Factors affecting the presentation time of patients with acute stroke to hospital and level of awareness of thrombolytic therapy

Year 2023, , 77 - 81, 12.01.2023

Ömer Faruk Bolattürk

https://doi.org/10.32322/jhsm.1177076

Abstract

Aim:In this study, it was aimed to reveal the factors affecting the time of presentation of patients with acute stroke to the hospital, determine the rates of benefiting from thrombolytic therapy and assess the thrombolytic therapy awareness of patients.
Material and Method: 276 patients with acute stroke were included in our study. Standard structured questionnaire was administered to the patients. Patients were asked about the time of onset of stroke, age, place of residence, level of education, whether they received thrombolytic therapy, what was done as the first intervention, and whether they had information about thrombolytic therapy. Stroke severity was also evaluated by applying the National Institutes of Health Stroke Scale (NIHSS) to the patients.
Results: Of the patients included in the study, 218 (79%) had ischemic stroke, 26 (9.4%) had intracerebral hemorrhage and 32 (11.6%) had TIA. The mean NIHH score of the patients was 6.7±6.2. Stroke onset time was mainly between 18.00-24.00 with a rate of 28.3%. It was understood that 83.1% of the patients came to the emergency department by ambulance and 16.9% came by their own vehicle. When the groups of patients who received and did not receive thrombolytic therapy were compared, no significant difference was found between who the patient lived with at home and the groups of the level of education. Statistical significance was found with symptom onset time (p<0.05). Significant differences were found when the time of presentation to the hospital was compared with the place of residence, type of stroke and symptom onset time (p<0.05).
Conclusion: When the results are evaluated, it is necessary to reduce the delay time of patients with acute stroke, especially outside the hospital. Increasing the awareness of the patients about the symptoms of stroke and early treatment techniques will help to reduce mortality and morbidity.

Keywords

Cerebrovascular disease, thrombolytic therapy, delayed treatment

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