Publication: Stroke awareness and factors influencing hospital arrival time: A prospective observational study
Issued Date
2015-01-01
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ISSN
01252208
01252208
01252208
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2-s2.0-84929515602
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Mahidol University
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SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol.98, No.3 (2015), 260-264
Suggested Citation
Sattawut Wongwiangjunt, Chulaluk Komoltri, Niphon Poungvarin, Yongchai Nilanont Stroke awareness and factors influencing hospital arrival time: A prospective observational study. Journal of the Medical Association of Thailand. Vol.98, No.3 (2015), 260-264. Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/36600
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Title
Stroke awareness and factors influencing hospital arrival time: A prospective observational study
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Abstract
© 2015, Medical Association of Thailand. All rights reserved. Background: Data concerning stroke awareness and factors associated with time of hospital arrival for acute stroke patients in Thailand are still lacking. Objective: To assess stroke awareness and to identify factors influencing hospital arrival time after an acute stroke. Material and Method: This is a prospective study comprising consecutive acute stroke patients admitted in Siriraj Hospital, Bangkok, Thailand between August 2010 and December 2011. Demographic data, stroke severity using the NIHSS, diagnosis and stroke awareness questionnaire were collected. Results: Of 217 acute stroke patients, mean age was 6613.7 years. Mean stroke severity was 107.6. Patients arrived at the Emergency Department within 4.5 hours (early hospital arrival: EHA) in 38.2% of the cases, 16.6% by ambulance. Only 34.6% of patients recognized that they were having stroke. Factors associated with EHA were 1) stroke awareness (OR 1.96, 95% CI 1.07-3.60, p = 0.030), 2) arrival by ambulance (OR 2.23, 95% CI 1.03-4.81, p = 0.042), and 3) NIHSS >15 (OR 2.26, 95% CI 1.17-4.35, p = 0.015). Conclusion: Only one-third of patients were aware of stroke symptoms. Only one in six patients used emergency transportation. Public educational campaign is needed to increase the community awareness of stroke warning symptoms and the urgent emergency medical services.