Factors Associated With EMS Notification in Acute Stroke Patients Who Have Symptoms within 4.5 Hours before Chaiyaphum Hospital Arrival: A Descriptive Study
Keywords:
Chaiyaphum hospital, Acute stroke, Recombinant Tissue - Plasminogen Activator, Emergency Medical ServiceAbstract
There are a lot of acute stroke patients in Chaiyaphum hospital each month. The disease has high morbidity and mortality rate and causes an economic and social problems that affect both patient and care giver. Acute ischemic stroke patients who have symptoms within 4.5 hours are candidate for recombinant tissue - plasminogen activator (rt-PA). Emergency Medical Service (EMS) is responsible for effective treatment and prepares the processes to increase opportunity for rt-PA administration that leads to decrease morbidity and mortality in these patients.
Objective: To analyze factors associated with EMS notification in acute stroke patients who have symptoms within 4.5 hours before Chaiyaphum hospital arrival.
Material and Method: A Descriptive study. Data is collected from 1st February 2017 to 30th April 2017. Subjects that included from acute stroke patients who have symptoms within 4.5 hours before Chaiyaphum hospital arrival, deliverer and EMS caller are perform questionnaire. The association between factors and EMS notification are analyzed by Fisher’s Exact Test.
Result: Totally 38 subjects were enrolled. The factors that significantly associated with EMS notification is availability of vehicle that decrease EMS notification rate (p-value = 0.010). The factors that nonsignificantly associated are gender, age, education, income, residence, knowledge in stroke symptoms, familiar with EMS, day shift and patient that are within 10 kilometers (p-value ≥ 0.05). The factors that do not associated are occupation, marital status, having underlying disease, accessibility to telephone and incapacity to use telephone (p-value = 1.00).
Conclusion: To increase the EMS utilization in acute stroke patients who have symptoms within 4.5 hours before Chaiyaphum hospital arrival, the EMS should be developed in patient care process, public relations in telephone number 1669 and campaign for EMS notification in urban and rural areas.
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