Knowledge and attitudes towards stroke among workers in three university hospitals in Egypt

El-Mously, Sherine; Hamdy, Heba; Abdel-Monem, A. M.; Abdelalim, Ahmed; Sherbiny, Naglaa El; Ahmed, Sandra; Moustafa, Ramez Reda; Samir, Hatem; Emara, Tamer; Ghaffar, Hadeer Abdel; Bar, Abdullah; AbuZeid, S.

doi:10.1016/j.jns.2013.07.1003

Cited by 3 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Stroke is part of the neurology curriculum of all 21 medical schools in Egypt, yet students would typically only receive two to six-hours of formal teaching about stroke. Consequently, as shown in a recent study (23), more than a third of healthcare professionals at two major university hospitals failed to correctly identify the symptoms of stroke, and only half of them would advise stroke patients to immediately go to a hospital. This underscores a significant gap in knowledge and a nihilistic view toward stroke that needs to be corrected by, for example, a unified stroke education module that is taught to all medical and nursing students across the country, emphasizing the value of urgent identification and treatment of stroke.…”

Section: Educationmentioning

confidence: 99%

Burden of Stroke in Egypt: Current Status and Opportunities

Abd-Allah

Moustafa

2014

International Journal of Stroke

View full text Add to dashboard Cite

Middle East and North Africa (MENA) countries have a diversity of populations with similar life style, dietary habits, and vascular risk factors that may influence stroke risk, prevalence, types, and disease burden. Egypt is the most populated nation in the Middle East with an estimated 85.5 million people. In Egypt, according to recent estimates, the overall prevalence rate of stroke is high with a crude prevalence rate of 963/100,000 inhabitants. In spite of disease burden, yet there is a huge evidence practice gap. The recommended treatments for ischemic stroke that are guideline include systematic supportive care in a stroke unit or stroke center is still deficient. In addition, the frequency of thrombolysis in Egypt is very low for many reasons; the major one is that the health insurance system is not covering thrombolysis therapy in nonprivate sectors so patients must cover the costs using their own personal savings; otherwise, they will not receive treatment. Another important factor is the pronounced delay in prehospital and in hospital management of acute stroke. Improvement of stroke care in Egypt should be achieved through multi and interdisciplinary approach including public awareness, physicians' education, and synergistic approach to stroke care with Emergency Medical System.

show abstract

Section: Educationmentioning

confidence: 99%

Burden of Stroke in Egypt: Current Status and Opportunities

Abd-Allah

Moustafa

2014

International Journal of Stroke

View full text Add to dashboard Cite

show abstract

“…One study in Egypt 8 reported that more than a third of healthcare professionals at two major university hospitals failed to correctly identify the symptoms of stroke, and only half of them would advise stroke patients to immediately go to a hospital. Thus, awareness programs and ongoing continuous medical education modules for primary care and emergency physicians (the principal contact points) should emphasize the value of urgent identification and treatment of stroke and include orientation about the hospitals that can offer reperfusion therapies.…”

Section: Discussionmentioning

confidence: 99%

Egyptian experience in increasing utilization of reperfusion therapies in acute ischemic stroke

Zakaria

Aref

ElNasser

et al. 2017

International Journal of Stroke

View full text Add to dashboard Cite

Background The rate of alteplase (tPA) thrombolysis utilization in acute stroke in Egypt is <1%. We report on the causes of this low rate of reperfusion therapies and take corrective action to improve it. Methods Two prospective observational studies were conducted at Ain Shams University hospitals. The first included 269 acute stroke patients admitted to the hospital over a six-month period. Obstacles to reperfusion therapy were identified, and based on the results, a corrective action plan was implemented including making alteplase(tPA) available, training, and establishing a standardized local protocol for reperfusion therapy. A second study was then conducted that included 284 acute ischemic stroke patients over another six-month period. Results In the first study, 53/269 patients (19.7%) arrived at hospital within 4.5 h and were eligible for reperfusion therapy. Of those, seven (13.2%) received alteplase(tPA), representing 2.6% of the total ischemic stroke patients admitted. The main causes for not giving thrombolytic therapy was unavailability of alteplase(tPA) (56.5%), wrong treatment decision (17.4%), missed window while performing brain imaging (15%), and unavailability of intermediate care bed (10.9%). The second study showed that out of 284 cases admitted with acute ischemic stroke, 37 were eligible for thrombolysis and 35 received alteplase(tPA) (94.3%), representing 12.3% of the total ischemic stroke admissions. Conclusion A comprehensive action plan that centers around making the drug available and training resulted in a significant improvement of reperfusion therapy utilization in Egypt.

show abstract