ความชุกของความล่าช้าก่อนถึงโรงพยาบาลในผู้ป่วยโรคสมองขาดเลือดเฉียบพลัน ในโรงพยาบาลชลบุรี

Pakpoom Nuengjumnong

doi:10.1016/hscr.v39i1.268650

Authors

Pakpoom Nuengjumnong Department of Internal Medicine, Chonburi hospital, Chonburi Thailand

DOI:

https://doi.org/10.1016/hscr.v39i1.268650

Keywords:

Acute ischemic stroke, Pre-hospital delay, Prevalence, Factor

Abstract

ABSTRACT
Objective: Acute ischemic stroke (AIS) has a high mortality and morbidity rate that associated with delay prehospital period. In Thailand, the overall delayed pre-hospital period rate is high. However, data on the prevalence of delayed pre-hospital period at Chonburi hospital is limited.
Methods: This retrospective cohort study collected data from acute ischemic stroke patients who dmitted at Chonburi Stroke Center between August 2022 and November 2022. Patients were stratified by the pre-hospital period, and the primary outcome was the prevalence. The secondary outcome was the factor influencing pre-hospital delay.
Results: In total, 189 patients were enrolled in the study, 67.2% patients arrived after 4.5 hours of onset. Patients with awakening with symptoms 3.85 (95% CI 1.69-8.77, p=0.001) and onset location at home 2.99 (95% CI 1.25-7.14, p=0.14).
Conclusions: The prevalence of delayed pre-hospital period in Chonburi hospital was high. Education effort is the urgent main issue to reduce pre-hospital period.
Keywords: Acute ischemic stroke, Pre-hospital delay, Prevalence, Factor

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