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Abstract
Management of stroke in emergency department in relation to blood pressure, blood sugar and use of anti-thrombotic agents
Highlights
Since the Emergency Department (ED) of TUTH lacks uniformity in the treatment of stroke patients, it is assumed that these patients do not receive standard treatment in terms of reduction of blood pressure (BP), control of hyperglycemia and treatment with antithrombotic agents
Proper management of stroke patients in the emergency department seems essential. This was a descriptive study based on hospital records of stroke patients visiting ED and who later got admitted in TUTH during May 2008 to October 2008, over a period of six months
Out of 82 patients included in our study, 65(79%) had ischaemic stroke and 17(21%) had haemorrhagic stroke
Summary
Since the Emergency Department (ED) of TUTH lacks uniformity in the treatment of stroke patients, it is assumed that these patients do not receive standard treatment in terms of reduction of blood pressure (BP), control of hyperglycemia and treatment with antithrombotic agents. Our hospital-based study aims to assess the mean stay of stroke patients in the ED and the level of optimal treatment they are getting. Stroke is a common medical emergency and the most common cause of severe physical disability and death in developed world after cancer and ischemic heart disease.[1,2] The most common risk factors for stroke in Nepalese population were found to be smoking, hypertension, alcohol intake, atrial fibrillation and diabetes mellitus.[3]. Rapid evaluation is essential for use of time sensitive treatments such as thrombolysis.[2]
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