Risk factors of delayed presentation to the emergency department among stroke patients: a systematic review

Khalid Bsam A. Almadhi; Khalil Salameh Yakoub Al-Neimat; Hanan Hamad Alshaeri; Shrooq Almotairi; Awad Hamdan J. Alsharari; Alkhaldi Mohammed Amid; Shatha Alanizi; Muath Mohammad Alrasheed; Zainab Salih Alhamal

doi:10.24911/IJMDC.51-1704653441

2024, Vol: 8, Issue: 8

8 / 8Current Issue Online First Archive Aims and Scope Abstracting & Indexing Most Accessed Articles Most Downloaded Articles Most Cited Articles

« Previous Article

Review Article
Online Published: 26 Mar 2024

IJMDC. 2024; 8(5): 1294-1303

doi: 10.24911/IJMDC.51-1704653441

Risk factors of delayed presentation to the emergency department among stroke patients: a systematic review

Khalid Bsam A. Almadhi, Khalil Salameh Yakoub Al-Neimat, Hanan Hamad Alshaeri, Shrooq Almotairi, Awad Hamdan J. Alsharari, Alkhaldi Mohammed Amid, Shatha Alanizi, Muath Mohammad Alrasheed, Zainab Salih Alhamal.

Abstract
Acute stroke care pathways are complex and influenced by various factors at different stages. This systematic review aims to provide a comprehensive analysis of existing literature, exploring factors influencing acute stroke pathways and elucidating their interrelations. A systematic search of PubMed, Embase, and Cochrane Library was conducted, identifying 29 reviews published in English. Inclusion criteria focused on studies related to acute stroke pathways, considering factors at pre-hospital and in-hospital stages. Quality assessment and data extraction were performed, categorizing factors into patient, space, organizational/logistical, and training. Associations between factors were analyzed, both between and within categories. The review identified diverse factors influencing acute stroke pathways. Patient factors, such as stroke knowledge and bystander presence, were consistently cited. Space-related factors included the impact of distance on delays. Organizational/logistical aspects, including pre-notification and CT scan availability, played crucial roles. Training factors, especially stroke recognition, significantly influenced pre-hospital stages. Associations were observed both between and within categories, revealing intricate dynamics. The study concludes that acute stroke delays are multifactorial, involving patient, space, organizational/logistical, and training aspects. The findings emphasize the need for a systemic approach, considering the dynamic interplay of these factors. Multi-factorial interventions, as demonstrated in some studies, show promise in addressing barriers across the stroke pathway. Understanding contextual influences is crucial for effective acute stroke care planning. Further research should explore less-studied factors, contributing to a more nuanced understanding of acute stroke care complexities.

Key words: Systematic review, stroke patients, emergency department, emergency, delayed presentation, risk factors.

	ARTICLE TOOLS
	Abstract
	PDF Fulltext
	How to cite this article
	Citation Tools
	Related Records
	Articles by Khalid Bsam A. Almadhi Articles by Khalil Salameh Yakoub Al-Neimat Articles by Hanan Hamad Alshaeri Articles by Shrooq Almotairi Articles by Awad Hamdan J. Alsharari Articles by Alkhaldi Mohammed Amid Articles by Shatha Alanizi Articles by Muath Mohammad Alrasheed Articles by Zainab Salih Alhamal
	on Google
	on Google Scholar

How to Cite this Article

Pubmed Style

Almadhi KBA, Al-Neimat KSY, Alshaeri HH, Almotairi S, Alsharari AHJ, Amid AM, Alanizi S, Alrasheed MM, Alhamal ZS. Risk factors of delayed presentation to the emergency department among stroke patients: a systematic review. IJMDC. 2024; 8(5): 1294-1303. doi:10.24911/IJMDC.51-1704653441

Web Style

Almadhi KBA, Al-Neimat KSY, Alshaeri HH, Almotairi S, Alsharari AHJ, Amid AM, Alanizi S, Alrasheed MM, Alhamal ZS. Risk factors of delayed presentation to the emergency department among stroke patients: a systematic review. https://www.ijmdc.com/?mno=184308 [Access: September 29, 2024]. doi:10.24911/IJMDC.51-1704653441

AMA (American Medical Association) Style

Almadhi KBA, Al-Neimat KSY, Alshaeri HH, Almotairi S, Alsharari AHJ, Amid AM, Alanizi S, Alrasheed MM, Alhamal ZS. Risk factors of delayed presentation to the emergency department among stroke patients: a systematic review. IJMDC. 2024; 8(5): 1294-1303. doi:10.24911/IJMDC.51-1704653441

Vancouver/ICMJE Style

Almadhi KBA, Al-Neimat KSY, Alshaeri HH, Almotairi S, Alsharari AHJ, Amid AM, Alanizi S, Alrasheed MM, Alhamal ZS. Risk factors of delayed presentation to the emergency department among stroke patients: a systematic review. IJMDC. (2024), [cited September 29, 2024]; 8(5): 1294-1303. doi:10.24911/IJMDC.51-1704653441

Harvard Style

Almadhi, K. B. A., Al-Neimat, . K. S. Y., Alshaeri, . H. H., Almotairi, . S., Alsharari, . A. H. J., Amid, . A. M., Alanizi, . S., Alrasheed, . M. M. & Alhamal, . Z. S. (2024) Risk factors of delayed presentation to the emergency department among stroke patients: a systematic review. IJMDC, 8 (5), 1294-1303. doi:10.24911/IJMDC.51-1704653441

Turabian Style

Almadhi, Khalid Bsam A., Khalil Salameh Yakoub Al-Neimat, Hanan Hamad Alshaeri, Shrooq Almotairi, Awad Hamdan J. Alsharari, Alkhaldi Mohammed Amid, Shatha Alanizi, Muath Mohammad Alrasheed, and Zainab Salih Alhamal. 2024. Risk factors of delayed presentation to the emergency department among stroke patients: a systematic review. International Journal of Medicine in Developing Countries, 8 (5), 1294-1303. doi:10.24911/IJMDC.51-1704653441

Chicago Style

Almadhi, Khalid Bsam A., Khalil Salameh Yakoub Al-Neimat, Hanan Hamad Alshaeri, Shrooq Almotairi, Awad Hamdan J. Alsharari, Alkhaldi Mohammed Amid, Shatha Alanizi, Muath Mohammad Alrasheed, and Zainab Salih Alhamal. "Risk factors of delayed presentation to the emergency department among stroke patients: a systematic review." International Journal of Medicine in Developing Countries 8 (2024), 1294-1303. doi:10.24911/IJMDC.51-1704653441

MLA (The Modern Language Association) Style

Almadhi, Khalid Bsam A., Khalil Salameh Yakoub Al-Neimat, Hanan Hamad Alshaeri, Shrooq Almotairi, Awad Hamdan J. Alsharari, Alkhaldi Mohammed Amid, Shatha Alanizi, Muath Mohammad Alrasheed, and Zainab Salih Alhamal. "Risk factors of delayed presentation to the emergency department among stroke patients: a systematic review." International Journal of Medicine in Developing Countries 8.5 (2024), 1294-1303. Print. doi:10.24911/IJMDC.51-1704653441

APA (American Psychological Association) Style

Almadhi, K. B. A., Al-Neimat, . K. S. Y., Alshaeri, . H. H., Almotairi, . S., Alsharari, . A. H. J., Amid, . A. M., Alanizi, . S., Alrasheed, . M. M. & Alhamal, . Z. S. (2024) Risk factors of delayed presentation to the emergency department among stroke patients: a systematic review. International Journal of Medicine in Developing Countries, 8 (5), 1294-1303. doi:10.24911/IJMDC.51-1704653441

Most Viewed Articles

Most Accessed Articles

Marginal adaptation of fixed prosthodontics
Shahad Mohammed Halawani, Sahar Amer Al-Harbi
IJMDC. 2017; 1(2): 78-84
» Abstract » doi: 10.24911/IJMDC.1.2.7

Parasites in central nervous system
Amal Ahmed Mohamed, Asmaa Mohamed Mansour
IJMDC. 2017; 1(2): 72-77
» Abstract » doi: 10.24911/IJMDC.1.2.6

Non-diabetic retinopathy: a case report
Hassan F. Alkwikbi, Nabil Mamon Abdelfattah, Haithem Mamon Abdelfattah
IJMDC. 2017; 1(1): 33-37
» Abstract » doi: 10.24911/IJMDC.1.1.6

Vitamin D deficiency among high school female students in Riyadh
Sahar Mohsen Aldhafeeri, Fatemah Ibraheem Alrawaji, Abrar Mubarak Algharbi, Alanoud Abdullah Alhessan, Ayat Sami Qabaja, Ghaleah Abdulaziz Alnassar, Ghaliah Ofayn Alsulami, Mashael Belal Alrubaian, Norah Abdulaziz Alhatim, Salehah Salih Alotaibi, Zahra Ali Alkhamees
IJMDC. 2017; 1(1): 18-23
» Abstract » doi: 10.24911/IJMDC.1.1.4

Prognosis of chronic complications of diabetes mellitus (DM) after multiple events of diabetic ketoacidosis (DKA)
Baraa Faiez Rajab, Anwar Essa Alamrim, Ali Essa Alamri
IJMDC. 2019; 3(5): 474-479
» Abstract » doi: 10.24911/IJMDC.51-1546551993

Most Downloaded

Top Downloaded Articles

Anti-IL-17 markedly inhibited the in vitro granuloma induced by Schistosoma mansoni soluble egg antigen.
Asmaa Ezz, Irene S. Gmail, Fatma Elzahraa H. Salem, Rabab Salama, Soad Nady
IJMDC. 2018; 2(January 2018): 38-46
» Abstract » doi: 10.24911/IJMDC.2.1.7

Antibiotic Resistance Crisis
Nuha Saad Mobarki, Buthaina Abdullah Almerabi, Ahmad Hattan Hattan
IJMDC. 2019; 3(6): 561-564
» Abstract » doi: 10.24911/IJMDC.51-1549060699

The knowledge of mothers about children malnutrition and associated factors
Anas Abdulrahman Aljohani, Mujahid Abdulrahman Aljohani
IJMDC. 2020; 4(1): 7-11
» Abstract » doi: 10.24911/IJMDC.51-1541620358

Knowledge and attitude of caregivers of cerebral palsy children in Riyadh city
Abdulaziz Alruwaished, Baleegh Ali, Lubna Abdullah Alhowaimil , Abaraa adullah Alhowaimil, Najd Abdullah Alhowaimil, Aminah Alessa
IJMDC. 2020; 4(1): 12-17
» Abstract » doi: 10.24911/IJMDC.51-1547833051

Most Cited Articles

Most Cited Articles

Antibiotic Resistance Crisis
Nuha Saad Mobarki, Buthaina Abdullah Almerabi, Ahmad Hattan Hattan
IJMDC. 2019; 3(6): 561-564
» Abstract » doi: 10.24911/IJMDC.51-1549060699
Cited : 34 times [Click to see citing articles]

Prevalence of depression, anxiety and stress among diabetes mellitus patients in Arar, Northern Saudi Arabia
AMohammed Elamin Mukrim, Nujud Muteb D. Alshammari, Wurud Muteb D. Alshammari, Maali Subhi T. Alshammari, Yousef Nasif R. Alshammari, Abdulaziz Sael M. Alshammari, Maisa Hamad F. Alanazi, Abdulelah Abdulrhman F. Alzammam, Muharib Mana M. Alshammari, Slwa Khaled Abu Asyah, Aseel Jamal Alzuhayri, Mushref Saeid Alshammari
IJMDC. 2019; 3(3): 229-233
» Abstract » doi: 10.24911/IJMDC.51-1542576396
Cited : 8 times [Click to see citing articles]

Knowledge, attitude, and practice of breast self-examination toward breast cancer among female students at King Saud University in Riyadh, Saudi Arabia
Abdullah Nasser Alomair, Dania Ghazi Felemban, Mohannad Sami Felemban, Jameel Abdullah Awadain, Ammar Saud Altowairqi, Nawaf Fawzan Alfawzan, Fatimah Mohammed Almazayen, Abdulrahman Jalwi Korkoman, Nawaf Saad Alrusayyis
IJMDC. 2020; 4(2): 429-434
» Abstract » doi: 10.24911/IJMDC.51-1576668182
Cited : 8 times [Click to see citing articles]

Population awareness about rheumatoid arthritis in Jazan region, Saudi Arabia
Ahmad Ali Hazzazi, Mohssen Hassen Ageeli, Ahmed Ali Muyidi, Abdulaziz Mohammad Abulgasim, Abdullah Ahmad Yateemi, Nabil Alhakami
IJMDC. 2020; 4(3): 668-675
» Abstract » doi: 10.24911/IJMDC.51-1576010943
Cited : 4 times [Click to see citing articles]

Prevalence and factors associated with depression among health care workers in National Guard Hospital in Riyadh, KSA
Noor Mohammad AlFahhad
IJMDC. 2018; 2(September 2018): 92-96
» Abstract » doi: 10.24911/IJMDC.51-1526306040
Cited : 4 times [Click to see citing articles]

About International Journal of Medicine in Developing Countries

Contact Information

How to cite this article