Stroke quality indicators in Balti Clinical Hospital

Abstract

Background: The cerebrovascular pathologies are among the most important causes of morbidity, mortality and disabilities worldwide and in the Republic of Moldova. The aim of the study was the analysis of the stroke care quality indicators of patients in Balti Clinical Hospital. Material and methods: We present a retrospective study that included medical records (from January to April, 2021) of 72 patients with stroke, confirmed clinically and by cerebral CT scan. Results: The mean age of the patients included in our study was 65.8 ± 14.7 years old, 34 men and 38 women. The mean timing from the first symptoms till the admission at the Emergency department was 7.0±3.5 hours. The mean timing spent at the Emergency department was 3.0 ± 1.5 hours. CT-scan examination 24 hours after hospitalization was performed in 63.75% of the patients. Cerebral vessel dopplerography was performed in 6 patients. Thrombolytic therapy was not performed in any of the patients. The mean duration of treatment was 10.0 ± 3.0 days. 65 patients were discharged with an amelioration, while 7 patients died. Conclusions: The qualitative indices in specialized medical care for cerebral attack patients in Balti Clinical Hospital were influenced by the following factors: patients’ presentation out of the therapeutical window as well as the impossibility of performing a cerebral CT-scan in the first 24 hours at the hospital, as well as the Covid-19 pandemic situation.