Identification and entry of the XXXX with acute cerebral infarction.

@entity432 @entity1 @entity64
Although time has been recognized as a critical factor in the treatment of other @entity432 , it has been an underemphasized variable in the treatment of @entity64 . Animal models of @entity432 have demonstrated that neurologic recovery is more likely the shorter the duration of occlusion. Complete recovery does not occur if the occlusion persists more than six hours. Prior trials have only rarely begun treatment within six hours of @entity64 onset. Over the past five years, we have participated in three @entity64 trials and have tried to identify factors that lead to delays in treatment. Factors that affect the time from @entity64 onset to arrival at the hospital include recognition of @entity64 by the @entity1 , prehospital care personnel, and physicians. After arrival at the hospital, factors that can significantly delay treatment include the time to obtain computed tomography and the site of treatment (emergency department vs ICU). With proper attention, the time from @entity1 arrival until treatment should be less than one hour. Future efforts should be directed toward reducing the time from @entity64 onset until arrival at the hospital. Education of the public, high-risk @entity1 , prehospital care providers, and physicians may aid in these efforts.
