NGHIÊN CỨU THỜI GIAN VÀ ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ TÁI THÔNG BẰNG PHƯƠNG PHÁP TIÊU SỢI HUYẾT Ở BỆNH NHÂN ĐỘT QUỴ NHỒI MÁU NÃO CẤP TẠI BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ TỪ NĂM 2022 ĐẾN NĂM 2024

Abstract

Background: In Vietnam, acute ischemic stroke is a leading cause of death. The treatment strategy of thrombolytic therapy has shown variable results due to the influence of multiple factors. Objectives: 1). To determine the reperfusion treatment time in patients with acute ischemic stroke at  Can Tho Central General Hospital from 2022 to 2024; 2). To evaluate the reperfusion treatment outcomes and influencing factors in patients with acute ischemic stroke at Can Tho Central General Hospital from 2022 to 2024. Materials and methods: A cross-sectional descriptive study of 43 patients diagnosed with ischemic stroke and treated with intravenous thrombolytic therapy at the Stroke Department Can Tho Central General Hospital from 2022 to 2024. Results: The majority of patients were aged ≥ 65 years, with males accounting for 67.4%. A history of hypertension was present in 86.1% of cases. General outcome assessment: a good outcome was the highest proportion at 41.9%, followed by moderate and poor outcomes at 34.9% and 23.3%, respectively. The group with a history of hypertension had a better outcome compared to the group without a history of hypertension (45.9% and 16.7%) (p=0.028). Patients who chose ambulance transport had better outcomes (90.9%) compared to those who chose private vehicles (76.7%) and public transportation (0%), with statistically significant differences (p = 0.03). Conclusions: The average time from onset to hospital admission was 165.09 ± 50.14, admission to evaluation 24.21 ± 24.76, door-to-needle time 62.26 ± 52.17, and onset-to-treatment time 227.35 ± 68.50. A good treatment outcome was the most common 41.9%. Mode of transportation and hypertension were two factors influencing the overall treatment outcome.