Emergency calls in acute stroke
Emergency calls in acute stroke
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DOI：
10.1161/01.str.0000063366.98459.1f
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发表时间：
2003-04-01
期刊：
影响因子：
8.3
通讯作者：
Erbguth, F
中科院分区：
文献类型：
--
作者：
Handschu, R;Poppe, R;Erbguth, F
背景和目的-在过去的10年里，中风已经成为一种医疗紧急情况。因此，中风症状的早期识别和医疗系统的快速启动至关重要。我们试图调查什么证人或受害者的急性中风综合征的认识和报告的实际situation. Methods，我们分析了所有患者入院到我们的中风单位通过紧急医疗系统（EMS）调度中心在纽伦堡1年内的记录。通过结构化的评估表，电话被筛选出报告的症状和自发或回答调度员问题时提到的任何诊断或其他事实。我们还评估了有关EMS反应和入院时患者状况的数据。结果-在我们中风病房治疗的482名患者中，评估了141个电话。报告的主要症状包括言语问题（25.5%）、运动缺陷（21.9%）和意识障碍（14.8%）。在许多情况下，跌倒（21.2%）是主要问题。很少提及感觉障碍（7.8%）和眩晕（5.6%）。在28个电话（19.8%）中，提到中风是急性健康问题的可能原因。调度员怀疑中风的51.7%的所有cases. Conclusions，这是第一个研究调查紧急呼叫急性中风。我们发现，运动缺陷和言语问题是导致EMS激活的最显著的症状。其他症状较少报告，或给出非典型描述。教育工作是必要的，以提高认识的非典型中风症状的中风受害者和EMS专业人员。
Background and Purpose-In the last 10 years, stroke has become a medical emergency. Subsequently, early recognition of stroke symptoms and rapid activation of the medical system are essential. We sought to investigate what witnesses or victims of an acute stroke syndrome recognize and report in the actual situation.Methods-We analyzed the recordings of all patients admitted to our stroke unit via the Emergency Medical System (EMS) dispatch center in Nuremberg within 1 year. With a structured evaluation form, the calls were screened for symptoms reported and for any diagnosis or other facts mentioned spontaneously or in response to a question by the dispatcher. We also evaluated data about EMS response and patient condition on admission.Results-Of 482 patients treated in our stroke unit, 141 calls were evaluated. Main symptoms reported included speech problems (25.5%), motor deficits (21.9%), and disturbances of consciousness (14.8%). In many cases, a fall (21.2%) was presented as the main problem. Sensory deficits (7.8%) and vertigo (5.6%) were rarely mentioned. In 28 calls (19.8%), stroke was mentioned as a possible cause of the acute health problems. The dispatcher suspected a stroke in 51.7% of all cases.Conclusions-This is one of the first studies to investigate emergency calls in acute stroke. We found that motor deficits and speech problems were the most dramatic symptoms that led to activation of the EMS. Other symptoms were less frequently reported, or atypical descriptions were given. Educational efforts are needed to improve recognition of atypical stroke symptoms by stroke victims and EMS professionals.