Factors associated with delayed hospital presentation for patients with acute stroke in Makkah: A cross-sectional study

Alkhotani, Amal; Almasoudi, Aseel A; Alzahrani, Jawaher; Alkhotani, Emad; Kalkatawi, Mamdouh; Alkhotani, Alaa

doi:10.1097/md.0000000000030075

Cited by 5 publications

(3 citation statements)

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“…Although in our study we found no differences in mortality when stratifying our sample by schooling, there is also evidence in the literature that lower schooling is associated with a higher risk of dying from stroke [18]. Also, formal work has been associated with earlier consultation at the time of acute stroke in the international literature, which is similar to what was found in our study [19]. Importantly, education may be related to work, as less educated people are also often those with higher unemployment rates and this may in turn influence this outcome [19].…”

Section: Discussionsupporting

confidence: 86%

“…Also, formal work has been associated with earlier consultation at the time of acute stroke in the international literature, which is similar to what was found in our study [19]. Importantly, education may be related to work, as less educated people are also often those with higher unemployment rates and this may in turn influence this outcome [19].…”

Section: Color Version Available Onlinesupporting

confidence: 89%

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Risk Factors, Presentation, and Outcome in Acute Stroke according to Social Position Indicators in Patients Hospitalised in a Referral Centre in Bogotá 2011–2019

et al. 2023

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Introduction: Treatment of stroke is time-dependent and it challenges patients’ social and demographic context for timely consultation and effective access to reperfusion therapies. Objective: The objective of this study was to relate indicators of social position to cardiovascular risk factors, time of arrival, access to reperfusion therapy, and mortality in the setting of acute stroke. Methods: A retrospective analysis of patients with a diagnosis of ischaemic stroke in a referral hospital in Bogotá was performed. A simple random sample with a 5% margin of error and 95% confidence interval was selected. Patients were characterised according to educational level, place of origin, marital status, occupation, duration of symptoms before consultation, cardiovascular risk factors, access to reperfusion therapy, and mortality during hospitalisation. Results: 558 patients were included with a slight predominance of women. Diagnosis of diabetes was more common in women and smoking in men (n = 68, 28.4% vs. n = 51, 15.9%; p = 0.0004). Rural origin was associated with higher prevalence of hypertension, diabetes, and dyslipidaemia (hypertension n = 45, 73.8% vs. n = 282, 57.4%; p = 0.007; diabetes n = 20, 33.3% vs. 109, 19.5%; p = 0.02; dyslipidaemia n = 19, 32.7% vs. n = 93, 18.9%; p = 0.02). Mortality was higher in rural patients (n = 8, 14.2% vs. n = 30, 6.1%; p = 0.03). Lower schooling was associated with higher frequency of hypertension and dyslipidaemia (hypertension n = 152, 76.0% vs. n = 94, 46.3%; p ≤ 0.0001; dyslipidaemia n = 56, 28% vs. n = 35, 17.0%; p = 0.009) as well as with late consultation (n = 30, 15% vs. n = 59, 28.7%; p = 0.0011) and lower probability of accessing reperfusion therapy (n = 12, 6% vs. n = 45, 22%; p ≤ 0.0001). Formal employment was associated with a visit to the emergency department in less than 3 h (n = 50, 25.2% vs. n = 58, 18%, p = 0.04 and a higher probability of accessing reperfusion therapy (n = 35, 17.6% vs. n = 33, 10.2%; p = 0.01). Finally, living in a household with a stratum higher than 3 was associated with a consultation before 3 h (n = 77, 25.5% vs. n = 39, 15.6%; p = 0.004) and a higher probability of reperfusion therapy (n = 57, 18.9% vs. n = 13, 5.2%; p ≤ 0.0001). Conclusion: Indicators of socio-economic status are related to mortality, consultation time, and access to reperfusion therapy. Mortality and reperfusion therapy are inequitably distributed and, therefore, more attention needs to be directed to the cause of these disparities in order to reduce the access gap in the context of acute stroke in Bogotá.

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Section: Discussionsupporting

confidence: 86%

Section: Color Version Available Onlinesupporting

confidence: 89%

Risk Factors, Presentation, and Outcome in Acute Stroke according to Social Position Indicators in Patients Hospitalised in a Referral Centre in Bogotá 2011–2019

et al. 2023

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“…In Makkah, Saudi Arabia, a recent cross-sectional study was conducted in 2022 to evaluate the late hospital arrival of patients with acute ischemic stroke. It was discovered that 45% of patients presented late and 55% of patients presented early [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

Time Window for Acute Stroke Treatment: Current Practice in King Abdullah Medical City Specialist Hospital in Makkah, Saudi Arabia

Alkhotani¹,

Alharbi²,

Alghamdi³

et al. 2022

Cureus

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Prevalence and influencing factors of patient delay in stroke patients: a systematic review and meta-analysis

Dong,

Ma,

Chen

et al. 2024

Neurosurg Rev

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Factors associated with delayed hospital presentation for patients with acute stroke in Makkah: A cross-sectional study

Cited by 5 publications

References 21 publications

Risk Factors, Presentation, and Outcome in Acute Stroke according to Social Position Indicators in Patients Hospitalised in a Referral Centre in Bogotá 2011–2019

Risk Factors, Presentation, and Outcome in Acute Stroke according to Social Position Indicators in Patients Hospitalised in a Referral Centre in Bogotá 2011–2019

Time Window for Acute Stroke Treatment: Current Practice in King Abdullah Medical City Specialist Hospital in Makkah, Saudi Arabia

Prevalence and influencing factors of patient delay in stroke patients: a systematic review and meta-analysis

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