Comparison of pre-hospital and in-hospital delays in acute ischemic stroke patients before and during the COVID-19 pandemic in Kashan, Iran
Background and Aim: The COVID-19 pandemic significantly affected the treatment and care of many patients. This study aimed to compare pre-hospital delays (the time from symptom onset until hospital arrival) and in-hospital delays (the time from hospital arrival until alteplase injection) in patients...
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| Published in: | مجله علوم پزشکی فیض (پیوسته) Vol. 28; no. 4; pp. 408 - 415 |
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| Main Authors: | , , |
| Format: | Journal Article |
| Language: | Persian |
| Published: |
Kashan University of Medical Sciences
01-06-2024
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| Subjects: | |
| Online Access: | Get full text |
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| Summary: | Background and Aim: The COVID-19 pandemic significantly affected the treatment and care of many patients. This study aimed to compare pre-hospital delays (the time from symptom onset until hospital arrival) and in-hospital delays (the time from hospital arrival until alteplase injection) in patients with acute ischemic stroke, both before and during the COVID-19 pandemic in Kashan, Iran. Methods: In this cross-sectional study, 202 patients with acute strokes who were referred to Shahid Beheshti Hospital in Kashan, Iran, were included based on inclusion criteria using a census method. The data were collected over two one-year intervals: before (n=100) and during (n=102) the COVID-19 pandemic. The researcher compiled demographic and clinical information using a researcher-designed questionnaire, which was completed through patient medical files, the information system of the Kashan Emergency Medical Center, and communication with patients or their companions. Results: No significant differences were observed between patients before (n=100) and during (n=102) the COVID-19 pandemic regarding the time intervals between symptom onset and hospital arrival (pre-hospital delay), as well as the time from hospital arrival to CT scan (P≥0.05). However, the interval from hospital arrival to alteplase injection (in-hospital delay) during the COVID-19 pandemic was significantly shorter than that observed prior to the pandemic (P<0.05). Conclusion: The interval from hospital arrival to alteplase injection significantly decreased during the COVID-19 pandemic. In contrast, the time intervals from hospital arrival to CT scan and from symptom onset to hospital arrival did not show significant differences. |
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| ISSN: | 3060-5806 3060-5814 |