Management of Ischemic Stroke in a Tertiary Care Hospital in Khyber Pakhtunkhwa: Existing Status and Prospective Opportunities.

Autor:	Mehmood Z; Neurology, Lady Reading Hospital-Medical Teaching Institute (LRH-MTI), Peshawar, PAK., Khan SU; Neurology, Lady Reading Hospital-Medical Teaching Institute (LRH-MTI), Peshawar, PAK.; Internal Medicine, Ayub Teaching Hospital, Abbotabad, Abbotabad, PAK., Khan B; Neurosurgery, Lady Reading Hospital-Medical Teaching Institute (LRH-MTI), Peshawar, PAK., Mansoor Shah S; Neurosurgery, Lady Reading Hospital-Medical Teaching Institute (LRH-MTI), Peshawar, PAK., Khan A; Neurosurgery, Queen Elizabeth Hospital Birmingham, University Hospitals Birmingham NHS Foundation Trust, Birmingham, GBR., Ali H; Clinical Neurosciences, Royal Infirmary, Edinburgh, GBR., Jawad Ahmed S; Neurosurgery, Lady Reading Hospital-Medical Teaching Institute (LRH-MTI), Peshawar, PAK., Ur Rehman M; Radiology, Lady Reading Hospital-Medical Teaching Institute (LRH-MTI), Peshawar, PAK., Nawaz H; Neurology, Lady Reading Hospital-Medical Teaching Institute (LRH-MTI), Peshawar, PAK., Uliqbal R; Neurosurgery, Lady Reading Hospital-Medical Teaching Institute (LRH-MTI), Peshawar, PAK.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Jun 25; Vol. 16 (6), pp. e63094. Date of Electronic Publication: 2024 Jun 25 (Print Publication: 2024).
DOI:	10.7759/cureus.63094
Abstrakt:	Background and objective Khyber Pakhtunkhwa is the third largest province of Pakistan by population and has a high incidence of ischemic stroke. We evaluated all patients who presented to the largest tertiary care facility in the province to learn about the current trends in the management of ischemic stroke and explore future opportunities in this regard.  Materials and methods This prospective observational research was carried out at the Lady Reading Hospital-Medical Teaching Institute (LRH-MTI), Peshawar, in the province of Khyber Pakhtunkhwa (KP). The hospital's ethics committee granted the required permissions for the research. Any patient with an ischemic stroke diagnosis, regardless of age, met the inclusion criteria if their diagnosis was confirmed by clinical assessment, imaging (such as CT or MRI), or both. The clinical parameters that were evaluated included the duration since the patient's reported onset of symptoms, the patient's first mode of transfer to the hospital (such as ambulance, private vehicle, or other means), and the date and time of admission to the hospital. A structured database containing the data was utilized, and IBM SPSS Statistics for Windows, Version 25 (released 2017; IBM Corp., Armonk, New York, United States) was used for statistical analysis. Results One hundred fifty-six stroke patients were diagnosed throughout the study period, with 76 of them having an ischemic stroke, accounting for 49% of all stroke cases. Approximately 43% (n = 33) of the patients were from Peshawar, with the remaining patients coming from adjacent districts. There was only a small percentage (19%, n = 15) of patients who were eligible for any thrombolytic therapy, and the majority (93%) were brought by private vehicles. There was a significant association between age and arrival in the emergency room (p = 0.003). Conclusion The study reveals subpar ischemic stroke management in Khyber Pakhtunkhwa, requiring coordinated efforts, modernization of treatment methods, and increased public awareness to improve patient outcomes. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Ethical Review Board issued approval 175/23. Permission was granted to Dr. Sami Ullah Khan for conducting the study presenting with ischemic stroke patients at the Lady Reading Hospital Medical Teaching Institute (MTI), Peshawar. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Mehmood et al.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu