Acute Stroke Management and Outcome: An Experience from One Private Tertiary Care Center in Eastern India
Background: Stroke is already an epidemic, and the awareness about stroke, prevalence of risk factors, presentations, response to treatment, and outcome are variable in different parts of a country. We aimed to study the details of acute stroke patients who presented to a tertiary care private hospi...
Saved in:
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-01-01
|
| Series: | Current Medical Issues |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/cmi.cmi_117_24 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1823860335190212608 |
|---|---|
| author | Debabrata Chakraborty Devarati Biswas Sakshi Puri Abdul Malik Shagufta Eqbal Insha Aleena Ritwika Ghosh Sadanand Dey Priyanjita Sen Sucharita Paul |
| author_facet | Debabrata Chakraborty Devarati Biswas Sakshi Puri Abdul Malik Shagufta Eqbal Insha Aleena Ritwika Ghosh Sadanand Dey Priyanjita Sen Sucharita Paul |
| author_sort | Debabrata Chakraborty |
| collection | DOAJ |
| description | Background:
Stroke is already an epidemic, and the awareness about stroke, prevalence of risk factors, presentations, response to treatment, and outcome are variable in different parts of a country. We aimed to study the details of acute stroke patients who presented to a tertiary care private hospital in eastern India. We wanted to know how the patient’s family members, as well as private doctors in the community, responded to the acute stroke.
Methodology:
In this prospective and retrospective study for 2 years, from September 2021 to August 2023, we included patients over 18 years of age who presented with acute stroke symptoms within 24 h and were admitted to our hospital. In relation to an acute stroke, we noted patient demographics, clinical, radiological, and hematological details, treatment, and outcome (in hospital and after 3 months).
Results:
We included 366 patients and found that 74% were hypertensives and 50% were diabetics. We thrombolyzed 24 patients and performed mechanical thrombectomy on eight of them. In a significant number of cases, patients arrived late (only 45 out of 366 were candidates for acute stroke intervention), and attendants were not immediately ready with their consent for 15 of these 45 patients.
Conclusion:
We urgently need more public awareness programs to educate everyone about the “acute stroke pathway” and help them confidently accept the benefits and drawbacks of acute stroke intervention. We need to institute more stroke prevention clinics at the earliest to address the modifiable risk factors of stroke. |
| format | Article |
| id | doaj-art-4067fd1c89274123905fb4c6339df829 |
| institution | Kabale University |
| issn | 0973-4651 2666-4054 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Current Medical Issues |
| spelling | doaj-art-4067fd1c89274123905fb4c6339df8292025-02-10T14:49:00ZengWolters Kluwer Medknow PublicationsCurrent Medical Issues0973-46512666-40542025-01-01231182410.4103/cmi.cmi_117_24Acute Stroke Management and Outcome: An Experience from One Private Tertiary Care Center in Eastern IndiaDebabrata ChakrabortyDevarati BiswasSakshi PuriAbdul MalikShagufta EqbalInsha AleenaRitwika GhoshSadanand DeyPriyanjita SenSucharita PaulBackground: Stroke is already an epidemic, and the awareness about stroke, prevalence of risk factors, presentations, response to treatment, and outcome are variable in different parts of a country. We aimed to study the details of acute stroke patients who presented to a tertiary care private hospital in eastern India. We wanted to know how the patient’s family members, as well as private doctors in the community, responded to the acute stroke. Methodology: In this prospective and retrospective study for 2 years, from September 2021 to August 2023, we included patients over 18 years of age who presented with acute stroke symptoms within 24 h and were admitted to our hospital. In relation to an acute stroke, we noted patient demographics, clinical, radiological, and hematological details, treatment, and outcome (in hospital and after 3 months). Results: We included 366 patients and found that 74% were hypertensives and 50% were diabetics. We thrombolyzed 24 patients and performed mechanical thrombectomy on eight of them. In a significant number of cases, patients arrived late (only 45 out of 366 were candidates for acute stroke intervention), and attendants were not immediately ready with their consent for 15 of these 45 patients. Conclusion: We urgently need more public awareness programs to educate everyone about the “acute stroke pathway” and help them confidently accept the benefits and drawbacks of acute stroke intervention. We need to institute more stroke prevention clinics at the earliest to address the modifiable risk factors of stroke.https://journals.lww.com/10.4103/cmi.cmi_117_24acute strokeendovascular therapymodified rankin scalestroke awarenessstroke thrombolysis |
| spellingShingle | Debabrata Chakraborty Devarati Biswas Sakshi Puri Abdul Malik Shagufta Eqbal Insha Aleena Ritwika Ghosh Sadanand Dey Priyanjita Sen Sucharita Paul Acute Stroke Management and Outcome: An Experience from One Private Tertiary Care Center in Eastern India Current Medical Issues acute stroke endovascular therapy modified rankin scale stroke awareness stroke thrombolysis |
| title | Acute Stroke Management and Outcome: An Experience from One Private Tertiary Care Center in Eastern India |
| title_full | Acute Stroke Management and Outcome: An Experience from One Private Tertiary Care Center in Eastern India |
| title_fullStr | Acute Stroke Management and Outcome: An Experience from One Private Tertiary Care Center in Eastern India |
| title_full_unstemmed | Acute Stroke Management and Outcome: An Experience from One Private Tertiary Care Center in Eastern India |
| title_short | Acute Stroke Management and Outcome: An Experience from One Private Tertiary Care Center in Eastern India |
| title_sort | acute stroke management and outcome an experience from one private tertiary care center in eastern india |
| topic | acute stroke endovascular therapy modified rankin scale stroke awareness stroke thrombolysis |
| url | https://journals.lww.com/10.4103/cmi.cmi_117_24 |
| work_keys_str_mv | AT debabratachakraborty acutestrokemanagementandoutcomeanexperiencefromoneprivatetertiarycarecenterineasternindia AT devaratibiswas acutestrokemanagementandoutcomeanexperiencefromoneprivatetertiarycarecenterineasternindia AT sakshipuri acutestrokemanagementandoutcomeanexperiencefromoneprivatetertiarycarecenterineasternindia AT abdulmalik acutestrokemanagementandoutcomeanexperiencefromoneprivatetertiarycarecenterineasternindia AT shaguftaeqbal acutestrokemanagementandoutcomeanexperiencefromoneprivatetertiarycarecenterineasternindia AT inshaaleena acutestrokemanagementandoutcomeanexperiencefromoneprivatetertiarycarecenterineasternindia AT ritwikaghosh acutestrokemanagementandoutcomeanexperiencefromoneprivatetertiarycarecenterineasternindia AT sadananddey acutestrokemanagementandoutcomeanexperiencefromoneprivatetertiarycarecenterineasternindia AT priyanjitasen acutestrokemanagementandoutcomeanexperiencefromoneprivatetertiarycarecenterineasternindia AT sucharitapaul acutestrokemanagementandoutcomeanexperiencefromoneprivatetertiarycarecenterineasternindia |