Pre-hospital notification is associated with improved stroke thrombolysis timing
Pre-hospital notification is associated with improved stroke thrombolysis timing
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DOI：
10.4997/jrcpe.2015.303
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发表时间：
2015-01-01
影响因子：
1.4
通讯作者：
Reid, J. M.
中科院分区：
文献类型：
--
作者：
Khor, M. X.;Bown, A.;Reid, J. M.
静脉溶栓以时间依赖的方式增加急性缺血性卒中后的无残疾生存率。我们的目的是确定是否院前通知，介绍了CT扫描仪附近的评估网站和介绍了小时溶栓timing.Methods溶栓相关的时间在2012年5月和2014年6月之间收集在一个单一的医院网站，这些包括时间中风医生评估，时间到头颅CT成像和门针时间。所有通过急诊科入院的溶栓缺血性卒中患者均纳入研究。救护车服务被要求预先通知急诊科的任何疑似中风patient in this period.Results我们研究了182例患者（48%女性，平均年龄74岁，59%预先通知）。院前通知与25分钟内CT扫描率显著较高相关（60% vs 24%，比值比[OR] 4.7，95%置信区间[CI] 2.4-9.0; p
Intravenous thrombolysis increases disability-free survival after acute ischaemic stroke in a time-dependent fashion. We aimed to determine whether pre-hospital notification, introduction of a CT scanner near to assessment site and introduction of out-of-hours thrombolysis services affect thrombolysis timing.Methods Timings related to thrombolysis were collected between May 2012 and June 2014 at a single hospital site; these included time to stroke physician assessment, time to cranial CT imaging and door to needle time. All thrombolysed ischaemic stroke patients admitted via the emergency department were included. Ambulance services were asked to pre-notify the emergency department of any suspected stroke patient during this period.Results We studied 182 patients (48% female; mean age 74 years; 59% prenotified). Pre-hospital notification was associated with a significantly higher rate of CT scanning within 25 minutes (60% vs 24%, odds ratio [OR] 4.7, 95% confidence interval [CI] 2.4-9.0; p