Outcomes of Stroke Patient Care in Critical Phase at Ramadhibodi Chakri Naruebodindra Hospital

Abstract

This research was a retrospective descriptive study, aimed to study the outcomes of stroke patient care in critical phase. There were 163 stroke patients were selected by Purposive Sampling method as research samples. Retrospective data were studied from medical records of stroke patients admitted at Ramadhibodi Chakri Naruebodindra Hospital during 1^st October 2020 to 30^th September 2021. The results showed that 1) In terms of process, an average pre-hospital delay time was 22.49 hours (SD = 28.97), an average time of door to CT scan was 32.78 minutes (SD=32.43), an average time of door to CT scan result was 57.44 minutes (SD=43.38), an average time of door to lab report was 64.90 minutes (SD=42.89), an average time of door to Recombinant Tissue Plasminogen (rt-PA) was 53.50 minutes (SD=11.35), an average time of door to admitted was 127.20 minutes (SD=65.82), 2) In terms of care, comparing NIHSS score when first received and before discharge, it showed that there were an increase of 15.34% and a decrease of 55.83%. Comparing Barthel ADL Index when first received and before discharge showed that there were an increase of 33.74% and a decrease 6.75%. Percentages of patients received self-care information were 90.80 and 96.93. The LOS was 6.34 days.