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Master Thesis

Évaluation des pratiques dans la prise en charge des accidents vasculaires cérébraux aux urgences du Centre Hospitalier Louis Constant Fleming de Saint-Martin

Abstract : INTRODUCTION : Saint-Martin is a French Caribbean island where strokes are frequent. A stroke is an emergency that must be investigated early to give appropriate treatment. The aim of this registry was to analyse the epidemiological charateristics of a high risk vascular population and to evaluate the emergency care managment for acute stroke patients. METHOD : This retrospective study was conducted from January 1st 2011 through December 31st 2014 and concerns the patients taken care of by the emergency departement at the French hospital. RESULTS : 147 patients have been included in the study. The average age of the population (82 men, 65 women) was 60.1 years old. The distribution of epidemiological and clinical characteristics did not differ significantly during the three years. 34 % of the patients called the center 15 and 20.5 % have been admitted within 3 hours. There was a relation between short prehospital delays and severe strokes. MRI was required for 38 %, 17.7 % of patients had access to telemedicine technology. The median delay « onset of symptoms » to imaging was 8.35 hours. The alert protocol for thrombolysis was used for 33.8 %, early thrombolysis treatment for 5.6 %. All patients were hospitalized, 70 % in intensive care unit. 32 % of patients were transfered to a neurovascular unit. DISCUSSION : These results show there is a need to reinforce information given to the public about symptoms of stroke, to increase the recourse to use the centre 15 to reduce delays. The network in Guadeloupe has improved patient care. That requires a well coordinated and efficient medical team
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01230128
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Submitted on : Tuesday, November 17, 2015 - 6:22:45 PM
Last modification on : Saturday, November 23, 2019 - 9:35:32 PM
Long-term archiving on: : Friday, April 28, 2017 - 6:31:03 PM

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Gautier Doat. Évaluation des pratiques dans la prise en charge des accidents vasculaires cérébraux aux urgences du Centre Hospitalier Louis Constant Fleming de Saint-Martin. Médecine humaine et pathologie. 2015. ⟨dumas-01230128⟩

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