Manuscript title: Duration in initiation of treatment by health care professionals to patient admitting in selected hospital of Kamrup (M), Assam: An observational study

Abstract

The timing of ICU admission is associated with mortality outcome for critically ill patient, and delayed ICU admission has been related to increased death for critically ill patient who requires close monitoring and intensive treatment. Early or delay in initiation of treatment to stroke and head injury patient may have an impact on the health status of the patient. So, the study was conducted to assess the duration in initiation of treatment by the health care professionals to stroke and head injury patient admitting in emergency and ICU. The objective of the study is to assess the duration in initiation of treatment by the staff nurses and Doctors to patient admitting in emergency department and ICU of selected hospital of Kamrup (M ), Assam. Hence a descriptive research design was used to assess the duration in initiation of treatment by the health care professionals to stroke and head injury patient admitting in emergency and ICU with the objective of assessing the duration in initiation of treatment by the staff nurses and Doctors to patient admitting in emergency department and ICU of selected hospital of Kamrup (M ), Assam. Sample size for the study was on 78 health care professionals in which 26 were staff nurses and 52 were doctors working in emergency department and ICU of selected hospitals Convenience sampling technique was used for obtaining the adequate sample for the study. Respondents were selected on the basis of inclusion and exclusion criteria. The duration of initiation of treatment were checked by using observation checklist. The result shows that in the analysis of duration in initiation of treatment by the staff nurses and doctors, the investigator found that the minimum time taken for brief history collection was 4mins 18secs and the maximum time was 9mins 12secs. The minimum time for performing physical examination was 4mins 32secs and maximum time was 6mins 43 secs. For initiation of medication, the minimum time taken was 13mins 16secs and the maximum time was 14mins 2secs. The minimum time taken for initial visit by the doctors was 2mins 17secs and maximum time was 55mins 55secs.Hence the study concluded that early initiation of treatment to stroke and head injury patient may improve the patient outcome and also the quality of care of the organisation whereas delay in initiation of treatment may deteriorates the condition of the patient and also increase the hospital mortality rate.