From March to August 1993 we performed a comprehensive educational cam
paigne about stroke and acute stroke therapies to shorten admission de
lay and to recruit more patients for the ECASS trial [8]. We compared
the presentation data of all stroke patients admitted in a six month p
reeducational period with data of a six month posteducational period.
The median admission delay was significantly reduced from eight hours
in the preeducational to five hours in the posteducational period. The
number of patients undergoing thrombolytic treatment increased. The f
ollowing factors shortened admission delay: age > 70 years, living in
cities, stroke onset during daytime, admission by ambulance, stroke in
anterior circulation, cardiogenic embolic stroke, severe symptoms.