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KMID : 1164520170350020072
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Journal of Military Nursing Research
2017 Volume.35 No. 2 p.72 ~ p.80
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Influencing Factors of Prehospital Delay among Young and Middle Aged Stroke Patients
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Park Yoon-Jin
Choi Seon-Young
Jeon Yun-Gyong
Jung Yoo-Mi
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Abstract
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Purpose : This study examines stroke patients` prehospital delay and its influencing factors to provide basic information for effective management and treatment of young adult and middle-aged stroke patients.
Methods : The analyzed medical records were 260 stroke patients who were admitted to a university hospital from January, 2012 to April, 2015. The data included the time range from symptom outbreak to arrival to the hospital, National Institute of Health Stroke Scale (NIHSS) score, and general characteristics. Descriptive statistics, chi-square test, paired t-test, and multinomial logistic regression were conducted.
Results : Only 33.1% of the patients arrived at the hospital within 3 hours while 55.8% of them took 6 hours or longer after stroke symptoms` onset. Those who arrived within 3 hours after the symptom onset demonstrated a significant decrease in NIHSS scores when they were discharged, compared to those measured upon arrival, by 1.36 for those in their 40s (p=.010) and 1.04 in their 50s (p=.015), respectively. Sex, age, medical history of atrial fibrillation, and type of stroke were found to influence on prehospital delay of 6 hours or longer.
Conclusion : Although prehospital delay affects the prognosis of stroke patients, the number of patients entering a medical facility within 3 hours after onset of symptoms is still low. This study suggests a longitudinal future research to identify influencing factors on prehospital delay by different age groups and to develop education programs for each group.
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KEYWORD
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Stroke, Delay, Young adult, Middle aged
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