The early chain of care and risk of death in acute stroke in relation to the priority given at the dispatch centre: A multicentre observational study
The early chain of care and risk of death in acute stroke in relation to the priority given at the dispatch centre: A multicentre observational study
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DOI：
10.1177/1474515117704617
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发表时间：
2017-10-01
影响因子：
2.9
通讯作者：
Hansson, Per Olof
中科院分区：
文献类型：
--
作者：
Sundstrom, Birgitta Wireklint;Hagiwara, Magnus Andersson;Hansson, Per Olof
背景：早期护理链对中风患者至关重要。最重要的部分是所谓的“系统延迟”，即从呼叫到紧急医疗服务直到确诊(计算机断层扫描)的延迟时间。目的：本研究的目的是将调度中心给予的初始优先级别与急性中风的早期护理链以及与短期和长期死亡率之间的关系。方法：从2010年12月15日到2011年4月15日，所有首次和最终诊断为急性中风的患者都被纳入9家医院，每家医院都有一个中风护理单元。结果：总共有897名中风患者。调度中心的优先级：最高优先级1占54%，优先级2占41%，优先级3占5%。从呼叫到紧急医疗服务到计算机断层扫描诊断的中位系统延迟分别为2小时和52分钟、4小时和49分钟和6小时和33分钟(P
Background: The early chain of care is critical for stroke patients. The most important part is the so-called 'system delay' i.e. the delay time from call to the emergency medical services until a diagnosis is established (computer tomography).Aim: The purpose of this study was to relate the initial priority level given by the dispatch centre to the early chain of care in acute stroke and to short-term and long-term mortality.Methods: All patients hospitalised with the first and the final diagnosis of acute stroke, 15 December 2010-15 April 2011, were recruited across nine hospitals, each hospital with a stroke care unit.Results: In all, 897 stroke patients were included. Priority at the dispatch centre: 54% received highest priority 1, 41% priority 2 and 5% priority 3. Median system delay from call to emergency medical services until diagnosis by computer tomography was 2 h and 52 min, 4 h and 49 min and 6 h and 33 min respectively in the three priority groups (p