Factors Associated with Early Hospital Arrival in Patients with Acute Ischemic Stroke.
Factors Associated with Early Hospital Arrival in Patients with Acute Ischemic Stroke.
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DOI：
10.5853/jos.2015.17.2.159
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发表时间：
2015-05
影响因子：
8.2
通讯作者：
Heo JH
中科院分区：
文献类型：
--
作者：
Song D;Tanaka E;Lee K;Sato S;Koga M;Kim YD;Nagatsuka K;Toyoda K;Heo JH
与提前到达相关的因素可能会根据医院的特点而有所不同。我们调查了韩国和日本两个不同卒中中心与提前入院的相关因素。确定了 2011 年 1 月至 2012 年 12 月期间发病后 48 小时内连续到达医院的缺血性卒中患者，并从延世大学医疗系统 Severance 医院（YUHS；韩国首尔）和国家脑心血管中心（NCVC；日本大阪）的前瞻性卒中登记处检索临床和时间变量。受试者被分为早到达组（从发病到到达的时间≤4.5小时）和晚到达组（>4.5小时）。进行单变量和多变量分析来评估与提前住院相关的因素。本研究共纳入 1,966 名受试者（992 名来自 YUHS；974 名来自 NCVC）。从发病到到达的中位时间为 6.1 小时 [四分位距，1.7-17.8 小时]。在多变量分析中，与提前到达相关的因素包括心房颤动（比值比 [OR]，1.505；95% 置信区间 [CI]，[1.168-1.939]）、较高的初始美国国立卫生研究院卒中量表评分（OR，1.037；95% CI [1.023-1.051]）、白天发病（OR，2.799；95% CI [1.023-1.051]）。 95% CI [2.173-3.605]），以及紧急医疗服务转运（OR，2.127；95% CI [1.700-2.661]）。这些因素始终与提前到达两家医院有关。尽管各医院之间存在差异，但存在与提前到达相关的共同因素。识别和改变这些因素的努力可能会促进患者尽早到达医院并改善中风结果。
Factors associated with early arrival may vary according to the characteristics of the hospital. We investigated the factors associated with early hospital arrival in two different stroke centers located in Korea and Japan. Consecutive patients with ischemic stroke arrived hospital within 48 hours of onset between January 2011 and December 2012 were identified and the clinical and time variables were retrieved from the prospective stroke registries of Severance Hospital of Yonsei University Health System (YUHS; Seoul, Korea) and National Cerebral and Cardiovascular Center (NCVC; Osaka, Japan). Subjects were dichotomized into early (time from onset to arrival ≤4.5 hours) and late (>4.5 hours) arrival groups. Univariate and multivariate analyses were performed to evaluate factors associated with early hospital arrival. A total of 1,966 subjects (992 from YUHS; 974 from NCVC) were included in this study. The median time from onset to arrival was 6.1 hours [interquartile range, 1.7-17.8 hours]. In multivariate analysis, the factors associated with early arrival were atrial fibrillation (Odds ratio [OR], 1.505; 95% confidence interval [CI], [1.168-1.939]), higher initial National Institute of Health Stroke Scale scores (OR, 1.037; 95% CI [1.023-1.051]), onset during daytime (OR, 2.799; 95% CI [2.173-3.605]), and transport by an emergency medical service (OR, 2.127; 95% CI [1.700-2.661]). These factors were consistently associated with early arrival in both hospitals. Despite differences between the hospitals, there were common factors related to early arrival. Efforts to identify and modify these factors may promote early hospital arrival and improve stroke outcome.
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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。
影响因子：
8.2
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
通讯作者：
Yoon BW
影响因子：
8.3
作者：
Jauch, Edward C.;Saver, Jeffrey L.;Yonas, Howard
通讯作者：
Yonas, Howard
影响因子：
4.4
作者：
Inatomi, Yuichiro;Yonehara, Toshiro;Uchino, Makoto
通讯作者：
Uchino, Makoto
影响因子：
158.5
作者：
Berkhemer, O. A.;Fransen, P. S. S.;Dippel, D. W. J.
通讯作者：
Dippel, D. W. J.
影响因子：
168.9
作者：
Emberson, Jonathan;Lees, Kennedy R.;Lyden, Patrick;Blackwell, Lisa;Albers, Gregory;Bluhmki, Erich;Brott, Thomas;Cohen, Geoff;Davis, Stephen;Donnan, Geoffrey;Grotta, James;Howard, George;Kaste, Markku;Koga, Masatoshi;von Kummer, Ruediger;Lansberg, Maarten;Lindley, Richard I.;Murray, Gordon;Olivot, Jean Marc;Parsons, Mark;Tilley, Barbara;Toni, Danilo;Toyoda, Kazunori;Wahlgren, Nils;Wardlaw, Joanna;Whiteley, William;del Zoppo, Gregory J.;Baigent, Colin;Sandercock, Peter;Hacke, Werner
通讯作者：
Hacke, Werner