Assessment of hospital arrival time and associated factors of patients with acute ischemic stroke to introduce thrombolytic therapy at Jimma Medical Center, Jimma, Ethiopia

Résumé

Abstract Background: Background: Acute ischemic stroke is one of acute cerebrovascular emergencies that require timely medical intervention. Thrombolytic therapy is an important treatment option, but its effectiveness dependents on prompt hospital arrival. This study was aimed to assess the arrival time and associated factors of these patients, with the objective of providing thrombolytic therapy. Methodology: a hospital-based cross-sectional study was conducted from September 1st to January 30, 2023. All patients diagnosed with Acute Ischemic Stroke during the study period were included. Data was collected using questionnaires and entered into Epi-data for analysis. Chi-square tests and logistic regression models were used to see relationships between variables. Results: Among 112 patients with Acute Ischemic Stroke, male accounts for 55.3%, with mean age of 61.75±10.7 years. Most of the study participants didn’t have health insurance coverage. Only few numbers of patients recognized the symptoms of stroke and sought immediate medical attention. The median time between symptom onset and arrival was 33 hours and 29 minutes. Level of education ([aOR]: 8.8; 95%, [CI]: 1.6-49.2; p=0.013), Misinterpretation of the symptoms (aOR: 4.53; 95% CI: 1.37-16.75; p=0.001) and lack of health insurance (aOR: 14.4; 95% CI: 2.2-90.9; p=0.005) was related with longer time of arrival and pre-hospital delay. Conclusion: The time of arrival for patients with Acute Ischemic Stroke was longer. Level of education, Misinterpretation of the symptoms, and lack of public health insurance were related with longer time of arrival and pre-hospital delay.

Citer ce document

Accès au document

Texte intégral en lecture en ligne, réservé aux abonnés SPHAERO et aux membres de l'institution. Se connecter

Auteur(s)

Statistiques

Consultations : 1

Téléchargements : 0