title: [Factors associated to the visiting time in patients with ischaemic cerebrovascular disease].
abstract: BACKGROUND
  The high prevalence of cerebrovascular disease in underdeveloped countries has made it a public health issue. Establishing therapy within the first three hours in the case of patients with cerebrovascular disease has proved to have beneficial effects on the patient.
  
  
  OBJECTIVE
  To identify the factors associated with the time taken to visit the hospital emergency department by patients with ischaemic cerebrovascular disease in the population of Colombia.
  
  
  METHODS
  We conducted a cross-sectional analytical study that included patients over 18 years old who had been clinically diagnosed as having an acute ischaemic cerebrovascular disease. The time between onset of symptoms and admission to the emergency department was estimated and then related to sociodemographic and cultural factors and the severity of the clinical features.
  
  
  RESULTS
  The mean time taken to visit hospital was 17 hours and 48 minutes (standard deviation: 24 hours and 12 minutes). In 22.8% of cases the patient was admitted within the first three hours. Patients who were covered by the subsidised health care system and came from low socioeconomic classes, together with those from rural areas took longer to visit (p < 0.005). The values on the United States Institute of Health scale did not have any relation to visiting times.
  
  
  CONCLUSIONS
  The time that elapses between the presentation of the cerebrovascular disease and visiting the emergency department in the Colombian population is high, especially among the population with lower levels of income and schooling. There is a need to implement models of education targeted towards the community and focused on the early identification of signs, symptoms and impact of cerebrovascular disease, as well as to set up a system of health care that prevents delays by coordinating resources both inside and outside hospitals.
authors.affiliation: Grupo de Ciencias Neurovasculares, Fundación Cardiovascular de Colombia, Floridablanca, Colombia. fsilva@fcv.org
authors.forename: F
authors.initials: F
authors.lastname: Silva-Sieger
authors.forename: W
authors.initials: W
authors.lastname: Arenas-Borda
authors.forename: J G
authors.initials: JG
authors.lastname: Zarruk-Serrano
authors.forename: J
authors.initials: J
authors.lastname: Restrepo
authors.forename: O
authors.initials: O
authors.lastname: Bernal-Pacheco
authors.forename: S
authors.initials: S
authors.lastname: Ramírez
authors.forename: P
authors.initials: P
authors.lastname: López-Jaramillo
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002545:Brain Ischemia / Q000503:physiopathology / Q000628:therapy*; D002561:Cerebrovascular Disorders / Q000503:physiopathology / Q000628:therapy*; D003105:Colombia; D003430:Cross-Sectional Studies; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D008297:Male; D013997:Time Factors; D014187:Transportation of Patients