Margaret A.Winker, MDIndividualAuthorPhil B.FontanarosaMD, Senior EditorsIndividualAuthor
To the Editor: Drs Fontanarosa and
Winker1 contend that several key components are missing in
the current stroke treatment picture. Reducing time from stroke onset
to initiation of thrombolytic therapy must address 2 sources of delay.
The first, patient-generated delay, requires further research to
determine reasons and to identify educational strategies to prevent
delays. Public health service organizations are eagerly implementing
programs to reeducate the public as to the emergency nature of strokes.
The second source of delay, that generated by the hospital, can be
reduced by organizational interventions, including computer automation.
Palma LF. Reducing Treatment Delay and Improving Diagnostic Accuracy for Patients With Acute Stroke. JAMA. 1999;281(1):31-34. doi:10-1001/pubs.JAMA-ISSN-0098-7484-281-1-jbk0106