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. Author manuscript; available in PMC: 2010 Feb 19.
Published in final edited form as: Int J Stroke. 2009 Jun;4(3):187–199. doi: 10.1111/j.1747-4949.2009.00276.x

Table 2.

Mean and median in-hospital stroke delay in reverse publication year order, 2000-2007

Study
Dates
Location Population
Reported On
Time in Hours:
Truncated
Times
in Hours
Reference
Mean Median
Emergency Department Arrival to Emergency Physician Evaluation
3 month
period
Netherlands 263 S 4.4 1.0 Boode, 2007 (27)
2000-01 14 hospitals in Ohio 692 I, H, TIA, S 0.2 >6 optional Katzan, 2003 (24)
2000 22 hospitals in UK
and Dublin, Ireland
736 SS 0.6 Harraf, 2002 (28)
1997-98 3 locations in US 559 SS 0.3 48 Schroeder, 2000 (29)

Emergency Department Arrival to Neurology Notification or Evaluation
2004-05 Southern Taiwan 129 I, TIA 0.2 4 hrs Chen, 2007 (10)
2004-05 Melbourne,
Australia
187 I, TIA, ICH 0.3 Mosley, 2007 (36)
2000-01 4 hospitals in
Berlin, Germany
558 I, H, TIA 0.5 168 Jungehulsing, 2006 (21)
2000 Melbourne,
Australia
212 I, TIA (pre) 0.7 Bray, 2005 (37)
210 I, TIA (post) 0.4
2003-04 Istanbul, Turkey 229 I, H 0.4 48 Keskin, 2005 (16)
2000-02 Thessaloniki,
Greece
100 I, ICH, SAH,
TIA
0.3 Koultas, 2004 (38)
2003-04 7 hospitals in rural
Georgia
64 I 1.0 0.9 Wang, 2004 (39)
2000-01 14 hospitals in Ohio 692 I, H, TIA, S 0.2 >6 optional Katzan, 2003 (24)
1998-99 Sao Paulo, Brazil 59 I, TIA, H 1.5 Leopoldino, 2003 (40)
2000 Quezon City,
Phillippines
254 I, ICH, SAH 7.5 48 Yu, 2002 (18)
1997 48 ED in US 615 SS 3.1 Morris, 2000 (13)
1997-98 3 locations in US 559 SS 2.4 48 Schroeder, 2000 (29)

Emergency Department Arrival to Initiation of CT Scan
2004-05 Sydney, Australia 15 IS 0.4 Batmanian, 2007 (41)
2004-05 Southern Taiwan 129 I, TIA 0.3* 4 hrs Chen, 2007 (10)
2004
2005
Melbourne,
Australia
172 I, ICH, TIA
(pre)
180 I, ICH, TIA
(post)
1.7

1.4
Hamidon, 2007 (42)
2004 Philadelphia,
Pennsylvania
171 SS 1.7 Chen, 2006 (43)
2000-01 4 hospitals in
Berlin, Germany
558 I, H, TIA 1.8 168 Jungehulsing, 2006 (21)
2004 Helsinki, Finland 100 S 0.1 Lindsberg, 2006 (44)
2000 Melbourne,
Australia
212 I, TIA (pre) 3.1 Bray, 2005 (37)
210 I, TIA (post) 2.1
1999-02 Southwestern
Ontario, Canada
179 S
LHS (n=109)
RHS (n=70)
0.9
0.8
Di Legge, 2005 (45)
2000-02 Thessaloniki,
Greece
100 I, ICH, SAH,
TIA
1.7 Koutlas, 2004 (38)
2000-01 14 hospitals in Ohio 671 I, H, S 1.1 >6
optional
Katzan, 2003 (24)
1998-99 Sao Paulo, Brazil 59 I, TIA, H 5.3 Leopoldino, 2003 (40)
1999 Heidelberg,
Germany
47 I, TIA (pre) 1.3 1.1 Behrens, 2002 (46)
71 I, TIA (post) 1.2 1.1
1999 Edinburgh,
Scotland
57 SS 2.2
days
Quaba, 2002 (47)
2000 Quezon City,
Philippines
259 I, ICH, SAH 5.5 48 Yu, 2002 (18)
36% in 3 hr
53% in 6 hr
1999-2000 Southeastern Ontario,
Canada
42 I 0.4 Riopelle, 2001 (48)
1998-99 Himeji, Japan 254 I, TIA, IS 0.5 168 Yoneda, 2001 (23)
1997 48 ED in US 615 SS 1.9 1.1 24 Morris, 2000 (13)
1997-99 Germany 64 I 0.6 0.5 Schellinger, 2000 (49)
1997-98 3 locations in US 559 SS 1.5 48 Schroeder, 2000 (29)

Emergency Department Arrival to Expert CT Interpretation
2000-01 14 hospitals in Ohio 379 I, H, S 1.7 >6
optional
Katzan, 2003 (24)

Emergency Department Arrival to tPA Administration
2004-05 Sydney, Australia 15 IS 1.5 Batmanian, 2007 (41)
2004 Helsinki, Finland 100 S 0.8 Lindsberg, 2006 (44)
3 month
period,
year not
provided
Norway 88 I 1.3 Owe, 2006 (53)
1999-
2002
Southwestern Ontario,
Canada
179 S Di Legge, 2005 (45)
LHS (n=109) 1.4
RHS (n=70) 1.4

Pre and post indicates before and after an intervention, respectively.

Please see methods section of paper for details on data abstraction.

*

to completion of scan

Abbreviations: CT = computed tomography, CVD = cerebrovascular disease, H = hemorrhagic stroke, I = ischemic, ICH = intracerebral hemorrhage, IS = in-hospital stroke, L/R HS = left/right hemispheric stroke, n = number of patients, S = stroke, SAH = subarachnoid hemorrhage, SS = stroke-like symptoms, TIA = transient ischemic attack, tPA = tissue plasminogen activator