Ischemic stroke in Morocco: Prehospital delay and associated factors

Kharbach, Ahmed; Obtel, Majdouline; Achbani, Abderrahmane; Aasfara, Jehanne; Hassouni, K.; Lahlou, Laila; Rachid, R.

doi:10.1016/j.respe.2021.03.010

Cited by 5 publications

(3 citation statements)

References 71 publications

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“…This could be explained by inadequately developed stroke pre-hospital referral systems and limited community knowledge of the importance of arriving early to an institution that can provide vital stroke services. It should be noted that different thresholds were used to define late hospital arrival: 3 h [ 23 , 46 ], 4 h [ 47 ], and 4.5 h for most studies [ [48] , [49] , [50] ], and even 6 h [ 51 ] for others. The 4.5-h threshold used in this study is the standard time for administering intravenous thrombolysis.…”

Section: Discussionmentioning

confidence: 99%

Stroke signs knowledge and factors associated with a delayed hospital arrival of patients with acute stroke in Kinshasa

KAZADI KABANDA,

KIANGEBENI NGONZO,

EMEKA BOWAMOU

et al. 2024

Heliyon

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Section: Discussionmentioning

confidence: 99%

Stroke signs knowledge and factors associated with a delayed hospital arrival of patients with acute stroke in Kinshasa

KAZADI KABANDA,

KIANGEBENI NGONZO,

EMEKA BOWAMOU

et al. 2024

Heliyon

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“…Previous studies reported that a distance of 20 km or less from the hospital[ 10 , 13 , 18 ] was associated with early arrival and certain PHD was associated with distances of 50 km or more. [ 23 ]…”

Section: Discussionmentioning

confidence: 99%

“…Many studies conducted all over the world report lack of awareness about identification of stroke symptoms and its management by the patient and their relatives influence the PHD. [ 7 , 9 , 12 , 16 , 17 , 23 , 32 ]…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Prehospital Delay in Patients with Acute Stroke in South India

Revathi

Kavitha

Shankar

2022

Indian Journal of Community Medicine

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Background: Early hospital presentation is critical in the management of acute ischemic stroke. The effectiveness of stroke treatment is highly dependent on the amount of time lapsed between onset of symptoms and treatment. This study was aimed to identify the factors associated with prehospital delay in patients with acute stroke. Material and Methods: A cross-sectional descriptive study was conducted in Sri Ramachandra University Hospital, India. A total of 210 patients hospitalized in the stroke unit were included. Patients’ data were obtained by interviewing the patient and/or accompanying family member and by reviewing their medical records using a standard questionnaire. Associations were determined between prehospital delay (≥4.5 h) and variables of interest by using univariate and multivariate logistic regression analyses. Results: The prehospital delay was observed in 154 patients (73.3%) and the median prehospital delay was 11.30 h. The following are the factors significantly ( P < 0.05) attributed for the delay in presenting to the hospital: contextual factors like using public transport (bus), taxi, time of onset of symptoms, 7 pm–3 am; family history of stroke, perceived cognitive and behavioral factors like, wishing or praying for the symptoms to subside on its own, hesitation to travel due to long distance, delay in arranging transport, and arranging money for admission and wasting time by shopping for general practitioners, nursing homes, and hospitals. The presence of stroke symptom, headache, significantly decreased the prehospital delay. Conclusions: Prehospital delay is high in South India and influenced by clinical, contextual, and cognitive/behavioral factors.

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Influencing factors for decision-making delay in seeking medical care among acute ischemic stroke patients in rural areas

Zhang

Sun

et al. 2023

Patient Education and Counseling

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Ischemic stroke in Morocco: Prehospital delay and associated factors

Cited by 5 publications

References 71 publications

Stroke signs knowledge and factors associated with a delayed hospital arrival of patients with acute stroke in Kinshasa

Stroke signs knowledge and factors associated with a delayed hospital arrival of patients with acute stroke in Kinshasa

Factors Associated with Prehospital Delay in Patients with Acute Stroke in South India

Influencing factors for decision-making delay in seeking medical care among acute ischemic stroke patients in rural areas

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