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Decisions and delays within stroke patients' route to the hospital: a qualitative study.

Mellor, Ruth M and Bailey, Sheila and Sheppard, James and Carr, Peter and Quinn, Tom and Boyal, Amunpreet and Sandler, David and Sims, Don G and Mant, Jonathan and Greenfield, Sheila and McManus, Richard J (2015) Decisions and delays within stroke patients' route to the hospital: a qualitative study. Annals of emergency medicine, 65 (3). 279-287.e3. ISSN 1097-6760. This article is accessible to all HEFT staff and students via NHS Evidence www.evidence.nhs.uk by using their HEFT Athens login ID's.

Full text not available from this repository.
Official URL: http://www.annemergmed.com/article/S0196-0644(14)0...

Abstract

STUDY OBJECTIVE

We examine acute stroke patients' decisions and delays en route to the hospital after onset of symptoms.

METHODS

This was a qualitative study carried out in the West Midlands, United Kingdom. Semistructured interviews were conducted with 30 patients (6 accompanied by partners). Patients were asked about their previous experience of having had a stroke and their initial engagement with health services. "One sheet of paper" and thematic analyses were used.

RESULTS

Three potential types of delay were identified from onset of symptoms to accessing stroke care in the hospital: primary delays caused by lack of recognition of symptoms or not dealing with symptoms immediately, secondary delays caused by initial contact with nonemergency services, and tertiary delays in which health service providers did not interpret the patients' presenting symptoms as suggestive of stroke. The main factors determining the speed of action by patients were the presence and influence of a bystander and the perceived seriousness of symptoms.

CONCLUSION

Despite campaigns to increase public awareness of stroke symptoms, the behavior of both patients and health service providers apparently led to delays in the recognition of and response to stroke symptoms, potentially reducing access to optimum and timely acute specialist assessment and treatment for acute stroke.

Item Type: Article
Additional Information: This article is accessible to all HEFT staff and students via NHS Evidence www.evidence.nhs.uk by using their HEFT Athens login ID's.
Subjects: WL Nervous system. Neurology
Divisions: Emergency Services > Elderly
Related URLs:
Depositing User: Miss Adele Stanton
Date Deposited: 30 May 2015 06:55
Last Modified: 30 May 2015 06:55
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/833

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