Stroke pathway and treatment at Viet Tiep Friendship Hospital from RES-Q registry database

  • Nguyễn Thị Thu Huyền Bệnh viện Hữu nghị Việt Tiệp

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Keywords

Processes of care, ischemic stroke, intracerebral hemorrhage

Abstract

    Objective: Evaluating the current state of emergency and treatment of acute stroke patients at the Stroke Department of Viet Tiep Friendship Hospital. Subject and method: Prospective, descriptive study on 640 patients diagnosed with acute stroke treated at the Stroke Department of Viet Tiep Friendship Hospital, Hai Phong from October 2023 to March 2024. Result: Mean age: 67.2 ± 14.7, Male 59.9%.  Common  risk factors being hypertension (65.0%), diabetes (35.1%), atrial fibrillation (21.6%). Ischemic stroke (83.0%), Intracerebral Hemorrhage (ICH) (17.0%). Intravenous thrombolysis 29.0% and Mechanical Thrombectomy treatment 20.9%. Median door to-needle time was 40.0 minutes. The median door-to-groin time was 55.0 minutes.The average NIHSS score at admission was 7.2 and at discharge 3.0 points. Outcome after 3 months with mRS (0 - 2) accounts for 68.0%, severe sequelae, death mRS (5-6) accounts for 12.3%. Conclusion: Implementation of the RES-Q–based stroke care protocol at Viet Tiep Friendship Hospital was associated with higher reperfusion therapy rates and shorter treatment times, contributing to improved quality of acute stroke management.

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References

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