干预和非干预患者之间的电脑中风医院间转移的结果
Adalia H Jun-O'Connell1, Shravan Sivakumar1, Nils Henninger1
1Department of Neurology, University of Massachusetts Chan Medical School, Worcester, MA 01655, USA.
Journal of clinical medicine research
|July 12, 2023
概括
电脑中风转移对于紧急的神经治疗有价值,但并非所有患者都能从中受益. 这项研究发现,虽然干预措施没有显著影响死亡率,但干预患者的一些结果更糟糕,这表明需要更好地选择患者.
科学领域:
- 神经学 神经学
- 远程医疗远程医疗
- 医疗保健服务研究 医疗服务研究
背景情况:
- 电脑中风促进了紧急中风护理的提供.
- 并非所有神经病患者都需要紧急干预或转移到综合性中风中心.
- 了解医院间通过电脑转移转移的适当性至关重要.
研究的目的:
- 评估医院间神经学转移的结果的差异,该转移由远程中风促进.
- 为了比较接受神经干预的远程中风患者和没有接受神经干预的患者之间的结果.
主要方法:
- 一个回顾性分析连续181名通过电脑中风转移的患者.
- 干预和非干预组之间的结果 (死亡率,功能状态,神经状态,再录取,不良事件) 的比较.
- 使用千平方,费舍尔精确和威尔科克森等级和和测试进行统计分析.
主要成果:
- 63%的转移患者接受了神经干预 (例如,MT,tPA,脑膜切除术).
- 两组之间在住院死亡率上没有显著差异.
- 干预组的出院NIHSS和mRS更糟,90天NIHSS更糟.
- 在各组之间,90天死亡率,心血管事件和再入院率相似.
结论:
- 电脑中风对于加快紧急的神经治疗非常有价值.
- 并非所有转移的患者都能从电脑中风转移过程中受益.
- 需要进行更多的多中心研究,以优化远程中风网络的适当性和患者选择.
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