Siddiqui Maimoona, Siddiqui Shoaib Rasheed, Zafar Azra, Khan Farrukh Shohab
Department of Neurology, Liaquat National Hospital, Karachi.
J Pak Med Assoc. 2008 Apr;58(4):178-82.
To determine the proportion of patients with acute stroke presenting late to hospital and to identify the factors that delay hospital arrival of patients with acute stroke.
A cross sectional study was carried out between Sept 2006 to Feb 2007 in the department of Neurology, Liaquat National Hospital Karachi. All patients of both genders, ago >18 years with symptoms of stroke and neuro- imaging (CT scan/MRI brain) findings consistent with stroke were included.
Atotal of 165 patients attending the Emergency department were included. There were 86 (52%) males and 79 (47.9%) females. The mean age was 60.04+/-13.98 years, (males 58.2 years and females 61.9 years). The median delay from onset of symptoms to hospital arrival was six hours. Only 28.5% of the patients came within three hours while 71.5% after three hours. Attendants of 47 patients had a low throat perception, 53 (32%) of the patients did not know a single symptom of stroke and 63% (104) patients first contacted their General Practitioner who referred them to hospital. Similarly 60.6% of patients wore first taken to a local hospital not equipped to handle major emergencies.
Time elapsed from onset of symptoms to hospital arrival is influenced by lack of knowledge of stroke symptoms, contact with a local doctor, low threat perception and non availability of ambulance services.
确定急性中风患者延迟就医的比例，并找出导致急性中风患者延迟到达医院的因素。
2006年9月至2007年2月在卡拉奇利亚卡特国家医院神经科进行了一项横断面研究。纳入所有年龄大于18岁、有中风症状且神经影像学（脑部CT扫描/MRI）检查结果与中风相符的男女患者。
共纳入165名到急诊科就诊的患者。其中男性86名（52%），女性79名（47.9%）。平均年龄为60.04±13.98岁（男性58.2岁，女性61.9岁）。从症状发作到到达医院的中位延迟时间为6小时。只有28.5%的患者在3小时内到达，而71.5%的患者在3小时后到达。47名患者的陪护人员对中风的认知度低，53名（32%）患者不知道中风的任何一种症状，63%（104名）患者首先联系了他们的全科医生，后者将他们转诊至医院。同样，60.6%的患者首先被送往了一家没有处理重大紧急情况能力的当地医院。
从症状发作到到达医院的时间受到中风症状知识缺乏、与当地医生联系、威胁认知度低以及救护车服务无法提供等因素的影响。
