Timely presentation of stroke to hospitalâ€“ A problem in Uttarakhand
Background: Early intervention is crucial in outcome of stroke, which depends on early arrival of patient to treatment centre with optimum facilities. This transfer of patients to such facility depends on understanding of illness by the family / relatives. In this study patients and relatives were asked about the event of stroke occurrence till arrival to our hospital in Dehradun, Uttarakhand.
Settings and Design: Prospective tertiary care hospital-based study in Uttarakhand.
Materials and Methods: Trained nurses and medical interns interviewed patients with stroke and/or their relatives regarding patient journey from onset of stroke till arrival to hospital. Data were expressed in terms of frequency and percentage.
Results: A total of 70 patients admitted to hospital were subject in study. There were 65.7% male and 34.3% female. Their mean age was 59.6Â±12.04. Two third (65.7%) patient/relatives perceived primary problem as related to brain. The median time duration of arrival to tertiary care centre was 18 hours. Most patients (71.4%) had received primary level of care before arriving to hospital.
Conclusions: In this study, lack of awareness about stroke among patient/relatives, its management by primary caregivers and inadequate transport facilities were identified to be problem area. These areas need to be addressed by education and training to improve stroke patients care.