EVALUATION OF MATERIAL FACILITIES USED IN EMERGENCY CARE FOR ACUTE ISCHEMIC STROKE PATIENTS AT 6 MILITARY HOSPITALS IN NORTHERN VIETNAM
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Abstract
Objectives: Evaluate material facilities utilized in emergency care for acute ischemic stroke (AIS) patients at six military hospitals in Northern Vietnam in 2022. Subjects and methods: Prospective, cross-sectional study. The assessment focused on material facilities specialized and information technology types of equipment employed by AIS emergency teams of 6 Northern Region Military Hospitals. Results: All 6 hospitals had established guaranteed stroke emergency units according to Circular 47/2016/TT-BYT. All 6 hospitals ensured essential patient emergency equipment such as general ambulances, hospital beds, general monitors, extracranial Duplex ultrasound, electrocardiogram, general ultrasound, ventilator, electrical cardioversion, and rehabilitation equipment... No hospital had specialized ambulances, mobile monitoring, or transcranial doppler ultrasound for stroke. Only 33.3% of hospitals had Holter ECG, ABPM, and transesophageal echocardiography, and only 50% had DSA scanners. 66.7% of hospitals had 16-slide CT scanners and MRI. Only 33.3% had suction machines. Most hospitals can perform thrombolytic techniques (83.3%), 2 hospitals can perform neurovascular interventions (33.33%), and 1 hospital can perform surgical procedures. Neurosurgery for stroke accounts for 16.67%. Regarding IT equipment, the quality of level 1 servers only (34.48%), the number of workstations is 1053, of which more than half are level 3 (66.67%). Conclusion: 6 Military Hospitals in the Northern ensure equipment to serve emergency patient care according to Circular 47/2016/TT-BYT.
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References
2. Hess D. C. and Audebert H. J., The history and future of telestroke, Nat Rev Neurol. 9(6), 2013 pp. 340-50.
3. Nilanont Yongchai, Chanyagorn Pornchai và cộng sự, Comparing performance measures and clinical outcomes between mobile stroke units and usual care in underserved areas, Neurological Sciences. 44(4), 2023, pp. 1261-1271.
4. Powers William J., Rabinstein Alejandro A. và cộng sự, Guidelines for the Early Management of Patients With Acute Ischemic Stroke: 2019 Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. 50(12), 2019, pp. e344-e418.
5. Romoli M., Paciaroni M. và cộng sự, Mothership versus Drip-and-Ship Model for Mechanical Thrombectomy in Acute Stroke: A Systematic Review and Meta-Analysis for Clinical and Radiological Outcomes, J Stroke. 22(3), 2020, pp. 317-323.
6. Widimský Petr, Stetkarova I. và cộng sự, Interdisciplinary cooperation for a maximum acceleration of availability of modern therapy for ischemic stroke for all patients in need of endovascular thrombectomy, Vnitrni lekarstvi. 65, 2019, pp. 606-609.