Mortality Rate of Ischemic Stroke Patients after Establish Stroke Fast Tract in Phetchabun Hospital - อัตราการเสียชีวิตของผู้ป่วย Ischemic Stroke ภายหลังการจัดตั้ง Stroke Fast Track ของโรงพยาบาลเพชรบูรณ์

Abstract

        The object of this study was to compare the mortality rate of ischemic stroke patients before and after the establishment of stroke fast track service since 1 October 2010 in Phetchabun Hospital. Multiple factors were compared between the death and the survive groups of patients who received treatment with recombinant tissue plasminogen activator (rt-PA). Patients recruited in the study were those diagnosed as ischemic stroke attending the hospital from 1 October 2005 to 14 May 2014 with the age of over 15 years old. Patients with arterial blood pressure more than 180/110 mmHg,bleeding tendency, pregnancy, or having incomplete data were excluded. It was found that 3.79% of ischemic stroke patients received rt- PA. The mortality rates of ischemic stroke patients before and after establish stroke fast track were not difference statistically (11.2±1.36 versus 10.42±3.34, p=0.670). The death patient group had higher rate of diabetes, intracerebal hemorrhage, level of NIHSS before receive thrombolysis (11.60±4.17 versus 11.26±4.56, p=0.006) and the level of the National Institute of Health Stroke Scale (NIHSS) after receive thrombolysis (7.90±8.604 versus 47±4.56, p<0.0001) than surviving patient group.
Key words: ischemic stroke, thrombolysis, stroke fast track