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Time to treatment following an aneurysmal subarachnoid hemorrhage, rural place of residence and inter-hospital transfers

Nichols, L ORCID: 0000-0003-3711-993X, Stirling, C ORCID: 0000-0003-2723-8302, Stankovich, J and Gall, S ORCID: 0000-0002-5138-2526 2020 , 'Time to treatment following an aneurysmal subarachnoid hemorrhage, rural place of residence and inter-hospital transfers' , Australasian Emergency Care, vol. 23, no. 4 , pp. 225-232 , doi: 10.1016/j.auec.2020.05.004.

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Abstract

Background: Little is known about how transfers influence time to treatment for cases of aneurysmal subarachnoid hemorrhage (aSAH). We examine the effect of geographical location, socioeconomic status and inter-hospital transfer on time to treatment following an aSAH. Methods: A state-wide retrospective cohort study was established from 2010-2014. Time intervals from ictus to treatment were calculated. Linear regression examined associations between transfer status, place of residence and socioeconomic status and log-transformed times to treatment. Results: The median (IQR) time to intervention was 13.78 (6.48-20.63) hours. Socioeconomic disadvantage was associated with a 1.52-fold increase in the time to hospital (p Conclusions: The time to treatment was negatively influenced by socioeconomic disadvantage; geographical location and inter-hospital transfers. The urgent transfer of individuals with suspected aSAH is undeniably necessary when neurosurgical services are unavailable locally. The timeliness and organisation of transfers should be reviewed to overcome the potential vulnerability to poor outcomes for people from rural and disadvantaged areas.

Item Type: Article
Authors/Creators:Nichols, L and Stirling, C and Stankovich, J and Gall, S
Keywords: aneurysm, socioeconomic position, subarachnoid hemorrhage, treatment
Journal or Publication Title: Australasian Emergency Care
Publisher: Elsevier Ltd
ISSN: 2588-994X
DOI / ID Number: 10.1016/j.auec.2020.05.004
Copyright Information:

Copyright 2020 College of Emergency Nursing Australasia. Published by Elsevier Ltd.

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