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Assessment of healthcare personnel knowledge of stroke care at a large referral hospital in sub-Saharan Africa - A survey based approach.

Publication ,  Journal Article
Lin, C; Vakani, R; Kussin, P; Guhwe, M; Farjat, AE; Choudhury, K; Renner, D; Oduor, C; Graffagnino, C ...
Published in: J Clin Neurosci
August 2017

There is no published literature regarding sub-Saharan health-care providers' understanding of stroke management patterns. Understanding current stroke management knowledge is important in formulating future education opportunities for providers to optimize patient outcomes. A cross-sectional survey of acute stroke diagnosis, hospital management, and secondary prevention questions was administered to health-care providers working in one large Kenyan acute referral hospital. Due to the prevalence of medical students (61.8%), an experienced-focused analysis contrasted students with more experienced providers. Providers (n=199) anonymously responded to the surveys. Among the acute diagnosis most respondents stated that stroke scales should always used (58.3% of respondents), 3h was the time period for alteplase (t-PA) (53.8% of respondents), and CT scan should be always be obtained prior to administration of anticoagulant therapy (61.3% of respondents). Neither VTE prophylaxis nor dysphagia/swallowing screening were considered to be done a majority of time. Secondary prevention results were variable. The respondent's level of clinical experience made the most difference in correctly answering the most appropriate IV Fluid to use in stroke patients (adjusted p=0.003) and the ideal initiation time for antithrombotic therapy (adjusted p=0.0017). Healthcare providers demonstrated a wide variability in their responses. Future efforts to improve stroke care in sub-Saharan Africa should include education and process improvement initiatives to focus on more specific aspects of stroke management based on the results from this survey.

Duke Scholars

Published In

J Clin Neurosci

DOI

EISSN

1532-2653

Publication Date

August 2017

Volume

42

Start / End Page

71 / 74

Location

Scotland

Related Subject Headings

  • Young Adult
  • Surveys and Questionnaires
  • Stroke
  • Neurology & Neurosurgery
  • Kenya
  • Humans
  • Health Personnel
  • Disease Management
  • Cross-Sectional Studies
  • Clinical Competence
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Lin, C., Vakani, R., Kussin, P., Guhwe, M., Farjat, A. E., Choudhury, K., … Neuroscience Knowledge Base Investigator Group, . (2017). Assessment of healthcare personnel knowledge of stroke care at a large referral hospital in sub-Saharan Africa - A survey based approach. J Clin Neurosci, 42, 71–74. https://doi.org/10.1016/j.jocn.2017.04.013
Lin, Chen, Ravi Vakani, Peter Kussin, Mary Guhwe, Alfredo E. Farjat, Kingshuk Choudhury, David Renner, Chrispine Oduor, Carmelo Graffagnino, and Carmelo Neuroscience Knowledge Base Investigator Group. “Assessment of healthcare personnel knowledge of stroke care at a large referral hospital in sub-Saharan Africa - A survey based approach.J Clin Neurosci 42 (August 2017): 71–74. https://doi.org/10.1016/j.jocn.2017.04.013.
Lin C, Vakani R, Kussin P, Guhwe M, Farjat AE, Choudhury K, et al. Assessment of healthcare personnel knowledge of stroke care at a large referral hospital in sub-Saharan Africa - A survey based approach. J Clin Neurosci. 2017 Aug;42:71–4.
Lin, Chen, et al. “Assessment of healthcare personnel knowledge of stroke care at a large referral hospital in sub-Saharan Africa - A survey based approach.J Clin Neurosci, vol. 42, Aug. 2017, pp. 71–74. Pubmed, doi:10.1016/j.jocn.2017.04.013.
Lin C, Vakani R, Kussin P, Guhwe M, Farjat AE, Choudhury K, Renner D, Oduor C, Graffagnino C, Neuroscience Knowledge Base Investigator Group. Assessment of healthcare personnel knowledge of stroke care at a large referral hospital in sub-Saharan Africa - A survey based approach. J Clin Neurosci. 2017 Aug;42:71–74.
Journal cover image

Published In

J Clin Neurosci

DOI

EISSN

1532-2653

Publication Date

August 2017

Volume

42

Start / End Page

71 / 74

Location

Scotland

Related Subject Headings

  • Young Adult
  • Surveys and Questionnaires
  • Stroke
  • Neurology & Neurosurgery
  • Kenya
  • Humans
  • Health Personnel
  • Disease Management
  • Cross-Sectional Studies
  • Clinical Competence