2022-2023年Tonekabon Shahid Rajaei医院急性脑卒中患者延迟因素及到达医院时间的研究

IF 2.2 3区 医学 Q3 CLINICAL NEUROLOGY
Mohadeseh Farokhfar, Mohamad Saleh Pezeshki Almani
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引用次数: 0

摘要

背景:中风是一种由中枢神经系统血管损伤引起的突发性局灶性神经功能缺损。在全球范围内,中风是导致死亡和残疾的主要原因,在低收入和中等收入国家造成的负担尤为严重。在伊朗,急性中风的发病率正在上升,与发达国家相比,发病年龄较低。本研究探讨了2022-2023年伊朗北部Tonekabon的Shahid Rajaei医院急性中风患者院前延误的因素。及时干预对改善结果至关重要,因为延误会严重影响治疗效果。本研究旨在确定急性脑卒中患者院前延误的主要原因,并提供可操作的见解,以加强及时的干预策略,最终改善患者的预后。方法:采用人口普查抽样对150例急性脑卒中患者进行回顾性描述性分析研究。数据包括人口统计、症状和从发病到住院的时间间隔。采用SPSS统计软件进行分析,采用卡方检验、t检验和方差分析。结果:150例患者中,81.3%在症状出现4.5小时后到达,错过了溶栓治疗窗口期。统计分析显示,一些人口统计学因素与临床因素之间存在显著关联:到医院的距离较短,到达时间较快(p = 0.037),证人在场(p = 0.041),以及白天中风发作(p = 0.002)与减少延误有关。婚姻状况也显著影响到达时间(p = 0.007)。其他延迟因素包括没有意识到中风症状(46%)、独自一人(14.7%)和在睡眠中出现症状(8.6%)。结论:该研究强调了对中风症状进行公众教育和改进应急系统以减少延误的必要性。解决这些差距可以提高患者的治疗效果,特别是在认识和资源有限的地区。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Study on delay factors and time to hospital arrival after acute stroke in patients at Shahid Rajaei hospital, Tonekabon (2022-2023).

Background: Stroke is a sudden focal neurological deficit caused by vascular damage to the central nervous system. Globally, stroke is a leading cause of death and disability, with a particularly significant burden in low- and middle-income countries. In Iran, the incidence of acute stroke is increasing, and the age of onset is lower compared to developed countries. This study examines factors causing pre-hospital delays in acute stroke patients at Shahid Rajaei Hospital, Tonekabon, North of Iran (2022-2023). Timely intervention is critical for improving outcomes, as delays significantly affect treatment effectiveness. This study aims to identify the primary causes of pre-hospital delays in acute stroke patients and provide actionable insights to enhance timely intervention strategies, ultimately improving patient outcomes.

Methods: A retrospective descriptive-analytical study was conducted on 150 acute stroke patients using census sampling. Data included demographics, symptoms, and time intervals from onset to hospital arrival. Analysis was performed with SPSS using chi-square, T-tests, and ANOVA.

Results: Of the 150 patients, 81.3% arrived over 4.5 hours after symptom onset, missing the thrombolytic treatment window. Statistical analysis revealed significant associations between some demographic and clinical factors: shorter distances to the hospital and faster arrival (p = 0.037), presence of a witness (p = 0.041), and stroke onset during the daytime (p = 0.002) were linked to reduced delays. Marital status also influenced arrival times significantly (p = 0.007). Other delay factors included unawareness of stroke symptoms (46%), being alone (14.7%), and symptoms occurring during sleep (8.6%).

Conclusions: The study highlights the need for public education on stroke symptoms and improved emergency systems to reduce delays. Addressing these gaps can enhance patient outcomes, especially in areas with limited awareness and resources.

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来源期刊
BMC Neurology
BMC Neurology 医学-临床神经学
CiteScore
4.20
自引率
0.00%
发文量
428
审稿时长
3-8 weeks
期刊介绍: BMC Neurology is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of neurological disorders, as well as related molecular genetics, pathophysiology, and epidemiology.
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