+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Ischaemic stroke management by emergency care physicians at public sector hospitals of Karachi, Pakistan

Ischaemic stroke management by emergency care physicians at public sector hospitals of Karachi, Pakistan

Jpma. Journal of the Pakistan Medical Association 61(4): 375-380

To assess the clinicians management of patients presenting with acute ischaemic stroke in the emergency departments of two large state run hospitals in Karachi, Pakistan. A questionnaire was filled by 59 registered medical practitioners working at these two government hospitals who would be managing stroke patients presenting in the emergency. It was a descriptive cross sectional study designed to assess the methods used by the doctors for diagnosing and treating stroke patients. The data was collected from October to November 2007 and entered using Epi Data Entry and analyzed by SPSS 13.0. The preferred overall investigation for a suspected stroke patient in an emergency ward was an ECG (98%). 51% of the respondents would prescribe aspirin to most patients (300 mg by 40% respondents). Intravenous tissue plasminogen activator was thought to be beneficial by 43% of doctors, low molecular weight heparin by 91%, subcutaneous heparin by 86.5%, intravenous Vitamin B complex by 20% and steroids by 39% of respondents. Regarding elevated blood pressure, 60% answered that they would manage the blood pressure according to the type of stroke and 73% responded that they would lower blood pressure when it reached greater than 150/80. 88% of the doctors answered that they would use cholesterol lowering drugs in the management of stroke patients in an emergency. 97% of the doctors recommended rehabilitation and 88% of the respondents believed that there should be separate stroke units. The development of a standardized protocol and stroke team is recommended which should speed the clinical assessment, decisions for early management and also increase the performance of diagnostic studies.

(PDF emailed within 1 workday: $29.90)

Accession: 054005759

Download citation: RISBibTeXText

PMID: 21465977

Related references

Criteria based audit in the management of eclampsia at a public sector tertiary care hospital in Karachi, Pakistan. Pregnancy Hypertension 11: 111-114, 2018

How well can physicians manage tuberculosis? A public-private sector comparison from Karachi, Pakistan. Bmc Health Services Research 13(): 439-439, 2014

Needle stick injuries among health care workers of public sector tertiary care hospitals of Karachi. Journal of the College of Physicians and Surgeons--Pakistan 20(3): 150-153, 2010

Comparison of two public sector tertiary care hospitals' management in reducing direct medical cost burden on breast carcinoma patients in Lahore, Pakistan. Journal of B.U.On. 23(1): 143-149, 2018

Predictors of obesity among post graduate trainee doctors working in a tertiary care hospital of public sector in Karachi, Pakistan. Jpma. Journal of the Pakistan Medical Association 60(9): 758-761, 2011

Spatial distribution and accessibility to public sector tertiary care teaching hospitals in Karachi: A Geographic Information Systems application. Jpma. Journal of the Pakistan Medical Association 66(7): 889-892, 2016

Molecular and epidemiological characterisation of clinical isolates of carbapenem-resistant Acinetobacter baumannii from public and private sector intensive care units in Karachi, Pakistan. Journal of Hospital Infection 78(2): 143-148, 2011

Quality of diabetes care and management of general physicians in Karachi, Pakistan: response to Nagpal and Bhartia. Diabetes Care 30(4): E27-E27, 2007

Glaucoma admissions and surgery in public sector tertiary care hospitals in pakistan: results of a national study. Ophthalmic Epidemiology 13(2): 115-119, 2006

Emergency and critical care management of acute ischaemic stroke. Cns Drugs 29(1): 17-28, 2015

Effectiveness of training on de-escalation of violence and management of aggressive behavior faced by health care providers in a public sector hospital of Karachi. Pakistan Journal of Medical Sciences 34(2): 294-299, 2018

Emergency contraception: knowledge and attitudes of family physicians of a teaching hospital, Karachi, Pakistan. Journal of Health, Population, and Nutrition 27(3): 339-344, 2009

Musculoskeletal pain and its associated risk factors among medical students of a public sector University in Karachi, Pakistan. Jpma. Journal of the Pakistan Medical Association 68(4): 682-688, 2018

Problems faced in the public sector emergency rooms of Karachi. Jpma. Journal of the Pakistan Medical Association 62(12): 1366-1366, 2013

Stress, job satisfaction and work hours in medical and surgical residency programmes in private sector teaching hospitals of Karachi, Pakistan. Jpma. Journal of the Pakistan Medical Association 62(10): 1109-1112, 2013