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[Times for Control and Etiological Study in Patients with Stroke in a High-Complexity Regional Hospital]
Álvaro Soto V1, Gladys Morales I2, Cecilia Valeria T3
1Departamento de Especialidades Médicas, Facultad de Medicina, Universidad de La Frontera, Temuco, Chile.
Revista Medica De Chile
|June 30, 2025
Summary
Few ischemic stroke patients meet the 10-day follow-up goal under Chile's Explicit Health Guarantees Regime (GES). Etiological study times in this regional hospital exceed those in private settings, highlighting delays in stroke care.
Area of Science:
- Neurology
- Public Health
- Healthcare Management
Context:
- Stroke is a leading cause of death in Chile.
- The Explicit Health Guarantees Regime (GES) mandates timely post-discharge evaluation for ischemic stroke (IS) patients.
- Prompt etiological study is critical to prevent recurrent stroke events.
Purpose:
- To assess the time to first control and etiological study completion for stroke patients at a regional hospital.
- To identify factors influencing adherence to the GES follow-up guarantee.
- To compare study timelines with those in private healthcare facilities.
Summary:
- A study of 479 stroke patients (426 IS, 53 ICH) found a median first control time of 23 days for IS and 42 days for ICH.
- Only 20.7% of IS patients achieved the mandated 10-day follow-up.
- Etiological study exam times (echocardiography, Holter) were prolonged, with medians ranging from 9 to 35.5 days.
Impact:
- Findings reveal a significant gap in compliance with the GES follow-up guarantee for IS patients.
- Etiological study durations in this public hospital are notably longer than in Chilean private clinics.
- This highlights potential system-level challenges impacting stroke patient outcomes and recurrence prevention.
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