Clinical and Demographic Properties of the Acute Stroke Patients Admitted to Emergency Department of a Tertiary Referral Center

Aksoy, Dürdane; Ayan, Murat; Alatli, Tufan; Şahin, Fatih; Özdemir, Mehmet Baki; Çevik, Betül; Kurt, Semiha

doi:10.5152/jaem.2014.233

Cited by 3 publications

(5 citation statements)

References 33 publications

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“…38 Previous studies have shown that loss-consciousness is more common in patients with intracerebral hemorrhage compared with ischemic stroke due to increased intracranial pressure and compression of the thalamus and medulla oblongata. 27,33,37,39 There are two symptoms of communication disorders identified in this study, which are aphasia and dysarthria. Aphasia was found more common in subjects with hemorrhagic stroke than ischemic stroke (22.1% vs. 21.6%).…”

Section: Discussionmentioning

confidence: 87%

“…26 Percentages in another study showed much greater differences, in which 87.5% of subjects had ischemic stroke and 14.3% subjects had hemorrhagic stroke. 27 Subjects with ischemic stroke were predominantly ≥ 60 years old (56.1%), whereas most subjects with hemorrhagic stroke were < 60 years old (51.4%). The incidence of stroke increased with age.…”

Section: Discussionmentioning

confidence: 98%

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Clinical Symptoms and Risk Factors Comparison of Ischemic and Hemorrhagic Stroke

Sanyasi¹,

Pinzon²

2018

JKKI

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Backround: It is very important to know and detect various stroke symptoms because stroke is an emergency condition. Lack of knowledge about stroke symptoms leads to delay on stroke treatment. Objective: The aim of this study is to compare clinical symptoms and risk factors between ischemic and hemorrhagic stroke. Methods: This study was a case control study. The subjects in this study were ischemic and hemorrhagic stroke patients. Subjects' data were recorded in electronic stroke registry at Bethesda Hospital, Yogyakarta. Results: The most common clinical symptoms in both groups were limb weakness (76.4% vs 71.4%), whereas the rarest was face drooping (2% vs 3.6%). Hypertension was the most common risk factor in both group (48% vs 71.4%), whereas atrial fibrillation was the rarest. This study did not find the specific correlation between any clinical symptoms to ischemic stroke incidence, however, decrease a level of consciousness was significant to hemorrhagic stroke incidence (OR: 2.738, 95% CI: 1.503-4.990, p: 0.001). Previous stroke (OR: 2.413, 95% CI: 1.314-4.433, p: 0.005) and dyslipidemia (OR: 4.862, 95% CI: 2.613-9.045, p: 0.000) were significant increasing risk of ischemic stroke. Hypertension was only the significant increasing risk of hemorrhagic stroke (OR: 3.680, 95% CI: 2.086-6.492, p: 0.000). Conclusion: Decrease level of consciousness has a significant correlation to hemorrhagic stroke incidence, but there is no specific symptom correlate to ischemic stroke incidence. Previous stroke and dyslipidemia are significant risk factors for ischemic stroke, whereas hypertension is the only significant risk factor for hemorrhagic stroke.Latar Belakang: Sangat penting untuk mengetahui dan mendeteksi gejala stroke dengan segera karena penanganan stroke berpacu dengan waktu. Kurangnya pengetahuan mengenai gejala stroke akan mengakibatkan keterlambatan dalam penanganan stroke. Tujuan Penelitian: Penelitian ini bertujuan untuk mengetahui perbandingan gejala klinis dan faktor risiko pada pasien stroke iskemik dan stroke hemoragik. Metode: Penelitian ini menggunakan desain penelitian kasus kontrol. Subjek dalam penelitian ini adalah pasien stroke iskemik dan stroke hemoragik yang tergister elekronik di Rumah Sakit Bethesda, Yogyakarta. Hasil: Gejala klinis yang paling sering muncul pada kedua grup adalah kelemahan anggota gerak (76.4% vs 71.4%), sedangkan gejala klinis yang paling jarang adalah wajah perot (2% vs 3.6%). Hipertensi merupakan faktor risiko stroke yang paling sering dijumpai pada kedua grup (48% vs 71.4%), sedangkan atrial fibrilasi paling jarang dijumpai. Penelitian ini tidak menemukan adanya gejala khusus yang

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Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 98%

Clinical Symptoms and Risk Factors Comparison of Ischemic and Hemorrhagic Stroke

Sanyasi¹,

Pinzon²

2018

JKKI

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“…From 2010 to 2015 there was a 51.4% increase in stroke presentations (Figure 1). Over the five year period, a total of 921 adults made 952 presentations to the ED and were diagnosed with stroke, the majority (n=825, 86.7%) were ischaemic rather than haemorrhagic (n=127, 13.3%) in nature. Of the 952 presentations, a total of 63 were re-presentations with two presentations by 29 patients for ischaemic stroke and one patient for haemorrhagic stroke, while one patient had three presentations of ischaemic stroke.…”

Section: Resultsmentioning

confidence: 99%

“…Stroke is a leading cause of death and disability with an increasing trend of stroke presentations attending the ED. [13] There is limited data on ED stroke presentations in Australia and therefore the aim of this study was to describe stroke presentations to an ED in South-East Queensland Australia. This study found that despite an increase in stroke presentations over the five year period there was a trend towards improvements in most outcomes studied.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of adult stroke presentations at an Emergency Department in Queensland Australia

Bernaitis

Anoopkumar‐Dukie

Bills

et al. 2019

International Emergency Nursing

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Background:Stroke is a leading cause of mortality and morbidity which places high demands on emergency departments(EDs). Currently there is limited data on stroke presentations to Australian EDs and the time performance management of these presentations. Therefore, the aim of this study was to evaluate stroke presentations at an ED in Queensland, Australia in terms of demographics and time performance measures over a five year period.Methods:Retrospective analysis of ED presentations by patients≥18 years with a final diagnosis of stroke between 1 July 2010 and 30 June 2015.Results:Over the five years there was a 51.4% increase in presentations diagnosed with stroke. The majority of these patients arrived by ambulance(71.0%) and were admitted(94.9%) with death in ED for 1.4% of presentations. From 2010 to 2015 for both haemorrhagic and ischaemic stroke there was a significant decrease in median LOS in ED(435 to 215 mins,p<0.05 and 451 to 238 mins,p<0.001 respectively) and in the proportion of patients in ED greater than four hours(82.4% to 44%,p<0.05 and 92.4% to 45.8%,p<0.0001 respectively). Conclusion:Despite increased presentations of stroke, the ED improved in multiple time performance measures. Improving time-based targets in ED is particularly important for stroke presentations given the time critical nature of stroke management. An observational study was conducted at a public teaching hospital in South-East Queensland. The ED recorded 91902 total ED presentations in 2014-5[11]. Human Research Ethics Committee approval was obtained from the local health service and Griffith University (HREC/14/QPAH/445 and GU 2015/863) Data source Data were extracted by a member of the hospital Health Informatics Division. This pertained to routinely collected data from the hospital information systems including Emergency Department Information System (EDIS), Hospital Based Corporate Information System (HBCIS) and the PPM/TII database. Data extracted included demographics, i.e. date of birth and gender, and clinical information, i.e. arrival date and time, mode of arrival, triage priority, date and time seen by treating doctor, departure date and time, departure status, and ED length of stay (LOS) with times represented in minutes.

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“…Electrolytes play an important role in muscle contraction, electrolytes referred to in this study include sodium, potassium, and calcium 9 . Therefore, researchers want to assess the relationship between serum sodium, potassium, 3 show the relationship of sodium serum levels at admission with MAS scores was tested with the Spearman test.…”

Section: Introductionmentioning

confidence: 99%

Correlation of Sodium, Potassium, and Calcium Serum Levels and Motor Function Outcome With Ischemic Stroke Patients in Haji Adam Malik General Hospital, Medan

Surbakti¹,

Kadri²,

Nasution³

2020

IJRSM

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Background: Ischemic stroke is the second caused of death at the age of more than 60 years and is a major cause of disability in adults. Disability is caused by motor disorders, nearly 80% of ischemic stroke patients experience motor disturbances. Stroke patients are also often found electrolyte disturbances that affect the clinical outcome of ischemic stroke patients. Objective: To determine correlation of sodium, potassium, and calcium serum levels on admission with motor function outcome of ischemic stroke patients.Research Methods: This study was a cross-sectional study selected with consecutive sampling techniques, where patients diagnosed with ischemic stroke treated at Haji Adam Malik General Hospital Medan who met the exclusion and inclusion criteria were included in this study. The study began from March to June 2020. Results: This study was conducted on 33 samples consisting of 18 men and 15 women with an average age of 59.85 ± 10.91 years. There was no significant relationship between serum sodium levels at admission with MAS scores (p= 0.945) with very weak correlation strength (r= 0.013). There was no significant relationship between serum potassium levels at admission with MAS score (p= 0.225) and weak correlation strength (r= 0.217). There was a significant relationship between serum calcium levels at admission with MAS scores (p= 0.001) with moderate correlation strength (r= 0.536) Conclusion: There is no correlatiaon between serum sodium and potassium levels with motor function outcome.There is a correlatiaon between serum calcium levels and motor function outcome.

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Clinical and Demographic Properties of the Acute Stroke Patients Admitted to Emergency Department of a Tertiary Referral Center

Cited by 3 publications

References 33 publications

Clinical Symptoms and Risk Factors Comparison of Ischemic and Hemorrhagic Stroke

Clinical Symptoms and Risk Factors Comparison of Ischemic and Hemorrhagic Stroke

Evaluation of adult stroke presentations at an Emergency Department in Queensland Australia

Correlation of Sodium, Potassium, and Calcium Serum Levels and Motor Function Outcome With Ischemic Stroke Patients in Haji Adam Malik General Hospital, Medan

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