在COVID-19流行病的第二波中,中风模式和结果:一个横截面研究
Bikram P Gajurel1, Subarna Giri2, Parishma Tamrakar3
1Department of Neurology, Tribhuvan University Teaching Hospital.
Annals of medicine and surgery (2012)
|June 26, 2023
概括
由于COVID-19大流行导致中风治疗的延迟,安排车辆是常见的医院前延误. 住院时间和NIHSS得分预测中风的结果.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- COVID-19大流行严重影响了中风护理,影响了患者入院,治疗及时性和质量指标.
- 了解这些影响对于优化健康危机期间中风管理策略至关重要.
研究的目的:
- 在COVID-19流行病的第二波期间调查中风类型,治疗延迟和结果预测因素.
- 分析医院前延误及其对患者结果的影响.
主要方法:
- 一项以单一中心为中心的前性横截面研究,于2021年5月至11月进行.
- 包括64名中风患者,收集有关人口统计,中风类型,结果和医院前延误的数据.
- 二元逻辑回归用于识别3个月结果的预测因素.
主要成果:
- 缺血性中风比出血性中风更为普遍.
- 中位数的急诊室到达时间为24小时,车辆安排延误是最常见的医院前延误.
- 中位数住院时间和基线国家卫生研究院中风量表 (NIHSS) 评分是良好3个月结果的重要预测指标.
结论:
- 解决导致医院转院延迟和治疗开始延迟的因素至关重要.
- 通过考虑NIHSS得分和住院时间,可以加强患者预后咨询.
- 建议在地面和政策层面制定机制,以减少医院前延误.
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