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Describing and comparing the availability of acute care resources to treat new onset stroke in different income settings : a self-reported survey of acute care providers at the 2016 international conference on emergency medicine
Thesis (MMed)--Stellenbosch University, 2019.
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| Format: | Thesis |
| Language: | en_ZA |
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Stellenbosch : Stellenbosch University
2019
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| _version_ | 1867613733614780416 |
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| access_status_str | Open Access |
| author | Chunga, Ramadhan Mohamed |
| author2 | Allgaier, Rachel |
| author_browse | Allgaier, Rachel Chunga, Ramadhan Mohamed |
| author_facet | Allgaier, Rachel Chunga, Ramadhan Mohamed |
| author_sort | Chunga, Ramadhan Mohamed |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (MMed)--Stellenbosch University, 2019. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/107040 |
| institution | Stellenbosch University (South Africa) |
| language | en_ZA |
| last_indexed | 2026-06-10T12:40:50.669Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2019 |
| publishDateRange | 2019 |
| publishDateSort | 2019 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/107040 Describing and comparing the availability of acute care resources to treat new onset stroke in different income settings : a self-reported survey of acute care providers at the 2016 international conference on emergency medicine Chunga, Ramadhan Mohamed Allgaier, Rachel Hendrikse, Clint Bruijns, Stevan R. Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Family and Emergency Medicine. Cerebrovascular disease -- Treatment Resource allocation UCTD Thesis (MMed)--Stellenbosch University, 2019. ENGLISH SUMMARY : Introduction: Stroke affects 15 million people annually and is responsible for 5 million deaths per annum globally. In contrast to the trend in low- and middle-income countries (LMICs), stroke mortality is on the decline in high-income countries (HICs). Even though the availability of resources varies considerably by geographic region and across LMICs and HICs, evidence suggests that material resources in LMICs to implement recommendations from international guidelines are largely unmet. This study describes and compares the availability of resources to treat new-onset stroke in countries based on the World Bank’s gross national incomes, using recommendations of the American Heart Association and the American Stroke Association 2013 update. Methods: A self-reported cross-sectional survey was conducted of delegates that attended the April 2016 International Conference on Emergency Medicine using the web-based e-Survey client, Survey Monkey Inc. The survey assessed both pre-hospital and in-hospital settings and was piloted before implementation. Results: The survey was distributed and opened by 955 delegates and 382 (40%) responded. Respondents from LMICs reported significantly less access to a prehospital service (p<0.001) or a national emergency number (p<0.001). Access to specialist neurology services (p<0.001) and radiology services (p<0.001) were also significantly lower in LMICs. Conclusions: The striking finding from this study was that there was essentially very little difference between the responses between LMIC and HIC respondents with a few notable exceptions. The findings also propose a universal lack of adherence to the 2013 AHA/ASA stroke management guideline by both groups, in contrast to the good reported knowledge thereof. Carefully planned qualitative research is needed to identify the barriers to achieving the 2013 AHA/ASA recommendations. AFRIKAANSE OPSOMMING : Geen opsomming beskikbaar. Masters 2019-10-23T12:02:35Z 2019-12-11T06:44:39Z 2019-10-23T12:02:35Z 2019-12-11T06:44:39Z 2019-12 Thesis http://hdl.handle.net/10019.1/107040 en_ZA Stellenbosch University 63 pages ; illustrations, includes annexures application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Cerebrovascular disease -- Treatment Resource allocation UCTD Chunga, Ramadhan Mohamed Describing and comparing the availability of acute care resources to treat new onset stroke in different income settings : a self-reported survey of acute care providers at the 2016 international conference on emergency medicine |
| title | Describing and comparing the availability of acute care resources to treat new onset stroke in different income settings : a self-reported survey of acute care providers at the 2016 international conference on emergency medicine |
| title_full | Describing and comparing the availability of acute care resources to treat new onset stroke in different income settings : a self-reported survey of acute care providers at the 2016 international conference on emergency medicine |
| title_fullStr | Describing and comparing the availability of acute care resources to treat new onset stroke in different income settings : a self-reported survey of acute care providers at the 2016 international conference on emergency medicine |
| title_full_unstemmed | Describing and comparing the availability of acute care resources to treat new onset stroke in different income settings : a self-reported survey of acute care providers at the 2016 international conference on emergency medicine |
| title_short | Describing and comparing the availability of acute care resources to treat new onset stroke in different income settings : a self-reported survey of acute care providers at the 2016 international conference on emergency medicine |
| title_sort | describing and comparing the availability of acute care resources to treat new onset stroke in different income settings a self reported survey of acute care providers at the 2016 international conference on emergency medicine |
| topic | Cerebrovascular disease -- Treatment Resource allocation UCTD |
| url | http://hdl.handle.net/10019.1/107040 |
| work_keys_str_mv | AT chungaramadhanmohamed describingandcomparingtheavailabilityofacutecareresourcestotreatnewonsetstrokeindifferentincomesettingsaselfreportedsurveyofacutecareprovidersatthe2016internationalconferenceonemergencymedicine |