Prevalence and factors associated with pre-hospital delay among acute stroke patients at Mulago and Kiruddu national referral hospitals, Kampala: a cross-sectional study.
Prevalence and factors associated with pre-hospital delay among acute stroke patients at Mulago and Kiruddu national referral hospitals, Kampala: a cross-sectional study.
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DOI：
10.1186/s12883-023-03413-1
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发表时间：
2023-10-21
期刊：
影响因子：
2.6
通讯作者：
Sajatovic, Martha
中科院分区：
文献类型：
--
作者：
Kakame, Keith Twirire;Nakibuuka, Jane;Mukiza, Nelson;Andia-Biraro, Irene;Kaddumukasa, Mark;Burant, Chris;Katabira, Elly;Sajatovic, Martha
尽管在急性卒中护理方面取得了进步，但急性卒中患者接受护理的时间较晚，导致死亡率较高和功能结局较差。本研究确定了乌干达成人急性脑卒中患者院前延迟的患病率及其相关因素。在一项以医院为基础的横断面研究中，入组了143名在Mulago和Kiruddu国家转诊医院急诊室确诊急性卒中的研究参与者。使用访谈者管理的问卷，收集社会人口统计学、卒中发作、到达三级机构、卫生系统和临床因素的详细信息。进行描述性统计和改良泊松回归分析，以确定与院前延迟相关的因素。在143名研究参与者中，近三分之二（79/146）患有缺血性中风，而三分之一（59/143）患有出血性中风。平均年龄为59岁（SD 16），51.7%的急性卒中患者为男性。91%（130/143）在3小时后到急诊室就诊。大多数人（124/143）报告说，在转介到三级设施之前，他们访问了低级设施。住在坎帕拉区以外（PR：1.28（1.22-1.34），p < 0.001）和使用租用或政府救护车运送到三级机构（PR：1.17（1.13-1.20），p < 0.001）与院前延迟相关。在乌干达，到公立三级医院就诊的急性卒中患者中院前延误的发生率非常高。院前延误的原因应进一步定性探讨。减少院前延误的努力应包括改善中风患者的院前转运系统。
Despite advancements in acute stroke care, acute stroke patients present late for care resulting in high mortality and poor functional outcomes. This study determined the prevalence of pre-hospital delay and associated factors among adult acute stroke patients in Uganda. In a hospital based, cross-sectional study, one hundred and forty-three study participants with confirmed acute stroke presenting to the emergency units of Mulago and Kiruddu national referral hospitals were enrolled. Using an interviewer-administered questionnaire, details on sociodemographics, onset of stroke, arrival at the tertiary facility, health system and clinical factors were collected. Descriptive statistics and modified Poisson regression analyses were performed to determine factors associated with prehospital delay. Among the 143 study participants, nearly two-thirds (79/146) had ischemic stroke while a third (59/143) had haemorrhagic stroke. The mean age was 59 years (SD 16) and 51.7% of acute stroke patients were males. Ninety one percent (130/143) presented to the emergency unit after 3 hours. The majority (124/143) reported visiting lower-level facilities prior to referral to the tertiary facility. Staying outside Kampala district (PR: 1.28 (1.22–1.34), p < 0.001), and using hired or government ambulance for transport to tertiary facility (PR: 1.17 (1.13–1.20), p < 0.001) were associated with pre-hospital delay. Prevalence of pre-hospital delay among acute stroke patients presenting to public tertiary hospitals in Uganda is very high. The causes of pre hospital delay should be further explored qualitatively. Efforts to reduce prehospital delay should include improving pre-hospital transport systems for stroke patients.
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影响因子：
4.8
作者：
Mazighi, Mikael;Derex, Laurent;Amarenco, Pierre
通讯作者：
Amarenco, Pierre
DOI：
10.1111/j.1747-4949.2009.00276.x
发表时间：
2009-06
期刊：
International journal of stroke : official journal of the International Stroke Society
影响因子：
--
作者：
Evenson KR;Foraker RE;Morris DL;Rosamond WD
通讯作者：
Rosamond WD
影响因子：
9.9
作者：
El Khoury, Ramy;Jung, Richard;Zaidat, Osama O.
通讯作者：
Zaidat, Osama O.
DOI：
10.4103/0972-2327.150627
发表时间：
2008-04-01
期刊：
JPMA. The Journal of the Pakistan Medical Association
影响因子：
--
作者：
Siddiqui, Maimoona;Siddiqui, Shoaib Rasheed;Khan, Farrukh Shohab
通讯作者：
Khan, Farrukh Shohab
影响因子：
3.9
作者：
Soto-Camara, Raul;Gonzalez-Santos, Josefa;Trejo-Gabriel-Galan, Jose M.
通讯作者：
Trejo-Gabriel-Galan, Jose M.