Factors associated with timely hospital arrival in patients with acute stroke, Kong Krailat District, Sukhothai Province
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Abstract
Acute stroke is a medical emergency that requires timely treatment to prevent complications and reduce mortality rates. This study aimed to investigate factors associated with timely hospital arrival in patients with acute stroke. It was a case-control study with a 1:1 ratio, involving a sample of 80 subjects divided into 40 cases and 40 controls, selected from patients receiving services at Kong Krailat Hospital, Sukhothai Province. Data were collected using general information checklists, a general stroke knowledge test, an assessment of stroke warning sign perception, a stroke severity perception questionnaire, and a health literacy and health behaviors for stroke prevention questionnaire developed by the Health Education Division. The research instruments were tested for content validity and reliability. Data were analyzed using descriptive statistics, McNemar’s test, and inferential statistics including multivariable analysis and logistic regression.The results showed that there were two factors out of four variables significantly associated with timely hospital arrival among acute stroke patients: 1. Environmental factors, including a distance of less than or equal to 15 kilometers from home or the scene of onset to the hospital, and the time of the event; and 2. Knowledge and health behavior factors, including general knowledge about stroke and the perception of stroke warning signs. Therefore, educational information should be provided to the general public and high-risk groups, such as patients with chronic non-communicable diseases and the elderly. Additionally, there should be collaboration with primary healthcare units to develop patient referral systems.
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References
World Stroke Organization. (2022). Global Stroke Fact Sheet 2022.
Siriprapapol S., Panprasert S., & Didsaprae S. (2022). Development of a Care System for Hemorrhagic Stroke Patients from Hypertension at Somdetphraphutthaloetla Hospital. Journal of Health Science. 31(2), 353-364.
Nilnate N. (2019). Risk Factors and Prevention of Stroke in Hypertensive Patients. Journal of The Royal Thai Army Nurses. 20(2), 51-57.
Ashley Ch., & Berry S.D. (2020). The Association Between Race and Stroke Prevalence in a Patient Cohort in Mississippi. Perspect Health Inf Manag.
Panthong W., & Saiyot R. (2024). Factors Associated with Cerebrovascular Disease in Patients with Diabetes and Hypertension at Srinarong Hospital. Regional Health Promotion Center 9 Journal. 18, 193-208.
Kamel H., Okin P.M., Elkind M.S.V., & Iadecola C. (2016). Atrial Fibrillation and Mechanisms of Stroke: Time for a New Model.AHA Journal. 47, 895-900.
Sodaprom D. (2020). Factors Influencing Preventive Behaviors for Cerebrovascular Disease Among Elderly Risk Group in the Aranayik Tow Municipality Mueng Phitsanulok Districtt Phitsanulok Province. Available from: https://nuir.lib.nu.ac.th/dspace/bitstream/123456789/2493/3/DuangthidaSodaprom.pdf
Jantasri S., Tiamkao S., & Sirikarn P., (2020). Effectiveness of Intravenous Recombinant Tissue Plasminogen Activator (rtPA) for Acute Ischemic Stroke in Udonthani Hospital versus Node-rtPA Community Hospitals. Thai Journal of Neurology. 36(4), 34-57.
Wanichanon W., Ananchaisarp Th., Tantarattanapong S., & Chamroonkiadtikun P. (2024). Prevalence and factors influencing pre- hospital delays in patients with acute stroke. Journal of Public Health and Emergency. 8(23), 1-11.
Pitukrojnanont A. (2024). Factors Influencing EarlyHospital Arrival among Acute Ischemic Stroke Patients in Chombueng Crown Prince Hospital Ratchaburi Province. Academic Journal of Mahasarakham Provincial Public Health Office. 8(16), 185-197.
Sonti S., Noppakhun Th., & Duangchan Ch. (2022). Factors Influencing Early Hospital Arrival among Acute Ischemic Stroke Patients in HuaHin Hospital. Journal of Prachomklao College of Nursing, Phetchaburi Province. 5(3), 24-38.
Boonsauykwanand W., & Klabrod A. (2022). Factors Related to Hospital Arrival Time of Acute Stroke Patients at Emergency Department of ChianYai Hospital in Nakhon Si Thammarat. Journal of Health Sciences and Pedagogy. 2(2), 61-75.
Pinta P. (2021) Predictive Factors of stoke patients who arrival to hospital in golden periods. Journal of Primary Care and Family Medicine. 4(3), 46-58.
Swangmongkol W., Masingboon Kh., & Kunsongkeit W. (2020). Pre-Hospital Delay in Family Members of Patients with Acute Ischemic Stroke. The Journal of Faculty of Nursing Burapha University. 28(3), 91-101.
Kammaha S. (2023). Prevalence and Associated Factors of Early Onset-to-Hospital Arrival Time of Acute Stroke Patients in Watphleng Hospital. 3(3), 1-16.
Wannarong T., Chotik-anuchit S., & Nilanont Y. (2019). Factors Associated with Hospital Arrival Time in Acute Stroke. Journal of the Medical Association of Thailand. 102(5), 1-7.
Mojtahed M., Esmaeili S., Allahdadian S., Chaibakhsh S., Mojtahed A., Khotbehsara S.T., Delfan S.E., Naderkhani M,. & Mirzaasgari Z. (2023). Factors Related to Early Versus Late Hospital Arrival in Acute Ischemic Stroke. European Journal of Medical and Health Sciences. 5(4), 1-5.
Soto-Cámara R., González-Bernal J., Aguilar-Parra J.M., Trigueros R., López-Liria R., & González-Santos J. (2021). Factors related to prehospital time in caring for patients with stroke. Emergencias. 33, 454-463.
Srisa P., Baotoon R., Pragodpol P., & Chanpan U., (2019). Factors Related to Hospital Arrival Time after Onset of Symptoms in Patients with Acute Stroke at Phra-phutthabat Hospital. Journal of Prapokklao Hospital Clinical Medical Education Center. 36(1), 7-15.
Azmain Iktida M., Maher Manna R., Akhter M., Roy S., Sharmin Bonna A., Chowdhury S., Yousuf R., a Ahammad Mimi F., U Sayed S., Akiful Haque M., & Delwer Hossain Hawlader M. (2024). Emergency Medicine Journal. 0, 1-9.
Inamdar A. (2022). Factors associated with hospital arrival time of acute stroke patients in rural India. European Journal of Preventive Cardiology. 29(1)
Eddelien H.S., Butt J.H., Amtoft AC., Nielsen N.S.K., Jensen E.S., Danielsen I.M.K., Hornnes,N., & Kruuse Chr. (2021). Patient-reported factors associated with early arrival for stroke treatment. Brain and Behavior. 11(8), 1-11.
Becker M.H. (1974) The Health Belief Model and Personal Health Behavior. Health Education Monographs. 2, 324- 508.
