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January 6, 1999

Reducing Treatment Delay and Improving Diagnostic Accuracy for Patients With Acute Stroke

Author Affiliations

Margaret A.Winker, MDIndividualAuthorPhil B.FontanarosaMD, Senior EditorsIndividualAuthor


Copyright 1999 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.1999

JAMA. 1999;281(1):31-34. doi:10-1001/pubs.JAMA-ISSN-0098-7484-281-1-jbk0106

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.

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