INTRODUCTION: To determine the proportion of patients with acute stroke presenting late to hospital and to identify the factors that delay hospital arrival of patients with acute stroke. METHODS: A cross sectional study was carried out between Sept 2006 to Feb 2007 in the department of Neurology, Liaquat National Hospital Karachi. All patients of both genders, ago >18 years with symptoms of stroke and neuro- imaging (CT scan/MRI brain) findings consistent with stroke were included. RESULTS: Atotal of 165 patients attending the Emergency department were included. There were 86 (52%) males and 79 (47.9%) females. The mean age was 60.04+/-13.98 years, (males 58.2 years and females 61.9 years). The median delay from onset of symptoms to hospital arrival was six hours. Only 28.5% of the patients came within three hours while 71.5% after three hours. Attendants of 47 patients had a low throat perception, 53 (32%) of the patients did not know a single symptom of stroke and 63% (104) patients first contacted their General Practitioner who referred them to hospital. Similarly 60.6% of patients wore first taken to a local hospital not equipped to handle major emergencies. CONCLUSION: Time elapsed from onset of symptoms to hospital arrival is influenced by lack of knowledge of stroke symptoms, contact with a local doctor, low threat perception and non availability of ambulance services.
INTRODUCTION: To determine the proportion of patients with acute stroke presenting late to hospital and to identify the factors that delay hospital arrival of patients with acute stroke. METHODS: A cross sectional study was carried out between Sept 2006 to Feb 2007 in the department of Neurology, Liaquat National Hospital Karachi. All patients of both genders, ago >18 years with symptoms of stroke and neuro- imaging (CT scan/MRI brain) findings consistent with stroke were included. RESULTS: Atotal of 165 patients attending the Emergency department were included. There were 86 (52%) males and 79 (47.9%) females. The mean age was 60.04+/-13.98 years, (males 58.2 years and females 61.9 years). The median delay from onset of symptoms to hospital arrival was six hours. Only 28.5% of the patients came within three hours while 71.5% after three hours. Attendants of 47 patients had a low throat perception, 53 (32%) of the patients did not know a single symptom of stroke and 63% (104) patients first contacted their General Practitioner who referred them to hospital. Similarly 60.6% of patients wore first taken to a local hospital not equipped to handle major emergencies. CONCLUSION: Time elapsed from onset of symptoms to hospital arrival is influenced by lack of knowledge of stroke symptoms, contact with a local doctor, low threat perception and non availability of ambulance services.
Authors: Mohammad Sajjad Ali Khan; Shahzad Ahmad; Bushra Ghafoor; Mohammad Haris Shah; Hassan Mumtaz; Wiqar Ahmad; Raheela Banu; Izaz Ahmad; Javed Iqbal; Muhammad Ismail Safi; Faheemullah Khan Journal: Ann Med Surg (Lond) Date: 2022-10-05
Authors: Rasha Khatib; Assef M Jawaada; Yurany A Arevalo; Hiba K Hamed; Sukayna H Mohammed; Mark D Huffman Journal: Curr Atheroscler Rep Date: 2017-11-08 Impact factor: 5.113
Authors: Antony Gatebe Kironji; Peter Hodkinson; Sarah Stewart de Ramirez; Trisha Anest; Lee Wallis; Junaid Razzak; Alexander Jenson; Bhakti Hansoti Journal: BMC Health Serv Res Date: 2018-04-19 Impact factor: 2.655
Authors: Abdullah B Umar; Tracy J Koehler; Reian Zhang; Veronica Gilbert; Muhammad U Farooq; Alan T Davis; David Nyenhuis; Philip B Gorelick Journal: J Int Med Res Date: 2019-07-16 Impact factor: 1.671
Authors: Joachim Fladt; Nicole Meier; Sebastian Thilemann; Alexandros Polymeris; Christopher Traenka; David J Seiffge; Raoul Sutter; Nils Peters; Henrik Gensicke; Benjamin Flückiger; Kees de Hoogh; Nino Künzli; Bettina Bringolf-Isler; Leo H Bonati; Stefan T Engelter; Philippe A Lyrer; Gian Marco De Marchis Journal: J Am Heart Assoc Date: 2019-10-02 Impact factor: 5.501