Jurnal Internasional Afrika vol. 9 issue 2 2019
African Journal of Emergency Medicine
Access to acute care resources in various income settings to treat new-onset stroke: A survey of acute care providers
Dublin Core
Title
Jurnal Internasional Afrika vol. 9 issue 2 2019
African Journal of Emergency Medicine
Access to acute care resources in various income settings to treat new-onset stroke: A survey of acute care providers
African Journal of Emergency Medicine
Access to acute care resources in various income settings to treat new-onset stroke: A survey of acute care providers
Subject
Emergency
Low resource
Access
Stroke
Cerebrovascular accident
Low resource
Access
Stroke
Cerebrovascular accident
Description
Introduction: Stroke affects 15 million people annually and is responsible for 5 million deaths per annum
globally. In contrast to the trend in low- and middle-income countries (LMICs), stroke mortality is on the decline
in high-income countries (HICs). Even though the availability of resources varies considerably by geographic
region and across LMICs and HICs, evidence suggests that material resources in LMICs to implement recommendations
from international guidelines are largely unmet. This study describes and compares the availability
of resources to treat new-onset stroke in countries based on the World Bank’s gross national incomes,
using recommendations of the American Heart Association and the American Stroke Association 2013 update.
Methods: A self-reported cross-sectional survey was conducted of delegates that attended the April 2016
International Conference on Emergency Medicine using the web-based e-Survey client, Survey Monkey Inc. The
survey assessed both pre-hospital and in-hospital settings and was piloted before implementation.
Results: The survey was distributed and opened by 955 delegates and 382 (40%) responded. Respondents from
LMICs reported significantly less access to a prehospital service (p < 0.001) or a national emergency number
(p < 0.001). Access to specialist neurology services (p < 0.001) and radiology services (p < 0.001) were also
significantly lower in LMICs.
Conclusion: The striking finding from this study was that there was essentially very little difference between the
responses between LMIC and HIC respondents with a few notable exceptions. The findings also propose a universal
lack of adherence to the 2013 AHA/ASA stroke management guideline by both groups, in contrast to the
good reported knowledge thereof. Carefully planned qualitative research is needed to identify the barriers to
achieving the 2013 AHA/ACA recommendations.
globally. In contrast to the trend in low- and middle-income countries (LMICs), stroke mortality is on the decline
in high-income countries (HICs). Even though the availability of resources varies considerably by geographic
region and across LMICs and HICs, evidence suggests that material resources in LMICs to implement recommendations
from international guidelines are largely unmet. This study describes and compares the availability
of resources to treat new-onset stroke in countries based on the World Bank’s gross national incomes,
using recommendations of the American Heart Association and the American Stroke Association 2013 update.
Methods: A self-reported cross-sectional survey was conducted of delegates that attended the April 2016
International Conference on Emergency Medicine using the web-based e-Survey client, Survey Monkey Inc. The
survey assessed both pre-hospital and in-hospital settings and was piloted before implementation.
Results: The survey was distributed and opened by 955 delegates and 382 (40%) responded. Respondents from
LMICs reported significantly less access to a prehospital service (p < 0.001) or a national emergency number
(p < 0.001). Access to specialist neurology services (p < 0.001) and radiology services (p < 0.001) were also
significantly lower in LMICs.
Conclusion: The striking finding from this study was that there was essentially very little difference between the
responses between LMIC and HIC respondents with a few notable exceptions. The findings also propose a universal
lack of adherence to the 2013 AHA/ASA stroke management guideline by both groups, in contrast to the
good reported knowledge thereof. Carefully planned qualitative research is needed to identify the barriers to
achieving the 2013 AHA/ACA recommendations.
Creator
Ramadhan Chunga, Stevan R. Bruijns, Clint Hendrikse
Source
www.elsevier.com/locate/afjem
Date
4 January 2019
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Citation
Ramadhan Chunga, Stevan R. Bruijns, Clint Hendrikse, “Jurnal Internasional Afrika vol. 9 issue 2 2019
African Journal of Emergency Medicine
Access to acute care resources in various income settings to treat new-onset stroke: A survey of acute care providers,” Repository Horizon University Indonesia, accessed April 18, 2025, https://repository.horizon.ac.id/items/show/2382.
African Journal of Emergency Medicine
Access to acute care resources in various income settings to treat new-onset stroke: A survey of acute care providers,” Repository Horizon University Indonesia, accessed April 18, 2025, https://repository.horizon.ac.id/items/show/2382.