Stroke fast track guideline 2018 ไทย

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Thank you for visiting nature. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser or turn off compatibility mode in Internet Explorer. In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript. Stroke is a significant cause of death and disability. In Thailand, it imposes a major health burden, and the prevalence of stroke is increasing, particularly in patients with hypertension HT , diabetes mellitus DM , and dyslipidemia DLP. We aimed to determine the trends in the prevalence of stroke and the associated factors among Thai patients with HT.

Stroke fast track guideline 2018 ไทย

Stroke is a common neurological disease. Thrombolytic therapy has been shown to be beneficial in acute ischemic stroke. This treatment can be given in various hospital levels. This study aimed to evaluate the quality of acute ischemic stroke care among various hospital levels. Patient demographics, risk factors, stroke subtypes, stroke severity, quality of care indicators, and complications were recorded. Paired comparisons between two groups were carried out using the Bonferroni correction. A total of patients, including patients from community hospitals CHs , from regional hospitals RHs , and from tertiary hospitals THs , were included in the final analysis. The CH group had shorter onset-to-needle times for intravenous recombinant tissue plasminogen activator rt-PA treatment than the other two groups vs. After adjustment for baseline characteristics, stroke type, and stroke severity, the CH group was significantly associated with lower mortality and presence of complications. None of the patients received endovascular therapy or non-thrombolytic interventional therapy.

CRC press, As a result, lower level ambulances are deployed instead.

Metrics details. Stroke has one of the biggest burden of disease in Thailand and all health regions have been tasked to develop their service delivery to achieve the national key performance indicators set out by the Thai service plan strategy — Our aim was to characterise stroke services and hospital facilities by investigating differences in facilities across different hospital levels in Thailand. Self-complete questionnaires were distributed to hospitals in 12 health regions between November—December Participants were health professionals whose main responsibilities are related to stroke service provision in their hospital. Descriptive statistics were used to report differences of stroke service provision between advanced-level, standard-level and mid-level referral hospitals. Standard-level and mid-level referral hospitals only had a quarter of rehabilitation physicians compared to advanced-level referral hospital.

The National Clinical Guideline for Stroke for the UK and Ireland provides authoritative, evidence-based practice guidance to improve the quality of care delivered to every adult who has a stroke in the United Kingdom and Ireland, regardless of age, gender, type of stroke, location, or any other feature. The guideline is intended for:. The guideline is an initiative of the Intercollegiate Stroke Working Party. The fifth edition of the guideline was published in Available at: www.

Stroke fast track guideline 2018 ไทย

When it comes to spotting stroke and getting help, the faster, the better. That's because prompt treatment may make the difference between life and death — or the difference between a full recovery and long-term disability. Use our downloadable library of F. F -face drooping A -arm weakness S -speech T -time. If you are a stroke survivor, caregiver or a family member looking for information and support, please connect with our trained stroke specialists through Stroke Family Warmline. If you are a group, organization or a hospital system looking for stroke education materials, order them here. Written by American Heart Association editorial staff and reviewed by science and medicine advisors. See our editorial policies and staff. Stroke Resource Library.

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Median total prehospital time among enrolled subjects was 29 min IQR 21, We observed a low proportion of patients accessing rehabilitation services. Hospitals in all heath regions are grouped into different levels. Sorry, a shareable link is not currently available for this article. We conducted a nationwide cross-sectional study among suspected stroke patients transported to hospitals by EMS system in Thailand between January 1, , and December 31, These findings could be explained by the fact that the stroke fast track protocol is not implemented on EMS system. Data were collected from electronic medical records submitted to the NHSO. To implement a new laboratory workflow for acute stroke patients and compare laboratory turnaround time TAT preimplementation and postimplementation. The median door-to—laboratory reported time in this study was improved compared with a previous study 12 conducted in the same institution in 49 minutes preimplementation period in this study versus Table 1 Characteristics of suspected stroke patients who were transported to hospital by ambulance between and Full size table. The measurement and recording of proven health outcomes measures of rehabilitation in the national level database, such as the Barthel scores, should be emphasised.

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Stroke was defined according to the World Health Organization WHO criteria [ 6 ] and was confirmed by neuroimaging studies. J Stroke. Reprints and permissions. In the THs, the physicians who treat patients are neurologists. Why carry out this study? Saver JL. The questionnaire was distributed via post, online and e-mail pdf file to all hospitals between November—December Additional file-Table S 4. There are different practices across countries regarding reperfusion therapies. Table 1 Demographic and baseline characteristics of acute ischemic stroke patients treated at various hospital levels Full size table. Although there were some data missing from the surveys, this was compensated for by the recruitment of a large number of participants from all geographic regions across the country. We found that the risk of ischemic stroke increased with increasing age group among Thai patients with HT in a dose—response relationship Table 3. The CH group had lower stroke severity, which may be explained by the higher rate of small vessel disease.