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:: Volume 28, Issue 4 (Bimothly 2024) ::
Feyz Med Sci J 2024, 28(4): 408-415 Back to browse issues page
Comparison of pre-hospital and in-hospital delays in acute ischemic stroke patients before and during the COVID-19 pandemic in Kashan, Iran
Zahra Sooki , Zahra sadat Sirousi nejad * , Mansour Dianati
Student Research Committee, Kashan University of Medical Sciences, Kashan, Iran & Student Research Committee, Kashan University of Medical Sciences, Kashan, Iran , zahra.sirosi4131@gmail.com
Abstract:   (215 Views)
Background and Aim: The COVID-19 pandemic significantly affected the treatment and care of many patients. This study aimed to compare pre-hospital delays (the time from symptom onset until hospital arrival) and in-hospital delays (the time from hospital arrival until alteplase injection) in patients with acute ischemic stroke, both before and during the COVID-19 pandemic in Kashan, Iran.
Methods: In this cross-sectional study, 202 patients with acute strokes who were referred to Shahid Beheshti Hospital in Kashan, Iran, were included based on inclusion criteria using a census method. The data were collected over two one-year intervals: before (n=100) and during (n=102) the COVID-19 pandemic. The researcher compiled demographic and clinical information using a researcher-designed questionnaire, which was completed through patient medical files, the information system of the Kashan Emergency Medical Center, and communication with patients or their companions.
Results: No significant differences were observed between patients before (n=100) and during (n=102) the COVID-19 pandemic regarding the time intervals between symptom onset and hospital arrival (pre-hospital delay), as well as the time from hospital arrival to CT scan (P≥0.05). However, the interval from hospital arrival to alteplase injection (in-hospital delay) during the COVID-19 pandemic was significantly shorter than that observed prior to the pandemic (P<0.05).
Conclusion: The interval from hospital arrival to alteplase injection significantly decreased during the COVID-19 pandemic. In contrast, the time intervals from hospital arrival to CT scan and from symptom onset to hospital arrival did not show significant differences.
Keywords: COVID-19, Treatment Delay, Stroke, Emergency Medical Services
Full-Text [PDF 394 kb]   (98 Downloads)    
Type of Study: Research | Subject: medicine, paraclinic
Received: 2023/11/12 | Revised: 2024/10/23 | Accepted: 2024/09/17 | Published: 2024/10/23
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Sooki Z, Sirousi nejad Z S, Dianati M. Comparison of pre-hospital and in-hospital delays in acute ischemic stroke patients before and during the COVID-19 pandemic in Kashan, Iran. Feyz Med Sci J 2024; 28 (4) :408-415
URL: http://feyz.kaums.ac.ir/article-1-5037-en.html


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Volume 28, Issue 4 (Bimothly 2024) Back to browse issues page
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