پژوهشهای سلامتمحور (Sep 2019)
Time Indicators of Pre-hospital Emergency Services in Stroke Patients of Fars/ Iran
Abstract
Time Indicators of Pre-hospital Emergency Services in Stroke Patients of Fars/ Iran Moradian Mohammad Javad1*, Rastegarfar Behnaz2, Fooladband Farahnaz3 1. Assistant Professor, Department of Disaster & Emergency Health, School of Management and Medical Informatics, Shiraz, Iran 2. PhD of Health in Disasters, Department of Disaster & Emergency Health, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran 3. Quality Improvement Expert, Medical Emergency Center, Shiraz University of Medical Sciences, Shiraz, Iran *Correspondence: Emergency Management Center, Qasr al-Dasht Street, Shiraz, Iran Tel: 00987136268370 Email: [email protected] Abstract: Background & Objectives: Stroke is the third leading cause of death and the most common disease of old age. Pre-hospital care time is very important in these patients. The purpose of this study was to determine the status of time indices of pre-hospital emergency services in stroke patients of Fars province. Methods: This cross-sectional descriptive study was performed from March 2018 to December 2018. Medical files of 327 stroke patients received emergency cares by Emergency 115 were selected through census sampling and reviewed. Data gathering tool was a checklist and data were analyzed through SPSS20 software package. Results: Stroke patients comprised 0.2% of all emergency 115 patients. Among stroke patients, 51% were men and 80% were elderly. From all, 88.7% were transferred to the hospital, 11% received urgent care in place and one patient had died. Among the studied cases, 32% had a history of stroke, 41% had high blood pressure and 8% had heart disease. The mean time of transforming stroke patients to the hospital was 37 minutes from the first calling of Emergency 115. For other transferred patients, mean times of transferring by ambulance and Air Emergency were respectively 52 and 38 minutes. Conclusion: Monitoring the performance of Emergency Technicians reduces service time and the rate of mortality and morbidity of stroke patients. By screening for health and increasing public awareness in the field of health, mortality and disability can be prevented in these patients. Keywords: Time Indicators, Stroke, Emergency 115, Response, Attendance, Transfer to hospital Citation: Moradian MJ, Rastegarfar B, Fooladband F. Time Indicators of Pre-hospital Emergency Services in Stroke Patients of Fars/ Iran. Journal of Health Based Research 2019; 5(2): 165-74. [In Persian]
