Nagendra C V, Kumar T S Srinath, Bohra Vikram, Wilben Viju, Karan Vivek, Huded Vikram
Department of Emergency Medicine, Narayana Institute of Cardiac Sciences, Bengaluru, Karnataka, India.
Department of Neurology, Narayana Institute of Cardiac Sciences, Bengaluru, Karnataka, India.
Indian J Crit Care Med. 2018 Mar;22(3):138-143. doi: 10.4103/ijccm.IJCCM_232_17.
Stroke, characterized by sudden loss of cerebral function, is among one of the leading cause of death and disability world over. The newer treatment modalities have changed the landscape of stroke treatment but are very much time bound.
To characterize pre-hospital and in-hospital factors affecting acute stroke management thus defining lacunae in stroke management.
A prospective observational study, conducted at the emergency department of a tertiary care center in southern India from August 2015 to July 2016. All stroke patients presenting within first 24 hours of onset were included. A pre -defined Knowledge-Attitude-Practice (KAP) questionnaire was used.
Total of 133 patients were eligible out of which 28 were excluded for various reasons. Majority were >60 years age and male (61%). About 60% arrived within window. Distance from the hospital was one of the major factors for arrival within the window period. When compared by KAP questionnaire, bystanders of those arriving within window period had better awareness of stroke symptoms.
Improving awareness of stroke symptoms and increasing availability of EMS is likely increase chances of stroke patients receiving appropriate acute management.
中风，以脑功能突然丧失为特征，是全球死亡和残疾的主要原因之一。新的治疗方式改变了中风治疗的局面，但时间限制很强。
描述影响急性中风管理的院前和院内因素，从而明确中风管理中的缺陷。
2015年8月至2016年7月在印度南部一家三级护理中心的急诊科进行了一项前瞻性观察研究。纳入所有在发病后24小时内就诊的中风患者。使用预先定义的知识-态度-实践（KAP）问卷。
共有133例患者符合条件，其中28例因各种原因被排除。大多数患者年龄>60岁且为男性（61%）。约60%在时间窗内到达。与医院的距离是在时间窗内到达的主要因素之一。通过KAP问卷比较，在时间窗内到达患者的旁观者对中风症状的认识更好。
提高对中风症状的认识并增加急救医疗服务的可及性可能会增加中风患者接受适当急性治疗的机会。
