Article Sidebar

PDF
Date Published: 03/02/2026
Abstract Views: 0
Views PDF: 0
DOI: https://doi.org/10.51298/vmj.v558i3.17299
Issue
Vol. 558 No. 3 (2026)
Section
Các bài báo
How to Cite
Nguyễn , Q. Đạt, & Nguyễn , T. H. V. (2026). CURRENT STATUS OF AWARENESS AND INITIAL MANAGEMENT IN PATIENTS WITH ACUTE ISCHEMIC STROKE. Vietnam Medical Journal, 558(3). https://doi.org/10.51298/vmj.v558i3.17299

CURRENT STATUS OF AWARENESS AND INITIAL MANAGEMENT IN PATIENTS WITH ACUTE ISCHEMIC STROKE

Quốc Đạt Nguyễn 1,, Thị Hải Vân Nguyễn 1
1 Haiduong Medical Technical University

Main Article Content

Abstract

Objective: To assess the initial management of acute ischemic stroke patients at Hai Duong General Hospital focusing on symptom recognition, actions taken after onset, transportation, first healthcare contact, and hospital arrival time. Methods: A cross-sectional study was conducted on 87 acute ischemic stroke patients. Data were collected through interviews and medical records. Results: The mean age was 69.6 ± 12.4; 51.7% were female. Only 51.7% recognized stroke symptoms; 75.9% delayed seeking care. Only 6.9% used emergency ambulance services. Only 21.8% of patients reached the provincial hospital within the 4.5-hour thrombolysis window. The main reason for arrival beyond 6 hours was lack of stroke symptom awareness or underestimation of stroke severity (56.4%). Conclusion: Public awareness of stroke remains limited; emergency response systems are underutilized.

Article Details

Keywords

Ischemic stroke, initial management, emergency response, stroke onset, ambulanc

References

1. Bộ Y tế (2020). Hướng dẫn chẩn đoán và xử trí đột quỵ não. Quyết định số 5331/QĐ-BYT ngày 23/12/2020 của Bộ trưởng Bộ Y tế, Hà Nội.
2. Nguyễn Đức Phúc, Võ Văn Thắng, Nguyễn Thị Hoài Thu (2022). “Tỷ lệ nhập viện muộn và các yếu tố liên quan ở bệnh nhân nhồi máu não cấp tại Bệnh viện Đà Nẵng.” Tạp chí Y học Việt Nam, 515(số 2, 6/2022), 187-191.
3. Chugh, C. (2019). “Acute Ischemic Stroke: Management Approach.” Indian Journal of Critical Care Medicine, 23(Suppl 2), 140-146.
4. Feigin, V. L., Stark, B. A., Johnson, C. O. et al. (2021). “Global, regional, and national burden of stroke and its risk factors, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019.” Lancet Neurology, 20(10), 795-820.
5. Mandelzweig, L., Goldbourt, U., Boyko, V. et al. (2006). “Perceptual, social, and behavioral factors associated with delays in seeking medical care in patients with symptoms of acute stroke.” Stroke, 37(5), 1248-1253.
6. Musuka, T. D., Wilton, S. B., Traboulsi, M., Hill, M. D. (2015). “Diagnosis and management of acute ischemic stroke: speed is critical.” Canadian Medical Association Journal (CMAJ), 187(12), 887-893.
7. Saver, J. L. (2006). “Time is brain – quantified.” Stroke, 37(1), 263-266.