TY - JOUR
T1 - Care and Discharge Outcome of Acute Stroke in Lebanon
T2 - A Hospital-Based Study
AU - Lahoud, Nathalie
AU - Salameh, Pascale
AU - Hosseini, Hassan
AU - Saleh, Nadine
AU - Rizk, Elias
AU - Hallit, Souheil
AU - Abbas, Marie Helene
AU - Gebeily, Souheil
PY - 2018/8/1
Y1 - 2018/8/1
N2 - 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.
AB - 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.
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U2 - 10.1097/NMD.0000000000000856
DO - 10.1097/NMD.0000000000000856
M3 - Article
C2 - 30020204
SN - 0022-3018
VL - 206
SP - 637
EP - 643
JO - The Journal of nervous and mental disease
JF - The Journal of nervous and mental disease
IS - 8
ER -
