Factors related with onset to hospital among acute ischemic stroke patients in Srinagarind Hospital, Faculty of Medicine, Khon Kaen University
Keywords:
onset to hospital, cerebrovascular disease, acute ischemic strokeAbstract
This cross-sectional descriptive study aimed to study the hospital arrival time and factors related to onset to hospital for treatment of acute ischemic stroke patients at Srinagarind Hospital, Faculty of Medicine, Khon Kaen University. The study included all acute ischemic stroke patients who received medical care at the Emergency Department of Srinagarind Hospital from June 1, 2016 to January 31, 2017, totaling 188 patients.
The research instruments consisted of a patient demographic data interview form and an interview form for information about disease and seeking treatment at the hospital. These instruments had been verified by 5 experts. experts. The interview forms were tested with 30 patients before the study. The data were analyzed using descriptive statistics. Factors associated with hospital arrival time were analyzed using Multiple logistic regression analysis.
The findings found that 65.4% of patients arrived at the hospital within the treatment time criteria (≤270 minutes). The results of the correlation analysis found that the most significant factors related to onset to hospital for the treatment time were travel time from the place of onset symptoms to hospital ≤60 min (OR adj 3.31,95% CI=1.47-7.48) and distance from the place of stroke onset to hospital ≤60 km (OR adj 2.35,95% CI=1.04-5.28).
References
World Health Organization. World Stroke Campaign [Internet]. Geneva: WHO;2015[updated 2024; cited 2019 Sep 3]. Available from: http://www.world-stroke.org/advocacy/worldstroke-campaign.
Ratanakorn D, Keandoungchun J, Sittichanbuncha Y, Laothamatas J, Tegeler CH. Stroke fast track reduces time delay to neuroimaging and increases use of thrombolysis in an academic medical center in Thailand. J Neuroimaging 2012;22:53-7.
NINDS. What is stroke? [Internet]. USA: NINDS;2007[updated 2024; cited 2024 Feb 16]. Available from:http://www.ninds.nih.gov/disorders/stroke/stroke.htm
Mukherjee D, Patil CG. Epidemiology and the global burden of stroke. World Neurosurg 2011;76(Suppl 6):S85–90.
Tiamkao S. Incidence of stroke in Thailand. Thai Journal of Neurology 2021;37(4):54-60. (in Thai)
Niltarach P, Poonphol S. Mortality rate within 30 days of the patients present with malignant middle cerebral occlusion in Stroke Unit, Rajavithi Hospital. Thai Journal of Neurology 2022;38(4):21-8. (in Thai)
Bandasak R, Narksawat K, Tangkanakul C, Chinvarun Y, Siri S. Association between hypertension and stroke among young Thai adults in Bangkok, Thailand. Southeast Asian J Trop Med Public Health 2011;42(5):1241–8.
Dharmasaroja P. Baseline characteristics of patients with acute ischemic stroke in a suburban area of Thailand. J Stroke Cerebrovasc Dis 2008;17(2):82–5.
Institute of Neurology. Stroke nursing guidelines for general nurses (Complete edition). Bangkok: Institute of Neurology;2015.
Kwiatkowski TG, Libman RB, Frankel M, Tilley BC, Morgenstern LB, Lu M, et al. Effects of tissue plasminogen activator for acute ischemic stroke at one year, National Institute of Neurological Disorders and Stroke Recombinant Tissue Plasminogen Activator Stroke Study Group. N Engl J Med 1999;340(23):1781–7.
Klungman P. Selected factors associated with seeking treatment after the onset acute stroke elderly patients [Dissertation]. Khon Kaen: Khon Kaen Univ;2013. (in Thai)
Klungman P, Saengsuwan J. Selected factors associated with seeking treatment after the onset acute stroke elderly patients. J Nurs Assoc Thai, North-Eastern Division 2012;30(4):141–6. (in Thai)
Eissa A, Krass I, Bajorek BV. Optimizing the management of acute ischemic stroke: a review of the utilization of intravenous recombinant tissue plasminogen activator (tPA). J Clin Pharm Ther 2012;37(6):620–9.
Ringleb PA, Schellinger PD, Schranz C, Hacke W. Thrombolytic therapy within 3 to 6 hours after onset of ischemic stroke: useful or harmful? Stroke 2002;33(5):1437–41.
Panyaprachoom P. The factors related to seeking treatment at a hospital using a stroke fast track referral network system with acute stroke patients [Dissertation]. Bangkok: Thammasat University;2016. (in Thai)
Shephard TJ. Exploratory investigation of a model of patient delay in seeking treatment after the onset of acute ischemic stroke [Doctoral dissertation]. Virginia: Virginia Commonwealth University School of Nursing;2004.
Khantichitr P, Sanchaisuriya P, Thepphawan P. Time-to-treatment of Stroke patients: experience from Ubon Ratchathani Province, Thailand. Journal of health systems research 2016;10(3):277-88. (in Thai)
Chen CH, Huang P, Yang YH, Liu CK, Lin TJ, Lin RT. Pre-hospital and in-hospital delays after onset of acute ischemic stroke-a hospital-based study in Southern Taiwan. Kaohsiung J Med Sci 2007;23(11):552–9.
Binthaisong T, Panpakdee O, Orathai P, Ratanakorn D. Factors related to onset arrival time in patients with acute stroke. Kuakarun Journal of Nursing 2013;20(1):15–29. (in Thai)
Srila P, Baotun R, Prakphon P, Chanpen U. Factors related to the time to hospital arrival after the onset of acute stroke patients. Phraphutthabat Hospital Journal of Clinical Medicine Education Center Phrapokklao Hospital 2019;30(1):7-15. (in Thai)
Phokham S. Stroke expressway perceived in acute ischemic stroke patients Somdej Phrayuparaj Kranuan hospital Khon Kaen province. North-Eastern Thai Journal of Neuroscience 2000;15(4),66-75. (in Thai)
Khamsareeruk J, Jitpanya C. Factors related to the duration of treatment of patients with acute ischemic stroke. Journal of the Police Nurses 2019;7(2):106-19. (in Thai)
Kothari R, Jauch E, Broderick J, Brott T, Sauerbeck L, Khoury J, et al. Acute stroke: delays to presentation and emergency department evaluation. Ann Emerg Med 1999;33(1):3-8.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Journal of Nursing Science and Health
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The Journal of Nursing Science and Health is copyright holder of published articles. Distributions of articles published in Journal of Nursing Science and Health including online, photocopying which is not for teaching-learning purpose, publication submission elsewhere are prohibited except obtaining permission from the Journal of Nursing Science and Health.
