Department of Community Medicine, Faculty of Medicine, Ardabil University of Medical Science, Ardabil, Iran.
Department of Neurology, Faculty of Medicine, Ardabil University of Medical Science, Ardabil, Iran.
Neurol India. 2022 Jul-Aug;70(4):1548-1553. doi: 10.4103/0028-3886.355102.
Early treatment of ischemic stroke patients who arrive at the hospital ≤4.5 hours after the onset of symptoms with recombinant tissue plasminogen activator is more beneficial and very important.
This study is aimed to investigate the factors delaying the hospital arrival of patients with acute ischemic stroke by using multiple logistic regression analysis.
This descriptive cross-sectional study was done on patients diagnosed with acute ischemic stroke who were referred to Ardabil city Training and Research hospital at 2018. All patients and/or patient relatives were interviewed and data were collected through a checklist including demographic and clinical data of patients to explore the involved factors delaying hospital arrival of patients and then analyzed using multiple logistic regression analysis.
Of all included patients, only 25.3% arrived at the hospital in ≤ 4.5 hours. By using multivariate logistic regression analysis, living in cities (P = 0.007), cigarette consumption (P = 0.032), having valvular heart disease (P = 0.008), and gender (P = 0.049) were factors associated with an early arrival to the hospital.
Results showed that most of the patients had a considerable delay in arriving at the hospital in ≤ 4.5 hours. Thus, providing health promotion strategies to improve society awareness of early symptoms of stroke, training of local physicians about the importance of early arrival of stroke patients, and more extended ambulance services in all cities and rural areas are necessary for better management of acute stroke patients in this area.
对于症状发作后≤4.5 小时到达医院的缺血性脑卒中患者，早期使用重组组织型纤溶酶原激活剂治疗更有益且非常重要。
本研究旨在通过多因素 logistic 回归分析探讨急性缺血性脑卒中患者延迟到院的相关因素。
本研究是一项 2018 年在阿尔达比勒市培训和研究医院进行的描述性横断面研究，纳入了被诊断为急性缺血性脑卒中的患者。对所有患者和/或患者亲属进行访谈，并通过包括患者人口统计学和临床数据的检查表收集数据，以探讨涉及的延迟患者到院的因素，然后使用多因素 logistic 回归分析进行分析。
所有纳入的患者中，仅有 25.3%在≤4.5 小时内到达医院。通过多因素 logistic 回归分析，居住在城市（P=0.007）、吸烟（P=0.032）、患有心脏瓣膜病（P=0.008）和性别（P=0.049）是与早期到院相关的因素。
结果表明，大多数患者在≤4.5 小时内到达医院的时间明显延迟。因此，有必要制定健康促进策略以提高社会对脑卒中早期症状的认识，培训当地医生了解脑卒中患者早期到院的重要性，并在所有城市和农村地区扩大救护车服务，以更好地管理该地区的急性脑卒中患者。
