ĐÁNH GIÁ HIỆU QUẢ ĐÀO TẠO CẤP CỨU, ĐIỀU TRỊ BỆNH NHÂN ĐỘT QUỴ NHỒI MÁU NÃO CẤP

Abstract

Objectives: Evaluate the effectiveness of emergency response training in diagnosing and treating acute ischemic stroke (AIS) patients at 6 military hospitals in the Northern Vietnam in 2022. Subjects and methods: Prospective, cross-sectional study. The assessment focused on the human resources and operational effectiveness of AIS emergency response teams in six Northern Military Hospitals following training. Key aspects evaluated included team size, personnel structure, proficiency in implementing techniques, and the outcomes of emergency care provided to AIS patients. Results: The average age of healthcare staff (HS) before training was 49.6 ± 5.8, statistically significantly higher than the age of those after training (38.4 ± 7.6 years). Although individuals aged 40 and above predominated, there was a trend of rejuvenation among HS after training. The majority of HS were males, comprising approximately 80% of the participants. The duration of specialized work in AIS field of HS after training was higher compared to before, although the difference was not statistically significant. Prior to training, HS primarily involved in the treatment of acute ischemic stroke were specialized intensive care doctors (46.3%); this percentage decreased to 23.8% after the staff received more in-depth training in stroke management. The proportion of HS with a neurology specialty increased from 20% to 30% after training. Following training, HS with a medical degree accounted for 55.6% (89 individuals), while nursing professionals comprised 44.6% (71 individuals). The educational background of personnel participating in stroke units showed that 61.3% had education of university level or higher, meeting the demand for rapid stroke handling and emergency care; however, this ratio did not differ significantly from before training. Conclusion: Training initiatives played a crucial role in improving the emergency response and treatment outcomes for AIS patients. A broader and more effective implementation of training programs on a national scale is recommended to enhance the overall effectiveness of AIS emergency response activities nationwide. However, further investments in raising the level of expertise and specialized techniques are necessary to address emerging trends in the national and global strategies for emergency response and AIS treatment.