SciELO - Scientific Electronic Library Online

vol.27 número1Deterioro Cognitivo en pacientes diabéticos entre 55 a 65 años de edad. Reporte final de estudio observacional, transversal en la ciudad de Guayaquil.Utilidad del Video EEG en un hospital pediátrico de nivel terciario durante el año 2015. índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados




Links relacionados

  • No hay articulos similaresSimilares en SciELO


Revista Ecuatoriana de Neurología

versión On-line ISSN 2631-2581versión impresa ISSN 1019-8113


SCHERLE, Claudio; RIVERO, Danny; DI CAPUA, Daniella  y  MALDONADO, Nelson. Delay In The Arrival Of Ischemic Stroke Patients At A Tertiary Hospital In Ecuador. Rev Ecuat Neurol [online]. 2018, vol.27, n.1, pp.51-55. ISSN 2631-2581.


In an Stroke unit, the ischemic stroke treatment with a pharmacological thrombolysis is associated with a better recovery. The aim of this study is to identify the variables having a significant impact in the delay of the arrival of patients at a tertiary hospital.


A prospective and longitudinal study was undertaken in patients with an ischemic stroke diagnosis, who were admitted to the Stroke Unit of Eugenio Espejo Hospital of Quito city in Ecuador in the time period from November 2016 to July 2017. Patients treated with r-Tpa were compared to those who arrived 4,5 hours later.


A total of 61 patients were analyzed: of those, 51 arrived 4,5 hours after first symptoms at the hospital, and 10 (16,4%) were thrombolysed in the period of therapeutic window. None of the social, demographic and clinical variables were related to the early arrival, except the history of an atrial fibrillation. In the group of patients who received r-Tpa, a significantly higher percent sought for medical care as a first option compared with those arriving after the 4,5 hours (90 vs 49%, p 0,0170). The greatest impact of the early referral and the thrombolysis concerned the difference of score between the initial medical evaluation and the hospital discharge in the NIHSS scale.


The results of this study point out to the unawareness of the stroke and the behavior to follow. The r-Tpa treatment shows clear benefits to the patients in our environment.

Palabras clave : Cerebrovascular disease; Ischemic stroke; Cerebral infarction; Thrombolysis. Tertiary hospital; Early arrival.

        · resumen en Español     · texto en Español     · Español ( pdf )