Education program cuts pre-hospital delays for stroke patients in China


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According to a study published in JWADA Open network.

“Stroke is one of the leading causes of death in China, resulting in over 1.5 million deaths each year,” Jing Yuan, PhD, from Fudan University School of Pharmacy, and colleagues wrote. “China’s stroke death rate is five times that of Europe and the United States…Based on the current best estimate, the median time to hospital for stroke patients Stroke in China was almost 15 hours, almost five times the recommended 3 hours.”


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Yuan and colleagues aimed to investigate associations between the Stroke 1-2-0 campaign, an outreach program launched in China to improve awareness of stroke symptoms, and changes in prehospital delays for stroke patients. an ischemic stroke. The campaign, which targeted patients and community members, included videos, printed materials, news and in-person training.

Researchers conducted a population-based cross-sectional study and included 2,857 ischemic stroke patients (mean age, 69.83 years; 62.1% male) who were admitted to Shanghai Minhang Hospital between January 1, 2016 and December 31, 2019. An interrupted time series analysis was performed to determine the proportion of patients who arrived at the hospital within 3 hours and used an ambulance for medical care, as well as the chances of seeking medical assistance within 3 hours of a stroke, both before and after the campaign launch.

The researchers found that after the onset of the 1-2-0 stroke, the median prehospital time decreased from 18.72 hours (7.44-27.84) to 6.00 hours (2-16.35 ), the proportion of patients whose arrival time at the hospital is less than 3 hours increased from 5.8% to 33.4% and the use of ambulances increased from 3.2% to 30, 6%.

Interrupted time series analysis also revealed that launching the campaign was associated with a significant increase in the odds of arriving at the hospital within 3 hours (OR = 8.01; 95% CI, 7.17 -8.95) and the use of an ambulance (OR = 9.41; 95% CI, 8.24-10.74).

“Local adaptations of the Stroke 1-2-0 campaign are needed given health disparities in urban and rural areas and economic development in different parts of China,” Yuan and colleagues wrote.

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