EFFECTS OF PUBLIC AND PROFESSIONAL-EDUCATION ON REDUCING THE DELAY IN PRESENTATION AND REFERRAL OF STROKE PATIENTS
EFFECTS OF PUBLIC AND PROFESSIONAL-EDUCATION ON REDUCING THE DELAY IN PRESENTATION AND REFERRAL OF STROKE PATIENTS
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DOI：
10.1161/01.str.23.3.352
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发表时间：
1992-03-01
期刊：
影响因子：
8.3
通讯作者：
BERTELS, C
中科院分区：
文献类型：
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作者：
ALBERTS, MJ;PERRY, A;BERTELS, C
背景和目的：几种新兴的卒中治疗方法要求患者在症状发作后数小时内接受治疗。过去的研究记录了症状出现和住院之间的显着延迟。作为使用组织型纤溶酶原激活剂的实验性治疗研究的一部分，我们开始了一个多方面的公共和专业教育计划，以减少急性中风patients.Methods的演示和转诊延迟：教育工作的重点是提高认识中风症状，研究的入组标准，并需要迅速治疗中风患者。该计划包括1）电视和广播采访，2）报纸文章，3）对当地和地区初级保健和急诊科医生的讲座，4）向数千名当地医生发送邮件，5）让神经科医生24小时待命转诊，6）使用杜克生命飞行直升机。结果：自我们的项目开始以来，159例脑梗死患者中有139例（86%）在症状发作24小时内首次出现或被转诊到我们的机构，而在我们的教育努力之前，187例患者中有70例（37%）（p < 0.00001）。脑出血患者无明显变化（30人中有23人[77%]在计划后24小时内，而教育努力前有25人[63%]; p = 0.30）。这些发现表明，针对公众和卫生专业人员的教育工作可能会增加对中风症状的认识，减少出现和转诊的延迟。中风患者
Background and Purpose: Several emerging stroke therapies require patients to be treated within several hours of symptom onset. Past studies have documented a significant delay between symptom onset and hospital presentation. As part of an experimental treatment study using tissue-type plasminogen activator, we began a multifaceted program of public and professional education to reduce the delay in presentation and referral of acute stroke patients.Methods: The educational efforts focused on improving the recognition of stroke symptoms, the study enrollment criteria, and the need for rapid treatment of stroke patients. This program included 1) interviews on television and radio, 2) newspaper articles, 3) lectures to local and regional primary care and emergency department physicians, 4) mailings to several thousand local physicians, 5) having neurologists on-call for referrals 24 hrs/day, and 6) use of the Duke Life-Flight helicopter.Results: Since starting our program, 139 of 159 (86%) patients with cerebral infarction presented primarily to or were referred to our facility within 24 hours of symptom onset, compared with 70 of 187 (37%) before our educational efforts (p < 0.00001). No significant change was seen in patients with intracerebral hemorrhage (23 of 30 [77%] within 24 hours after program, compared with 25 of 40 [63%] before educational efforts; p = 0.30).Conclusions: These findings suggest that educational efforts aimed at the public and health professionals may increase recognition of stroke symptoms and reduce the delay in presentation and referral of stroke patients.