Delays in the Management of Patients with Acute Ischemic Stroke during the COVID-19 Outbreak Period: A Multicenter Study in Daegu, Korea.
Delays in the Management of Patients with Acute Ischemic Stroke during the COVID-19 Outbreak Period: A Multicenter Study in Daegu, Korea.
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DOI：
10.1155/2021/6687765
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发表时间：
2021
影响因子：
1.2
通讯作者：
Park H
中科院分区：
文献类型：
--
作者：
Lee SH;Mun YH;Ryoo HW;Jin SC;Kim JH;Ahn JY;Jang TC;Moon S;Lee DE;Park H
及时治疗对急性缺血性卒中（AIS）患者非常重要。然而，2019冠状病毒病（COVID-19）爆发可能导致患者管理延迟。因此，我们分析了在COVID-19爆发期间管理确诊为AIS的患者的预后以及院前和住院阶段所花费的时间。 这项回顾性研究评估了2018年至2020年每年2月18日至4月17日期间在大邱市五家医疗中心的急诊科（艾德）诊断为AIS的患者。根据COVID-19和COVID-19前的总结，收集并比较了患者的临床特征和管理时间数据。 在总共533名确诊为AIS的患者中，399名患者在COVID-19之前访问了艾德，134名患者在COVID-19爆发期间访问了ED。在COVID-19爆发期间，与COVID-19前相比，AIS患者在首次住院（6 vs. 4，p=0.013）和出院（3 vs. 2，p=0.001）时的国家卫生研究院卒中量表评分较差。在COVID-19疫情期间，通过公共紧急医疗服务（EMS）直接访问医院的比例增加，通过公共EMS到达艾德门的时间延迟（87分钟对68分钟，p= 0. 006）。 在COVID-19爆发期间，AIS患者的预后比COVID-19前患者更差，尽管需要及时护理，但在院前阶段出现延误。
Timely treatment is important for patients with acute ischemic stroke (AIS). However, the coronavirus disease 2019 (COVID-19) outbreak may have caused delays in patient management. Therefore, we analyzed the prognosis and the time spent at the prehospital and hospital stages in managing patients diagnosed with AIS during the COVID-19 outbreak. This retrospective study evaluated patients diagnosed with AIS in the emergency department (ED) at five medical centers in Daegu city between February 18 and April 17 each year from 2018 to 2020. Data on the patients' clinical features and time spent on management were collected and compared according to COVID-19 and pre-COVID-19 summaries. From a total of 533 patients diagnosed with AIS, 399 patients visited the ED before COVID-19 and 134 during the COVID-19 outbreak. During the COVID-19 outbreak, compared with pre-COVID-19, AIS patients had poor National Institute of Health Stroke Scale scores at the initial hospital visit (6 vs. 4, p=0.013) and discharge (3 vs. 2, p=0.001). During the COVID-19 outbreak, the proportion of direct visits to hospitals through public emergency medical services (EMS) increased, and the onset of symptoms-to-ED door time via the public EMS was delayed (87 min vs. 68 min, p=0.006). The prognosis of AIS patients during the COVID-19 outbreak was worse than that of pre-COVID-19 patients with delays at the prehospital stage, despite the need for timely care.
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影响因子：
158.5
作者：
Li, Qun;Guan, Xuhua;Feng, Zijian
通讯作者：
Feng, Zijian
影响因子：
4.5
作者：
Chung, Han Sol;Lee, Dong Eun;Kim, Yang Hun
通讯作者：
Kim, Yang Hun
影响因子：
8.3
作者：
Lyden, Patrick
通讯作者：
Lyden, Patrick
影响因子：
8.3
作者：
Majidi, Shahram;Fifi, Johanna T.;Mocco, J.
通讯作者：
Mocco, J.
影响因子：
2.2
作者：
Kim, Jaeho;Kim, Moon-Moo
通讯作者：
Kim, Moon-Moo