Acute intervention in cerebrovascular stroke patients (present status in Ain-shams university hospitals)

Mohammad Abdullah Ahmad Abdullah El-shiekh


Cerebro vascular stroke is a leading cause of death and disability worldwide. It is the third cause of death after cancer and heart disease. It causes significant disability with high DALYs. There are number of acute interventions available to the management of stroke patients. To date, these include thrombolysis and endovascular thrombectomy with a stent retriever. Yet the use of such interventions is done in very low rates due to many reasons. One of these reasons is delayed presentation of patients to the hospital at a proper time. For a stroke patient to receive acute intervention, it results in significant improvements regarding remaining disability and mortality rates. So every effort is to be done to increase rates of administration of such interventions. This study was conducted to investigate the causes of delayed presentation of stroke patients to our university and asses the current status of acute intervention in our university hospitals. This was done by a structured interview and questionnaire (supplied in appendix 4) to cover various areas regarding patients’ socioeconomic and demographic characteristics, stroke factors and risk factors. It also covered areas as pre-hospital and in-hospital logistics and lastly awareness of both patients and physicians of different approaches to the right conduct during stroke. It was found that main causes of delay are lack of awareness of patients and doctors alike of the presence of acute intervention. Other causes of delay were attributed to both pre and in-hospital logistics. Of all study subjects only 7 received acute intervention. They signify less than 3% of the study population. Increasing this number can be done via properly equipping our hospitals and do some system amendments to hasten the process of acute intervention, the second thing is by raising the patients’ awareness by proper awareness programs. This alone can raise the rates of administration of acute intervention to about 25%.

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Other Titles التدخل العلاجى الحاد لمرضى الأوعية الدماغية لوضع الحالى فى مستشفيات جامعة عين شمس
Issue Date 2015

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