Stroke Statistics in Korea: Part II Stroke Awareness and Acute Stroke Care, A Report from the Korean Stroke Society and Clinical Research Center For Stroke.
Stroke Statistics in Korea: Part II Stroke Awareness and Acute Stroke Care, A Report from the Korean Stroke Society and Clinical Research Center For Stroke.
复制标题
韩国中风统计：第二部分中风意识和急性中风护理，韩国中风协会和中风临床研究中心的报告。
DOI：
10.5853/jos.2013.15.2.67
复制
发表时间：
2013-05
影响因子：
8.2
通讯作者：
Yoon BW
中科院分区：
文献类型：
--
作者：
Hong KS;Bang OY;Kim JS;Heo JH;Yu KH;Bae HJ;Kang DW;Lee JS;Kwon SU;Oh CW;Lee BC;Yoon BW
目前韩国卒中统计第二部分的目的是在一份文件中总结有关公众意识、院前延误、溶栓治疗和急性卒中护理质量的全国代表性数据。公众对中风定义、危险因素、警告信号和中风应对措施的了解普遍仍然较低。根据使用开放式问题的研究，中风的正确定义被认可的比例低于 50%，高血压作为中风危险因素的比例低于 50%，其他明确定义的危险因素的比例低于 20%。在中风警告信号中，突发性瘫痪或麻木最容易被识别，识别率在36.9-73.7%之间，但其他警告信号（包括言语障碍）的识别率却被低估。此外，在一项代表性人口调查中，只有不到三分之一的受试者知道溶栓治疗，并且知道如何采取适当的中风治疗措施，并致电紧急医疗服务 (EMS)。尽管 EMS 是卒中生存和预后改善链中的重要组成部分，但用于现场卒中诊断和潜在卒中患者院前通知的 EMS 协议尚未完善。根据《急性脑卒中救治质量评估》，2010年患者到达急诊室的中位起诊到就诊时间为4小时（平均17.3小时），与2005年相比没有减少。相比之下，2010年静脉组织纤溶酶原激活剂（IV-TPA）治疗的中位就诊到就诊时间为55.5分钟（平均79.5分钟），较2010年缩短。较 2008 年 60.0 分钟（平均 102.8 分钟）的中位时间相比，2010 年有 7.9% 的急性缺血性卒中患者接受了 IV-TPA 治疗，比 2005 年的 4.6% 有所增加。 特别是，符合条件的患者使用 IV-TPA 的比例大幅增加，从 2005 年的 21.7% 增加到 2010 年的 74.0%。卒中发生率从 2005 年的 1.1% 增加到 2010 年的 19.4%。自 2005 年以来，按质量指标衡量的绩效稳步提高，除了早期康复考虑（89.4%）和符合条件的患者使用 IV-TPA（74.0%）外，大多数指标的绩效率在 2010 年均超过 90%。总之，本报告表明院内急性卒中护理有了实质性改善，但也强调需要提高公众意识并将院前急救系统纳入急性卒中管理。该报告将成为了解韩国现状和实施举措以进一步提高公众对中风和急性中风护理的认识的宝贵资源。
The aim of the current Part II of Stroke Statistics in Korea is to summarize nationally representative data on public awareness, pre-hospital delay, thrombolysis, and quality of acute stroke care in a single document. The public's knowledge of stroke definition, risk factors, warning signs, and act on stroke generally remains low. According to studies using open-ended questions, the correct definition of stroke was recognized in less than 50%, hypertension as a stroke risk factor in less than 50%, and other well-defined risk factors in less than 20%. Among stroke warning signs, sudden paresis or numbness was best appreciated, with recognition rates ranging in 36.9-73.7%, but other warning signs including speech disturbance were underappreciated. In addition, less than one third of subjects in a representative population survey were aware of thrombolysis and had knowledge of the appropriate act on stroke, calling emergency medical services (EMS). Despite EMS being an essential element in the stroke chain of survival and outcome improvement, EMS protocols for field stroke diagnosis and prehospital notification for potential stroke patients are not well established. According to the Assessment for Quality of Acute Stroke Care, the median onset-to-door time for patients arriving at the emergency room was 4 hours (mean, 17.3 hours) in 2010, which was not reduced compared to 2005. In contrast, the median door-to-needle time for intravenous tissue plasminogen activator (IV-TPA) treatment was 55.5 minutes (mean, 79.5 minutes) in 2010, shorter than the median time of 60.0 minutes (mean, 102.8 minutes) in 2008. Of patients with acute ischemic stroke, 7.9% were treated with IV-TPA in 2010, an increase from the 4.6% in 2005. Particularly, IV-TPA use for eligible patients substantially increased, from 21.7% in 2005 to 74.0% in 2010. The proportion of hospitals equipped with a stroke unit has increased from 1.1% in 2005 to 19.4% in 2010. Performance, as measured by quality indicators, has steadily improved since 2005, and the performance rates for most indicators were greater than 90% in 2010 except for early rehabilitation consideration (89.4%) and IV-TPA use for eligible patients (74.0%). In summary, the current report indicates a substantial improvement in in-hospital acute stroke care, but also emphasizes the need for enhancing public awareness and integrating the prehospital EMS system into acute stroke management. This report would be a valuable resource for understanding the current status and implementing initiatives to further improve public awareness of stroke and acute stroke care in Korea.
登录
查看更多内容
DOI：
10.1080/10903129808958878
发表时间：
1998-10-01
期刊：
Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors
影响因子：
--
作者：
Kidwell, C S;Saver, J L;Starkman, S
通讯作者：
Starkman, S
影响因子：
8.2
作者：
Hong KS;Bang OY;Kang DW;Yu KH;Bae HJ;Lee JS;Heo JH;Kwon SU;Oh CW;Lee BC;Kim JS;Yoon BW
通讯作者：
Yoon BW
影响因子：
8.3
作者：
Heo, Ji Hoe;Kim, Young Dae;Oh, Mi Sun
通讯作者：
Oh, Mi Sun
影响因子：
5.1
作者：
Kim, S. K.;Lee, S. Y.;Cha, J. K.
通讯作者：
Cha, J. K.
影响因子：
8.3
作者：
Kim, Young Seo;Park, Sang-Soon;Yoon, Byung-Woo
通讯作者：
Yoon, Byung-Woo