ArticleAnnals of Ibadan postgraduate medicine2015
TIME OF PRESENTATION OF STROKE PATIENTS FOR CT IMAGING IN A NIGERIAN TERTIARY HOSPITAL.
Article in Annals of Ibadan postgraduate medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04425590 (The Role of DLBS1033 in the Management of Acute Ischemic Stroke Patients), which is not on this map. Cited by 14 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Role of DLBS1033 in the Management of Acute Ischemic Stroke Patients: Study Protocol for a Randomized Controlled Study
Who cites it
14 citing papers in PubMed, 22 citations in OpenAlex.
- Endovascular Therapy for Acute Ischemic Stroke: Current Evidence and Evolving Practices.Current cardiology reports · 2026Review
- SEASONAL VARIATION OF ACUTE STROKE IN A TROPICAL AFRICAN LOCALITY: A RETROSPECTIVE STUDY FROM SUB-SAHARAN AFRICA.Annals of Ibadan postgraduate medicine · 2025Article
- Review
- Stroke signs knowledge and factors associated with a delayed hospital arrival of patients with acute stroke in Kinshasa.Heliyon · 2024Article
- Artificial Intelligence-based automated CT brain interpretation to accelerate treatment for acute stroke in rural India: An interrupted time series study.PLOS global public health · 2024Article
- The essential role of neuroimaging in diagnosing and managing cerebrovascular disease in Africa: a review.Annals of medicine · 2023Review
- Brain computed tomography perfusion analysis in HIV-seropositive adults with and without neurocognitive impairment in Nigeria: outcomes and challenges of a pilot study.The Pan African medical journal · 2023Article
- Five-year analysis of clinical presentations and predictors of stroke mortality in rural Southwestern Nigeria: A retrospective observational study.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2022Article
- Quality of acute ischemic stroke care at a tertiary Hospital in Ghana.BMC neurology · 2022Article
- Stroke units in Nigeria: a report from a nationwide organizational cross-sectional survey.The Pan African medical journal · 2022Article
- Incidence rate and age of onset of first stroke from CT scan examinations in Cape Coast metropolis.Heliyon · 2021Article
- Demographic characteristics and types of stroke in Southwestern Saudi Arabia, and the potential demand of neuro endovascular specialists.Neurosciences (Riyadh, Saudi Arabia) · 2021Article
- A retrospective analysis of time delays in patients presenting with stroke to an academic emergency department.SA journal of radiology · 2018Article
- Validation of Siriraj Stroke Scoring System in the Clinical Differentiation of Stroke Sub-types in a resource-limited Setting.Nigerian medical journal : journal of the Nigeria Medical AssociationArticle
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
backgroundNeuroimaging is the cornerstone for guiding thrombolytic and interventional therapy for stroke. Beneficial outcome can only be obtained within a rather short time of less than 3-4.5 hours of symptom onset. Challenges in developing countries like Nigeria often lead to delayed presentation of stroke patients in hospitals. We sought to study the time and pattern of presentation of stroke patients for CT imaging in a Nigerian tertiary hospital.
methodsOf the 271 stroke patients who had cranial CT between 2008 and 2010, eighty-three (30.6%) with full retrievable CT records, were included in this study. They were categorized into six time groups cross-tabulated with their CT findings.
resultsForty-two patients (50.6%) had cerebral infarction while 23 (27.7%) had haemorrhagic stroke. However, 18 (21.7%) patients had apparently normal CT findings. The mean presentation time for CT imaging was 70 hours (SD ±94 hours). Only 31% of all stroke patients presented for CT imaging within 12 hours, and none, within 3 hours. Forty-six percent did not present within 24 hours of symptom onset. Significantly more patients with ischemic stroke (72.3%) than hemorrhagic stroke (27.7%) presented after 12 hours of ictus (X(2) = 4.027 d=1, P =0.045). Age (X(2)=0.008, P =0.931) and gender (X(2)1.742, d=1,P =0.187) had no statistically significant relationship with the time of presentation for CT imaging.
conclusionNone of our patients met the time criteria for thrombolytic therapy. Ischemic stroke patients presented for imaging later than patients with intracerebral haemorrhage. There is a need to increase the awareness regarding early recognition, presentation and diagnosis of stroke for timely intervention in Nigeria.
Indexed as
Identifiers
26807083PMC4715369W2201415026What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.