Data from: Factors Related to Time of Stroke Onset Versus Time of Hospital Arrival

A SITS Registry-Based Study in an Egyptian Stroke Center

Creators

• Hossam Shokri
• Nevine El Nahas
• Hany Aref
• Noha Dawood
• Eman Abushady
• Shady Georgy
• Amr Zaki
• Rady Bedros
• Eman Abd Eldayem
• Mona Wahid El Din
• Tamer Roushdy

Description

Background

High-quality data on time of stroke onset and hospital arrival is critical for evaluating delays in accessing medical care after the onset of stroke symptoms.

Purpose

Using the SITS dataset for Egyptian stroke patients, this study explores the relationship between:
- Time of stroke onset
- Time of hospital arrival
... and other relevant clinical and demographic factors.

Material and Methods

• Patients: 1,450 acute ischemic stroke (AIS) patients
• Centers: Two stroke centers at Ain Shams University, Cairo, Egypt
• Time Analysis: The day was divided into four quarters
• Factors Studied:
• Age
• Sex
• Duration from stroke onset to hospital arrival
• Type of management
• Type of stroke (TOAST classification)
• NIHSS on admission
• Favorable outcome (mRS ≤ 2)

Results

Pre-Hospital Findings:

• Highest stroke incidence was observed in the first and fourth quarters of the day.
• No significant difference in:
• Mean age
• Sex
• Type of stroke across different onset times
• NIHSS scores were significantly lower for strokes starting in the third quarter of the day.
• Thrombolytic therapy was more common in strokes that occurred during the first two quarters of the day (p < 0.001).

In-Hospital Findings:

• No significant difference in:
• Percentage of patients receiving thrombolysis
• Outcome measures across the four quarters of hospital arrival

Conclusion

• Pre-hospital delays remain a barrier to receiving timely thrombolysis.
• In-hospital performance showed consistency regardless of time of arrival.