NSU Research Contributions
Title : Factors associated with late hospital arrival in acute stroke patients of Bangladesh
Authors : Mohammad Azmain Iktidar, Ridwana Maher Manna, Muntasrina Akhter, Simanta Roy, Atia Sharmin Bonna, Sreshtha Chowdhury, Renessa Yousuf, Farzana Ahammad Mimi, MD Samee U Sayed, Miah MD Akiful Haque, and Mohammad Delwer Hossain Hawlader
| Journal Article Title: Emergency Medicine Journal (Emerg Med J) | Volume Number: 42 | Publication Year : 2024 |
| Index: indexed | Ranking: No Ranking | Publisher Name: BMJ Group |
| Pages : 8 | ||
| Funding Source : None |
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Direct Sustainable Development Goals : SDG3 Good Health & Well-being SDG4 Quality Education |
Indirect Sustainable Development Goals : SDG11 Sustainable Cities & Communities |
Sustainable Development Sub Goals : Reduce premature mortality from non-communicable diseases and promote mental health and well-being Achieve universal health coverage Substantially increase health financing and the recruitment, development and training of the health Inclusive and sustainable urbanization & planning |
| Impact statement: This is the first multicentre study to assess prehospital delay in Bangladeshi stroke patients, revealing that an alarmingly 87.72% of patients arrive late (more than 4.5 hours after symptom onset). By identifying that referral delays (median 14 hours) comprise the majority of this time loss and that factors like self-medication, previous stroke history, and lack of specialized transport significantly increase delay, the study provides a critical mandate for mass public information campaigns and the establishment of dedicated stroke centres to ensure patients receive quality care within the optimum therapeutic window. | Collaboration: None | Keywords: Stroke, Bangladesh, prehospital delay, thrombolysis, referral system |