Triage assessments and the activation of rapid care protocols for acute stroke patients
Triage assessments and the activation of rapid care protocols for acute stroke patients
复制标题
DOI：
10.1016/j.aenj.2012.12.002
复制
发表时间：
2013-02-01
期刊：
影响因子：
--
通讯作者：
Braitberg, George
中科院分区：
文献类型：
--
作者：
Mosley, Ian;Morphet, Julia;Braitberg, George
背景资料：为减少急性卒中患者评估中的住院延迟时间而制定的快速护理方案现在在急诊科很常见。正确的分诊识别和优先顺序是至关重要的煽动这一进程，并增加患者的资格，急性中风treatment.Objective：我们着手检查急性中风患者的分诊评估和调查的因素与煽动快速护理协议（分诊类别1或2的分配）用于在症状发作2小时内出现的急性卒中患者。回顾性评估2010年墨尔本3家医院6个月内急诊科记录的卒中患者。在2小时内就诊的急性卒中患者中（n = 185），173例（94%）在分诊时被确定为卒中，10例被确定为“意识状态改变”。在所有未被确定为卒中的病例中，患者均被诊断为脑出血。132例病例（71%）被分配到1或2类分诊。面部无力（p = 0.002）和就诊于莫纳什医学中心（p =
Background: Rapid care protocols developed to reduce in-hospital delay times in the assessment of acute stroke patients are now common in Emergency Departments. Correct triage identification and prioritisation is vital to instigate this process and increase the eligibility of patients for acute stroke treatments.Objective: We set out to examine triage assessments of acute stroke patients and investigate factors associated with the instigation of rapid care protocols (allocation of triage category 1 or 2) for acute stroke patients presenting within 2h of symptom onset.Methods: A retrospective assessment of emergency department records was undertaken for stroke patients presenting to three hospitals in Melbourne over six months in 2010.Results: 798 patients were included in the study. Among acute stroke patients who presented within 2h (n = 185), 173 (94%) were identified as stroke at triage with 10 cases identified as "altered conscious state''. In all cases not identified as stroke the patient was diagnosed with intracerebral haemorrhage. 132 cases (71%) were allocated a triage category 1 or 2. Facial weakness (p = 0.002) and presentation to Monash Medical Centre (p =