients from nine general practices in the United Kingdom who were followed-up from April 2002 to March 2006. During this time, 359 patients had a transient ischemic attack and 434 had a minor stroke.

For those who had an event during surgery hours, the median time to call a primary physician was four hours, the researchers report. However, those who had an event outside office hours waited a median 12 hours to seek medical attention, and the majority of those who waited to see their primary care physician waited 24.8 hours to contact them, the investigators found.

"A primary care center open 8 a.m.-8 p.m. seven days a week would have offered cover to 73 patients who waited until surgery hours to call their general practitioner, reducing median delay from 50.1 hours to 4.0 hours in that group," the authors write. "Improved access to primary care and public education about the need for emergency care are required if the relevant targets in the national stroke strategy are to be met."

Abstract
Full Text
Editorial

Copyright © 2008 ScoutNews, LLC. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles

Blunt Chest Trauma
Journal of Trauma Nursing, November/December 2014
Expires: 12/31/2016 CE:2 $21.95


The School Age Child with Congenital Heart Disease
MCN, The American Journal of Maternal/Child Nursing, January/February 2015
Expires: 2/28/2017 CE:2.5 $24.95


Understanding multiple myeloma
Nursing Made Incredibly Easy!, January/February 2015
Expires: 2/28/2017 CE:2 $21.95


More CE Articles

Subscribe to Recommended CE

Recommended Nursing Articles

Comprehensive Care: Looking Beyond the Presenting Problem
Journal of Christian Nursing, January/March 2015
Free access will expire on March 2, 2015.


Pain and Alzheimer dementia: A largely unrecognized problem
Nursing Made Incredibly Easy!, January/February 2015
Free access will expire on February 16, 2015.


Glycemic control in hospitalized patients
Nursing2015 Critical Care, January 2015
Free access will expire on February 16, 2015.


More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events