Background and objectives: The cumulative time spent without medical intervention in acute stroke
patients may affect clinical outcomes. As the onset-to-arrival time to the hospital is crucial for effective
treatment interventions, this study aimed to explore the factors associated with pre-hospital delays
amongst acute stroke patients. Methods: We explored 932 patients data retrieved from the National
Neurology Registry of Seberang Jaya Hospital between January 2013 and December 2018. Data
on patient demographics and stroke manifestations were analysed using descriptive, univariate and
multivariate logistic regressions. Results: Most patients were men (62.9%) with an average age of
62 years old. In the final multivariate regression model, pre-hospital delay was significantly lower
among Chinese patients (aOR=0.6, 95% CI 0.4–0.9, p=0.016) and those using hospital ambulance
(aOR=0.4, 95% CI 0.3–0.7, p<0.001), but higher among patients with lacunar infarcts (aOR=2.5, 95%
CI 1.4–3.3; p<0.001). Conclusions: Demographic characteristic (ethnicity) and stroke manifestations,
particularly stroke subtypes, and mode of transport were mainly associated with pre-hospital delays
among acute stroke patients.