Factors related to Hospital Arrival Time after Symptoms Onset in Patients with Acute Stroke in Phra-putthabat Hospital

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Peachaya Srisa* Rungtip Baotoon* Padthayawad pragodpol** Uthaitip Chanpan**

Abstract

Background:  Factors related to hospital arrival time after the onset of symptoms in patients with acute stroke remain unclear. Further, many patients arrive at a hospital too late to provide thrombolysis with the intravenous recombinant tissue plasminogen activator.


Objective: To assess hospital arrival time after the onset of symptoms and the factors associated with arrival time among patients with acute stroke at Phra-phutthabat Hospital.


Materials and methods: This study used a correlational design. Purposive sampling of 123 transporters of patients with acute stroke at Phra-phutthabat Hospital was carried out. Data was collected from a medical ward at Phra-phutthabat Hospital using a questionnaire survey. Data collection was conducted from october to december 2016.


Results: Approximately twenty-seven percent (26.8%) of samples presented within 3 hours after onset of symptoms. Mean time for hospital arrival time after onset of symptoms was 16.77 hours (SD=19.09). Perceptions about stroke severity among the transporters had a significant impact on arrival time after onset of symptoms (p<0.01). Further, they could significantly predict hospital arrival time (p-value < 0.05) (odds ratio = 1.25, 95% CI: 1.05-1.48, p-value=0.01). The better the perception among transporters concerning stroke severity, the more percentage of patients arriving at a hospital within 3 hours increased by 24.6%.


Conclusion: The most significant factor related to predicting hospital arrival time of patients with acute stroke was the perception about stroke severity among the transporters.

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นิพนธ์ต้นฉบับ (Original article)

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