Incident Location Distance and Transportation to Hospital Delayed Arrival Patients Post-Acute Ischemic Stroke Attack in Emergency Department East Java-Indonesia

Abstract

Introduction: The main problem faced by patients suffering from acute ischemic stroke for acquiring an
immediate treatment is hospital-delayed arrival. Delays are defined as the onset action for stroke starting
from the stroke onset to arrival at the ED. The study aimed to investigating the influence of incident location
distance and transportation to arrival delay of patients with acute ischemic stroke attack in the ED.
Methods: The study was employed cross sectional designed with the total samples were 58 respondents.
The samples were relatives of patients suffering from acute ischemic stroke. Observation sheet and interview
guide were used as the instruments, while Google Maps application was utilized to measure the distance of
the incident locations to the hospital.
Results: The results have shown that the average distance between the hospital and the incident location
was 3.5 – 18.4 kilometres, whereas the delayed rate was from 2.4 to 48.4 hours. Multiple linear regression
analysis has shown that the means of transportation significantly influenced the arrival delay in the ED,
which was 0.015. The result in line with the fact that around 67.25% patients were using their private
transportation means (vehicles) and 32.75% patients were using ambulance to reach the ED.
Conclusion: The village ambulance is supposed to be initiated and programmed in respond to hospitaldelayed arrival during emergency conditions as well as to established technology through communication
system for emergency referral network for local inhabitant.