Delayed Care in Self-Presenting Stroke Patients: Real-World Data on Process Delays—Comparing Process Times Between Emergency Medical Services and Self-Presentation
Self-presenting stroke patients experienced markedly longer prehospital delays and lower intravenous thrombolysis rates compared to EMS-transported patients, although the difference in IVT rates was not statistically significant. In-hospital door-to-needle times were comparable between groups. These findings highlight the need for targeted public education to improve stroke symptom recognition and timely EMS activation.
Authors
- Hagen B. Huttner (ORCID: https://orcid.org/0000-0002-2586-9824)
- H Loesche
- André Worm (ORCID: https://orcid.org/0009-0005-1052-7855)
- Martin Juenemann (ORCID: https://orcid.org/0000-0002-8905-3138)
- P. Schramm
- Christian Claudi (ORCID: https://orcid.org/0009-0009-9732-5218)
- Norma J. Diel (ORCID: https://orcid.org/0009-0008-7801-7722)
- Tobias Fruehwald
- Patrick Mueller-Nolte
Institutions
- Universitätsklinikum Gießen und Marburg (DE)
- Malteser-Krankenhaus (DE)
- Giessen School of Theology (DE)
- Werner-Wicker-Klinik (DE)
- Technische Universität Dresden (DE)
Publication Details
- Journal
- Journal of Clinical Medicine
- Published
- 2026-04-06
- DOI
- https://doi.org/10.3390/jcm15072755
- Primary Topic
- Acute Ischemic Stroke Management
- Type
- article
- Field-Weighted Citation Impact
- 0.00