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对于疑似中风患者的救护车现场时间有哪些因素? 一个观察性研究研究

Graham McClelland^1,2, Emma Burrow², Abi Alton¹

¹Stroke Research Group, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.

European stroke journal

|May 26, 2023

概括

医护人员的先进评估,静脉注射和心电图增加了疑似中风患者的现场时间. 简化这些干预措施可以提高医院前中风治疗效率.

科学领域:

紧急医疗紧急医疗
神经学神经学
门诊护理服务提供服务.

背景情况:

医院前中风护理旨在快速转移到专科病房.
英国的救护车数据显示,中风患者的入院时间增加.
了解影响现场时间 (OST) 的因素对于干预至关重要.

研究的目的:

确定为疑似中风患者的救护车现场时间 (OST) 贡献的因素.
为未来的干预策略确定可修改的因素.
分析特定临床干预对OST的影响.

主要方法:

对于疑似中风患者,由救护医生完成的调查.
将调查数据与电子患者护理记录联系起来.
普森回归分析用于评估可修改因素与OST的关联.

主要成果:

2037名疑似中风患者的中位数OST为33分钟.
先进的神经评估增加了10%的OST.
静脉输入管道增加了13%的OST.
通过ECG,OST增长了22%.

结论:

三个可修改的因素 (先进评估,静脉通道,心电图) 显著增加中风患者的医院前的OST.
针对这些干预措施可以优化医院前护理.
这些发现将为未来在英格兰东北部的干预提供信息.

关键词:

一次性中风,中风.这是一辆救护车,救护车.时间时间时间时间时间.

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