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Review
. 2025 Mar;33(2):1121-1127.
doi: 10.1177/09287329241296739. Epub 2024 Dec 3.

Research progress on influencing factors and intervention measures of pre-hospital delays in acute ischemic stroke

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Review

Research progress on influencing factors and intervention measures of pre-hospital delays in acute ischemic stroke

Liming Shi et al. Technol Health Care. 2025 Mar.

Abstract

BackgroundStroke, a leading cause of health impairment globally, sees intravenous thrombolysis as the primary treatment during the acute phase, yet delays persist due to pre-hospital and in-hospital factors. While research has reduced in-hospital delays significantly, pre-hospital delays remain a concern both domestically and internationally.ObjectiveThis article aims to provide a comprehensive review of the research progress on the influencing factors and intervention measures of pre-hospital delays in acute ischemic stroke.MethodsBy analyzing the literature, summarize the risk factors leading to treatment delay in acute ischemic stroke (AIS), and provide a review of potential improvement methods.ResultsPre-hospital delay in acute ischemic stroke (AIS) is influenced by both objective factors like age, gender, and regional economic status, as well as subjective factors such as stroke awareness. The introduction of "Stroke 120," a stroke education slogan tailored to Chinese language habits, aims to improve stroke awareness and address delayed treatment and low AIS venous thrombolysis utilization among the Chinese publicConclusionIn conclusion, collaborative efforts from the government, society, and hospitals are essential to enhance stroke education comprehensively. This will ensure widespread awareness of stroke knowledge, facilitating timely and effective treatment for AIS patients.

Keywords: acute ischemic stroke; influencing factor; intervention measure; prehospital delay.

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