Potential candidacy for thrombolysis among ischemic stroke patients presenting to Khyber Teaching Hospital, Peshawar

  • Aliena Badshah Department of Medicine Khyber Teaching Hospital Peshawar
  • Iqbal Haider Khyber Medical College Peshawar https://orcid.org/0000-0001-7470-2724
  • Durkho Atif Department of Medicine Khyber Teaching Hospital Peshawar
  • Muhammad Taimoor INOVA Neurology, University of Virginia, USA
Keywords: Ischemic stroke, Thrombolysis, NIH Stroke Scale

Abstract

Objectives: To determine the number of ischemic stroke patients presenting to a tertiary care hospital that are potential candidates for thrombolysis.

Methods: This need analysis study was conducted on one hundred consecutive ischemic stroke patients during the last quarter of 2022 at the Department of Medicine, Khyber Teaching Hospital, Peshawar. The Arrival National Institute of Health Stroke Scale (NIH Stroke Scale) was calculated for all suspected stroke patients after a detailed history and clinical examination. An urgent non-contrast-enhanced CT scan brain was carried out. Patients were included in the study group after intra-cranial bleed was excluded on imaging.

Results: The majority (43%) of the patients (male and female) fell in the age group 51-60 years. Fifty-nine (59%) patients had hypertension as a co-morbid condition; 49% had diabetes mellitus while the remaining percentages were constituted by other risk factors. Fifty-seven (57%) patients presented with NIH Stroke Scale between 5-15; 25% had NIH Stroke Scale greater than or equal to 21. Forty-one (41%) patients having daytime (8 am to 8 pm) strokes presented within 4.5 hours of stroke onset to the hospital while 31% of patients having nighttime strokes (8 pm to 8 am) presented within 4.5 hours of stroke onset to the hospital.

Conclusion: The majority (72%) of ischemic stroke patients reached the hospital facility within 4.5 hours of stroke onset. These patients can be benefited from thrombolysis leading to improved outcomes if available in that particular health facility.

doi: https://doi.org/10.12669/pjms.40.1.7717

How to cite this: Badshah A, Haider I, Atif D, Taimoor M. Potential candidacy for thrombolysis among ischemic stroke patients presenting to Khyber Teaching Hospital, Peshawar. Pak J Med Sci. 2024;40(1):60-63. doi: https://doi.org/10.12669/pjms.40.1.7717

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Author Biographies

Aliena Badshah, Department of Medicine Khyber Teaching Hospital Peshawar

Assistant Professor

Department of Medicine

MTI KTH/KMC Peshawar

Iqbal Haider, Khyber Medical College Peshawar

Associate Professor, Medical Educationist

Department of Medicine

Khyber Teaching Hospital

Khyber Medical College Peshawar

Pakistan

Durkho Atif, Department of Medicine Khyber Teaching Hospital Peshawar

Post Graduate Trainee Medicine

MTI KTH Peshawar

Muhammad Taimoor, INOVA Neurology, University of Virginia, USA

Consultant Neurologist 

INOVA Neurology, University of Virginia, USA

Published
2023-11-15
How to Cite
Aliena Badshah, Haider, I., Durkho Atif, & Muhammad Taimoor. (2023). Potential candidacy for thrombolysis among ischemic stroke patients presenting to Khyber Teaching Hospital, Peshawar. Pakistan Journal of Medical Sciences, 40(1). https://doi.org/10.12669/pjms.40.1.7717