MỐI LIÊN QUAN GIỮA KHẢ NĂNG Y TẾ CƠ SỞ VÀ LÂM SÀNG VỚI THỜI GIAN ĐẾN VIỆN Ở BỆNH NHÂN NHỒI MÁU NÃO

Abstract

Objectives: To investigate the relationship between basic and clinical medical capacity and hospital admission time in patients with cerebral infarction. Methods: A prospective cross-sectional descriptive study on 86 patients who came to the hospital before 4.5 hours and 170 patients who came to the hospital after 4.5 hours of disease onset, having inpatient treatment at the Stroke Department, Military Hospital 103, from June 2022 to March 2023. Results: Patients with a medical history of stroke, who came to the hospital before 4.5 hours were 32.6%, and after 4.5 hours was 22.9%, p = 0.031. Patients with other diseases who came to the hospital after 4.5 hours were 81.8%, and after 4.5 hours were 69.8%, p = 0.043. Misdiagnosis in the group hospitalized before 4.5 hours was 38.8%, and after 4.5 hours was 22.1%, p = 0.011. Symptoms of hemiplegia, facial nerve palsy, and language disorders were high in the group who went to the hospital before 4.5 hours compared to the group who went to the hospital after 4.5 hours, with p < 0.05. Logistic regression analysis showed that misdiagnosis (OR = 0.297; 95%CI = 0.104 - 0.85; p = 0.024) and past medical history of stroke (OR = 1.294; 95%CI = 1.296 - 3.897; p = 0.032) were independent factors associated with hospital admission time. Conclusion: Medical history of stroke, other diseases, symptoms of hemiplegia, facial nerve paralysis, and language disorder were related to hospitalization before 4.5, in which misdiagnosed and past medical history of stroke were independent related factors.