SUMMARY DELAYED HOSPITALIZATION AND RELATED FACTORS IN ACUTE ISCHEMIC STROKE PATIENTS TREATED AT DA NANG HOSPITAL

Nguyễn Đức Phúc1,, Võ Văn Thắng2, Nguyễn Thị Hoài Thu3
1 Danang Hospital
2 Institute for Community Health Research, Hue University of Medicine and Pharmacy
3 Danang University of Medical Technology and Pharmacy

Main Article Content

Abstract

Objectives: To evaluate the percentage of delayed hospitalization and to determine factors associated with delayed admission to hospital in patients with acute ischemic stroke at Da Nang Hospital. Methodology: A descriptive cross-sectional study on 314 pairs of patients/family members of AIS patients hospitalized at the Emergency Department, Da Nang Hospital from October 2020 to March 2021. Results: The rate of delayed hospitalization in patients with AIS was 35.7%. Multivariable logistic regression analysis showed that there were three factors associated with delayed hospitalization in patients with AIS (p<0.05): seeking help, mode of transport to hospital and the distance between the place where initial symptoms occurred and the hospital. Patients who did not seek help were eight times more likely to be hospitalized late than those who sought help immediately.; Taking taxis/grabs were 2 times more likely to be late for hospitalisation than ambulances; the distance from the place where symptoms onset to the hospital of  ≥ 5 km had 2 - 5 times at higher risk of delayed hospitalization in comparison with the group of < 5 km. Conclusion: It is necessary to heighten public awareness of the symptoms of stroke. Patients should seek help and ask for an ambulance immediately if stroke is suspected.

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References

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