Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
Timely thrombolysis significantly improves functional outcomes in acute ischemic stroke. However, implementation remains suboptimal in low‐resource settings. To identify real‐world barriers delaying intravenous thrombolysis in ischemic stroke patients in Northeast India. This prospective observational study was conducted at the Department of Neurology, GMCH Assam, between January 2023 and March 2024. We included 444 ischemic stroke patients presenting within 24 hours of symptom onset, of whom 29 underwent thrombolysis. Barriers were identified through patient interviews, medical records, and care provider documentation. Primary outcomes were patient‐, system‐, and hospital‐related delays preventing thrombolysis. Frequencies and thematic narratives were compiled. Among 444 patients, only 29 (6.5%) received thrombolysis. The most common barriers were delayed arrival beyond the 4.5‐hour window (63%), lack of symptom awareness (52%), ambulance unavailability (38%), imaging and consent delays (22%), and elevated blood pressure (17%). Financial constraints were a factor in 11%. Most patients originated from rural areas. Real‐world barriers continue to hinder thrombolysis implementation in India. Public education, prehospital care reforms, and streamlined stroke protocols are crucial to improving outcomes in underserved regions.
How to cite this article:
Akshay Bhutada, Payyavula Anil Kumar, Sudha Kumari, Marami Das and Munindra Goswami. Barriers to Timely Stroke Thrombolysis in Northeast India: A Qualitative Audit from A Tertiary Care Center.
DOI: https://doi.org/10.36478/makrjms.2024.12.881.884
URL: https://www.makhillpublications.co/view-article/1815-9346/makrjms.2024.12.881.884