PREHOSPITAL CARE OF STROKE

最近的研究表明，中风患者如果 在发病后尽快开始医疗护理 症状。本研究项目的目标是评估预 华盛顿州西雅图急性中风患者的医院护理。在这 基于人群的研究，我们将确定和描述所有患者的特征 1990年至1994年在西雅图的一家医院住院， 确诊为急性缺血性或出血性中风后出院 使用综合医院摘要报告系统 (字符)华盛顿州维护的数据库。接下来我们将 识别和描述所有院前接受治疗的患者 急救医疗人员使用由 医疗一号组织和谢泼德生命车队，一辆私人救护车 公司。数据库将被合并，以便确定 1)所有出院患者的比例 院前急救对中风的诊断 医务人员；2)敏感性、特异性和预测性 卒中院前诊断相对于医院的价值 出院诊断。

Recent studies suggest that patients with stroke may benefit if medical care begins as soon as possible after the onset of symptoms. The goal of this research project is to evaluate pre- hospital care of acute stroke patients in Seattle, Washington. In this population based study we will identify and characterize all patients admitted to a hospital in Seattle from 1990 through 1994 and discharged with a diagnosis of acute ischemic or hemorrhagic stroke using the Comprehensive Hospitals Abstract Reporting System (CHARS) databases maintained by Washington State. Next we will identify and characterize all patients treated by pre-hospital emergency medicine personnel using databases maintained by the Medic One organization and Shepard Lifefleet, a private ambulance company. The databases will be merged, allowing determination of: 1) the proportion of all patients with a hospital discharge diagnosis of stroke who are treated by pre-hospital emergency medical personnel; 2) the sensitivity, specificity and predictive values of a pre-hospital diagnosis of stroke relative to the hospital discharge diagnosis.