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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
PubMed

Insights

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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