Predictive Factors of Stoke Patients who Arrival to Hospital in Golden Periods

Abstract

Background and objective:  Early treatment is crucial in maximizing the benefit of stroke intervention and effective thrombolytic therapy is dependent on timely intervention. This study aimed to identify predictive factors of patients with early hospital arrival after stroke symptom onset.

Methods: A case-controlled study was conducted in the Thapla Hospital among 224 acute stroke patients between October 2015 and September 2019. One hundred twelve acute stroke patients who were hospitalized within three hours after the onset of acute stroke were compared to 112 controls who had been hospitalized for more than three hours. Binary logistic regression was performed to evaluate factors associated with early hospital arrival.

Results: Multivariate analysis revealed symptoms of facial palsy (adj. OR = 2.00 , 95% CI: 1.12-3.58), seizure (adj. OR= 9.20, 95% CI: 1.98-42.66), lower Glasgow coma scale score (adj. OR= 3.89, 95%CI : 1.00 -15.11) and occurrence of stroke outside the home (adj. OR = 3.05,95%CI: 1.19-7.83) were associated with hospital arrival within three hours.

Conclusions: The factors associated with early hospital arrival in acute stroke patients were symptoms of facial palsy, seizure, severe stroke, and occurrence of stroke outside the home. Health care providers can educate the public on stroke, enabling the correct recognition of the signs and symptoms of acute stroke and realize the benefits of early treatment.