An Assessment of the Association of Presentation Time After Stroke And Mortality Admitted in A Tertiary Care Hospital in North India
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 11
Abstract
Objective: To assess the association of presentation time after stroke and mortality admitted in a tertiary care hospital in north India. Methods: This was a cross sectional observational study conducted in the Emergency Department in a tertiary care hospital in north India. All eligible patients clinically diagnosed as stroke (As defined by WHO. A clinical syndrome consisting of rapidly developing clinical signs of focal (or global in case of coma) disturbance of cerebral function lasting more than 24 hours or leading to death with no apparent cause other than a vascular origin) were included in this study. In hospital mortality was noted. Results: More than half of the patients presented after ≥6 hours (62.7%) and 37.3% patients presented within 6 hours after stroke. The mortality was significantly (p=0.02) higher among the patients who presented after ≥6 hours (24.2%) compared to those who presented within 6 hours (11%). The risk of mortality was 1.33 time higher who presented after ≥6 hours compared to those who presented within 6 hours (RR=1.33, 95%CI=1.10- 1.33). Conclusion: A high mortality rate was found who presented after ≥6 hours. This shows that there should be interventions for the community to make aware about the timely reaching to the hospital resulting to low mortality of stroke patients
Authors and Affiliations
Dr Rajiv Ratan Singh Yadav, Dr Shiv Shanker Tripathi, Dr Sachin Avasthi, Dr Deepak Malviya, Dr Abhishek Chauhan, Dr AK Thakkar
Keywords
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- EP ID EP238869
- DOI 10.9790/0853-1611078688
- Views 115
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