Care and Discharge Outcome of Acute Stroke in Lebanon
| Autor: | Souheil Hallit, Nathalie Lahoud, Marie Helene Abbas, Hassan Hosseini, Nadine Saleh, Pascale Salameh, Souheil Gebeily, Elias Rizk |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Activities of daily living Hospital based study 03 medical and health sciences 0302 clinical medicine Case fatality rate medicine Humans Hospital Mortality 030212 general & internal medicine Lebanon Aged Retrospective Studies Acute stroke Aged 80 and over Proportional hazards model business.industry Medical record Hazard ratio Retrospective cohort study Middle Aged Patient Discharge Hospitalization Stroke Psychiatry and Mental health Treatment Outcome Emergency medicine Female business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Nervous & Mental Disease. 206:637-643 |
| ISSN: | 1539-736X 0022-3018 |
| Popis: | The present study was conducted to assess stroke care and outcomes in two Lebanese hospitals. Patients admitted in 2012 and 2013 were retrospectively selected. Data were extracted from medical records for time to hospital arrival, stroke severity, management, and discharge outcomes. A Cox regression analysis was then conducted to predict time to in-hospital death. A total of 201 patients were included (mean age = 69.2 years), among whom 50% arrived within a delay of 3.75 hours. Half underwent brain imaging in the first hour, and nine patients received an acute intervention. Forty-four patients died at the hospital; 142 were discharged home, among whom 98 patients were dependent in their daily activities. Stroke severity on admission and time from onset to arrival were found to be significantly associated to the time to in-hospital death (adjusted hazard ratio [HRa] = 1.13 and HRa = 0.98 respectively; p < 0.05). The study sheds light on high case fatality and dependency rates at discharge among stroke patients in Lebanese hospitals. |
| Databáze: | OpenAIRE |
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