Department of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.
Department of Medicine, King Abdulla Medical City, Makkah, Saudi Arabia.
Medicine (Baltimore). 2022 Aug 26;101(34):e30075. doi: 10.1097/MD.0000000000030075.
Despite the recent advancements in the treatment of acute ischemic stroke, the delayed patient arrival to emergency department or hospital serve as crucial factor for the selection of appropriate intervention program. This study was aimed to identify factors associated with late hospital arrival for patients with acute ischemic stroke in Makkah, Saudi Arabia. A prospective cross-sectional study was carried out at Al-Noor Specialist Hospital among 98 enrolled patients with the mean age of 60.4 ± 10.3 years over the period of March 2019 and June 2019. The data were collected through review of patient records and interview of patients and attendants. Fifty-four of these (55%) presented early (within 4.5 hours) and 44 (45%) presented late (after 4.5 hours). Factor associated with late arrival included low educational level (P = .01) and unemployment status (P = .033). The relationship between time of presentation and computed tomography findings showed statis,tically significant relationship between the former and early computed tomography findings (P = .017). A statistically significant relationship between time of presentation and knowledge of stroke was also observed (P = .013). Increased public awareness is important in order to minimize the time between stroke onset and emergency room presentation.
尽管急性缺血性脑卒中的治疗最近取得了进展，但患者延迟到达急诊科或医院仍然是选择合适干预方案的关键因素。本研究旨在确定与沙特麦加急性缺血性脑卒中患者延迟入院相关的因素。一项前瞻性病例对照研究于 2019 年 3 月至 6 月在 Al-Noor 专科医院对 98 名入组患者进行，平均年龄为 60.4 ± 10.3 岁。通过查阅病历和对患者和家属进行访谈收集数据。其中 54 例（55%）患者早期（4.5 小时内）就诊，44 例（45%）患者晚期（4.5 小时后）就诊。与就诊时间晚相关的因素包括文化程度低（P =.01）和失业状态（P =.033）。就诊时间与计算机断层扫描结果之间的关系显示，前者与早期计算机断层扫描结果之间存在统计学显著关系（P =.017）。就诊时间与对脑卒中的认识之间也存在统计学显著关系（P =.013）。提高公众意识对于将脑卒中发病与急诊科就诊之间的时间缩短至最小至关重要。
