Care and Discharge Outcome of Acute Stroke in Lebanon: A Hospital-Based Study

被引：9

作者：

Lahoud, Nathalie ^{[1
,2
,3
,4
,5
,6
]}

Salameh, Pascale ^{[3
,4
,7
]}

Hosseini, Hassan ^{[2
,4
,8
]}

Saleh, Nadine ^{[4
,6
]}

Rizk, Elias ^{[9
]}

Hallit, Souheil ^{[3
,4
,10
,11
,12
,13
]}

Abbas, Marie Helene ^{[9
]}

Gebeily, Souheil ^{[9
]}

机构：

[1] Lebanese Univ, Doctoral Sch Sci & Technol, Hadat, Lebanon

[2] Univ Paris Est, Excitabilite Nerveuse & Therapeut, EA 4391, Creteil, France

[3] Lebanese Univ, Fac Pharm, Hadat, Lebanon

[4] Lebanese Univ, Fac Publ Hlth, INSPECT LB Inst Natl Sante Publ Epidemiol Clin &, Beirut, Lebanon

[5] Lebanese Int Univ, Sch Pharm, Beirut, Lebanon

[6] Lebanese Univ, Fac Publ Hlth, St 37,Pierre Gemayel Campus, Fanar 2611, Lebanon

[7] Lebanese Univ, Fac Med Sci, Hadat, Lebanon

[8] Henri Mondor Hosp, AP HP, Paris, France

[9] Lebanese Univ, Fac Med Sci, Neurol Div, Hadat, Lebanon

[10] Psychiat Hosp Cross, Res Dept, Jal Eddib, Lebanon

[11] Holy Spirit Univ Kaslik, Fac Med & Med Sci, Kaslik, Lebanon

[12] Univ Bordeaux, BPH Bordeaux Populat Hlth Res Ctr Inserm U1219, Occupat Hlth Environm Res Team, Bordeaux, France

[13] St Joseph Univ, Fac Pharm, Beirut, Lebanon

来源：

JOURNAL OF NERVOUS AND MENTAL DISEASE | 2018年 / 206卷 / 08期

关键词：

Acute stroke; management; hospital; outcomes; Lebanon; ACUTE ISCHEMIC-STROKE; LENGTH-OF-STAY; RISK-FACTORS; PREHOSPITAL DELAY; GLOBAL BURDEN; MORTALITY; PREVALENCE; SCALE; RELIABILITY; PREDICTORS;

D O I：

10.1097/NMD.0000000000000856

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The present study was conducted to assess stroke care and outcomes in two Lebanese hospitals. Patients admitted in 2012 and 2013 were retrospectively selected. Data were extracted from medical records for time to hospital arrival, stroke severity, management, and discharge outcomes. A Cox regression analysis was then conducted to predict time to in-hospital death. A total of 201 patients were included (mean age = 69.2 years), among whom 50% arrived within a delay of 3.75 hours. Half underwent brain imaging in the first hour, and nine patients received an acute intervention. Forty-four patients died at the hospital; 142 were discharged home, among whom 98 patients were dependent in their daily activities. Stroke severity on admission and time from onset to arrival were found to be significantly associated to the time to in-hospital death (adjusted hazard ratio [HRa] = 1.13 and HRa = 0.98 respectively; p < 0.05). The study sheds light on high case fatality and dependency rates at discharge among stroke patients in Lebanese hospitals.

引用

页码：637 / 643

页数：7

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