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

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The number of patients who are adopted for therapy acute thrombolytic 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. 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.

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. this study revealed that there were no difference of the frequency of past stroke history and the percentage of taking antithrombotic medication between the ≤ 6 hrs group and the >6hrs group. This finding suggests that there is a chance to increase the awareness stroke on by the family doctors. Of course, family doctors have to update latest knowledge about stroke, too. Next, the good candidates for the interventional therapy were relatively younger patients with fewer stroke risks. In these cases who did not come to hospital within 6hrs were also relatively young with fewer stroke risks. Therefore, these younger and healthier people, including their relatives, should also become a target of stroke awareness campaign. In the future, conducting a campaign of stroke awareness should be focused on those two groups so that the result will be effective to increase the number of patients who can be adopted to the acute interventional therapy

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.

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