Part 11: Adult Stroke 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care
Part 11: Adult Stroke 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care
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DOI：
10.1161/circulationaha.110.971044
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发表时间：
2010-11-02
期刊：
影响因子：
37.8
通讯作者：
Hazinski, Mary Fran
中科院分区：
文献类型：
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作者：
Jauch, Edward C.;Cucchiara, Brett;Hazinski, Mary Fran
近15年来，卒中教育和组织的增加在公众意识和卒中护理系统的发展方面取得了重大进展。尽管取得了这些成功，但每年仍有79.5万人遭受新发或复发性中风，中风仍然是美国第三大死亡原因。在中风的预防、治疗和康复方面已经取得了许多进展，但可以说最大的进展是在中风护理系统领域。整合公众教育、911调度、院前检测和分诊、医院卒中系统开发和卒中单元管理已导致卒中护理的显著改善。在过去5年中，不仅适当的纤溶治疗率有所增加，而且整体中风护理也有所改善，部分原因是建立了中风中心。2.为了进一步减轻中风的负担，医疗服务提供者、医院和社区必须继续开发系统，以提高中风护理的效率和有效性。3“中风护理的D”仍然是中风诊断和治疗的主要步骤，并确定了可能发生延误的关键点。第4、5项
Nearly 15 years of increased stroke education and orga-nization has produced significant strides in public awareness and development of stroke systems of care. Despite these successes, though, each year 795 000 people suffer a new or repeat stroke, and stroke remains the third leading cause of death in the United States. 1 Many advances have been made in stroke prevention, treatment, and rehabilitation, but arguably the greatest gains have been in the area of stroke systems of care. Integrating public education, 911 dispatch, prehospital detection and triage, hospital stroke system development, and stroke unit management have led to significant improvements in stroke care. Not only have the rates of appropriate fibrinolytic therapy increased over the past 5 years, but also overall stroke care has improved, in part through the creation of stroke centers. 2 To achieve further improvement in reducing the burden of stroke, healthcare providers, hospitals, and communities must continue to develop systems to increase the efficiency and effectiveness of stroke care. 3 The “D’s of Stroke Care” remain the major steps in diagnosis and treatment of stroke and identify the key points at which delays can occur. 4, 5