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Background <p>In Ethiopia, stroke-related deaths are increasing due to lifestyle changes and improved life expectancy. Limited access to healthcare facilities, diagnostic investigations, and patient delays in receiving medical attention negatively influence the outcome of stroke in Ethiopia.</p> Methods <p>A cross-sectional study design was employed to investigates the association between places of residence and timely stroke care access in patients who visited Yehulshet Neurology Center, in Addis Ababa, Ethiopia. Patients with medical records containing complete information and confirmed diagnosis of stroke using neuroimaging techniques were included in the study. The patients’ place of residence was categorized into those who lived in Addis Ababa and those lived outside Addis Ababa. Timely stroke care was defined as patients who present within 24&#xa0;h after onset of symptoms and signs of stroke. The necessary data was entered into SPSS version 26 and logistic regression was used to assess associations between the patient’s residency and timely stroke care access. Multivariable logistic regression was used to adjust for potential confounders in the relationship between place of residence and timely access to stroke care.</p> Result <p>Place of residency and referral were significantly associated with arrival time at the stroke centre. Compared to patients from Addis Ababa (AA), patients from outside AA had 7.5 times higher odds of arriving later than 24&#xa0;h (AOR = 7.5; 95%CI 2.96, 19.1; <i>p</i> &lt; 0.001). Similarly, compared to self-referred patients, patients referred by health institutions had 8.7 times higher odds of arriving later than 24&#xa0;h (AOR = 8.7; 95%CI 3.4, 22.04; <i>p</i> &lt; 0.001).</p> Conclusion <p>The findings suggest that individuals residing in Addis Ababa and those who are self-referred are more likely to seek medical attention promptly after stroke onset. These results underscore the need for targeted interventions to improve stroke care access in regions outside the capital and the need for timely referral in health facilities.</p>

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Geographic Disparities in Timely Access to Stroke Care in Ethiopia: A Retrospective Analysis

  • 期刊论文

  • 发表日期：

    2025年8月12日

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  • Bereket Sinshaw,
  • Senay Zerihun,
  • Nahom Mulugeta,
  • Berhanu Tarekegn

摘要

Background

In Ethiopia, stroke-related deaths are increasing due to lifestyle changes and improved life expectancy. Limited access to healthcare facilities, diagnostic investigations, and patient delays in receiving medical attention negatively influence the outcome of stroke in Ethiopia.

Methods

A cross-sectional study design was employed to investigates the association between places of residence and timely stroke care access in patients who visited Yehulshet Neurology Center, in Addis Ababa, Ethiopia. Patients with medical records containing complete information and confirmed diagnosis of stroke using neuroimaging techniques were included in the study. The patients’ place of residence was categorized into those who lived in Addis Ababa and those lived outside Addis Ababa. Timely stroke care was defined as patients who present within 24 h after onset of symptoms and signs of stroke. The necessary data was entered into SPSS version 26 and logistic regression was used to assess associations between the patient’s residency and timely stroke care access. Multivariable logistic regression was used to adjust for potential confounders in the relationship between place of residence and timely access to stroke care.

Result

Place of residency and referral were significantly associated with arrival time at the stroke centre. Compared to patients from Addis Ababa (AA), patients from outside AA had 7.5 times higher odds of arriving later than 24 h (AOR = 7.5; 95%CI 2.96, 19.1; p < 0.001). Similarly, compared to self-referred patients, patients referred by health institutions had 8.7 times higher odds of arriving later than 24 h (AOR = 8.7; 95%CI 3.4, 22.04; p < 0.001).

Conclusion

The findings suggest that individuals residing in Addis Ababa and those who are self-referred are more likely to seek medical attention promptly after stroke onset. These results underscore the need for targeted interventions to improve stroke care access in regions outside the capital and the need for timely referral in health facilities.