Current Barriers In Acute Stroke Care Pre Hospital Delays

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Fewer than half of all patients with acute stroke are seen in the emergency department (ED) within 3 hours of symptom onset.4 Patients in remote locations or in hospitals without available stroke expertise may have even more limited access to thrombolysis. In a study of non-urban East Texas communities in the United States, only 1.4% of patients with ischemic stroke received IV rt-PA,5 versus 14.7% at a university hospital in Houston, the nearest major city.6 Other studies have linked racial, ethnic, geographic, or socioeconomic differences to low rates of rt-PA utili-zation,4,6 suggesting that populations most underserved by stroke expertise may have the lowest rates of rt-PA delivery.

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