Deniz Çınaroğlu, İzgü Başbekleyen, Osman Sezer Çınaroğlu, Esra Başkurt, Zeynep Tanrıverdi, Cihat Uzunköprü, Yeşim Beckmann
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引用次数: 0
Abstract
Introduction: Early diagnosis and treatment are essential for the effective treatment of ischemic stroke. The objective of this study was to assess the effect of stroke knowledge among patients and caregivers on hospital arrival, clinical outcomes, and healthcare costs.
Methods: This is a cross-sectional study of 219 patients with ischemic stroke and their family members. Awareness of stroke was measured using a structured questionnaire, and the participants were divided into two groups: those with a high level of awareness of stroke and those with a low level of awareness of stroke. The primary outcome measures were time to hospital arrival, modified Rankin Scale (mRS) scores at 1 and 3 months, and the total treatment cost within 3 months.
Results: Patients in the high-awareness group presented to the hospital much earlier (58±21.8 min vs. 185±40.3 min, p=0.001), displayed better functional outcome at 1 month (mRS: 1.64 vs. 2.19, p=0.01) and at 3 months (mRS: 1.52 vs. 1.95, p=0.01) and lower treatment costs ($998 vs. $1679, p=0.001). Interestingly, calling the emergency service as a first response was associated with significantly lower costs. On the other hand, low awareness was associated with delayed intervention, worse clinical outcomes, and greater economic strain.
Conclusion: A better understanding of the signs of a stroke by patients and their caregivers leads to faster treatment, improved recovery, and lower costs. Stroke awareness can be enhanced through public health efforts, potentially leading to a significant reduction in the clinical and economic burden of stroke.
早期诊断和治疗是有效治疗缺血性脑卒中的关键。本研究的目的是评估患者和护理人员卒中知识对医院到达、临床结果和医疗保健费用的影响。方法：对219例缺血性脑卒中患者及其家属进行横断面研究。研究人员使用一份结构化的问卷来测量中风意识，并将参与者分为两组：一组对中风意识较高，另一组对中风意识较低。主要结局指标为到达医院的时间、1个月和3个月时的改良Rankin量表（mRS）评分以及3个月内的总治疗费用。结果：高知知度组患者就诊时间更早（58±21.8 min vs 185±40.3 min, p=0.001）， 1个月（mRS: 1.64 vs. 2.19, p=0.01）和3个月（mRS: 1.52 vs. 1.95, p=0.01）功能预后更好，治疗费用更低（998 vs. 1679, p=0.001）。有趣的是，将紧急服务作为第一反应与成本显著降低有关。另一方面，低意识与延迟干预、更差的临床结果和更大的经济压力有关。结论：患者及其护理人员更好地了解中风的症状，可以更快地治疗，改善康复，降低成本。可以通过公共卫生努力提高卒中意识，从而有可能显著减少卒中的临床和经济负担。
期刊介绍：
Archives of Neuropsychiatry (Arch Neuropsychiatry) is the official journal of the Turkish Neuropsychiatric Society. It is published quarterly, and four editions annually constitute a volume.
Archives of Neuropsychiatry is a peer reviewed scientific journal that publishes articles on psychiatry, neurology, and behavioural sciences. Both clinical and basic science contributions are welcomed. Submissions that address topics in the interface of neurology and psychiatry are encouraged. The content covers original research articles, reviews, letters to the editor, and case reports.
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