神经急诊室的趋势,专注于发作的人
Tamara M Welte1, Sebastian Ernst1, Jenny Stritzelberger1
1Epilepsy Center, Department of Neurology, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nuremberg, Full member of ERN EpiCARE, Erlangen, Germany.
European journal of neurology
|July 9, 2023
概括
神经急诊室 (nER) 面临过度使用的问题. 患有 (PWS) 的人经常寻求广泛的评估,即使是已知的,而中风患者仍然存在迟.
科学领域:
- 神经学 神经学
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
背景情况:
- 神经急诊室 (nER) 经常处理非急性病例和延迟呈现.
- 患有 (PWS) 的人经常访问NERs.
研究的目的:
- 评估过去十年内NER利用的趋势.
- 具体分析发作患者 (PWS) 的表现模式和治疗方法.
主要方法:
- 在2017年和2019年向专业的NER提交的患者的回顾性分析.
- 包括关于入院,转诊,诊断和NER治疗的数据.
主要成果:
- 脑血管事件,头痛和是最常见的诊断.
- 与中风患者相比,患有发作 (PWS) 的人在早期呈现的比例 (在4.5小时内) 更高.
- 尽管已知,PWS经历了广泛的诊断测试,包括脑成像,比一般队列更频繁.
结论:
- 对NER的过度使用仍然存在,中风患者仍然出现迟到.
- 患有 (PWS) 的人经常寻求急性,广泛的评估,表明医院前护理的潜在缺口和可能的过度评估.
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