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Master Thesis

Les caractéristiques des patients ayant recours au centre 15 lors de la survenue d'un accident vasculaire cérébral

Abstract : Introduction: Strokes are frequent pathologies, sources of handicap, mortality and major financial costs for society. Last years knew the arrival of thrombolysis and thrombectomy. The success of those technics remains conditioned by a early arrival in a specialized center requiring for this a call to emergency medical service (EMS). A large part of patients don’t do this, so it was intended to study characteristics of patients calling initially EMS. Methods: During a period of 6 months, from 28/9/2015 to 3/4/2016, patients hospitalized in the service of neurology at the hospital center of Lorient, with a confirmed diagnosis of ischemic, or hemorrhagic, accident were included in the study. In case of agreement, a questionnaire was given to them in order to know more on their lifestyle, antecedent, knowledge of strokes, and the recent story of their disease. A second questionnaire was filled on the basis of the hospital reports. Data were compared between group 1, having called initially EMS, and group 2 who didn’t call the emergency. A favorable opinion of the local Ethics Committee was emitted. Results: Data of 46 patients were collected, 17 in group 1 and 29 in group 2. Significant differences appeared in the more important orientation toward emergencies further to the call in group 1 (p 0,01), as well as an intra-hospital prethrombolysis time shorter (p 0,03). Other differences are present but not statistically significant: level of study inferior in group 1, more laborers, more speech difficulties, unavailability of the general practitioner, suspicion of strokes before arriving at hospital, and more strokes of indefinite cause. Discussion: Study finds significant differences but on consequences already known when calling EMS: better orientation and decreased intra-hospitable time. Speech difficulties are easily recognized by general public and, in consequence of prevention campaigns, better associated to suspicion of stroke. Absence of difference concerning cardiovascular antecedent show a misunderstanding of patients about their status at risk, and the course to follow in case of stroke. Difference concerning socio-educational level is interesting and would deserve to be explored in a study with more patients.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01747127
Contributor : Santé Rennes 1 <>
Submitted on : Tuesday, June 5, 2018 - 3:41:07 PM
Last modification on : Thursday, July 9, 2020 - 12:30:44 PM

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  • HAL Id : dumas-01747127, version 1

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Kelig Rio. Les caractéristiques des patients ayant recours au centre 15 lors de la survenue d'un accident vasculaire cérébral. Sciences du Vivant [q-bio]. 2016. ⟨dumas-01747127⟩

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