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应急医疗服务应对中风疑似发作病例:基于人口的研究

Hidetada Yamada¹, Shiro Aoki¹, Tomohisa Nezu¹

¹Department of Clinical Neuroscience and Therapeutics, Hiroshima University Graduate School of Biomedical Sciences, 1-2-3 Kasumi, Minami-ku, Hiroshima, Hiroshima 734-8551, Japan.

Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association

|March 17, 2024

概括

应急医疗服务 (EMS) 对中风疑似发作的反应时间比发作更短. 夜间运输和COVID-19流行病与这些关键病例的延迟有关.

科学领域:

紧急医疗紧急医疗
神经学神经学
公共卫生公共卫生

背景情况:

在初始紧急医疗服务 (EMS) 评估期间,区分急性中风和发作是具有挑战性的.
了解EMS现场时间对于优化患者护理和资源配置至关重要.

研究的目的:

为了评估EMS现场时间,对于那些中风和发作难以区分的病例.
确定导致延迟管理中风疑似发作病例的因素.

主要方法:

六个日本城市 (2016-2021) 的EMS数据的回顾性审查.
对30439例发作病例的分析,包括292例疑似中风的发作和8737例发作.
倾向性得分匹配用于比较EMS在不同组之间的现场时间.

主要成果:

对于疑似中风的发作,EMS现场时间较短 (15.1分钟),而与匹配后的发作 (17.0分钟) 相比 (p=0.007).
与延迟反应相关的因素包括夜间运输 (OR 1.73) 和2020-2021年大流行期间的运输 (OR 1.77).

结论:

在中风和发作病例之间,EMS的特征有所不同.
迅速转移到适当的设施对于优化对中风疑似发作的专业医疗资源的利用至关重要.

关键词:

发生发作的发作.专业医疗资源的最佳运作医院前的时间.主要中风中心的主要中风中心.怀疑发生中风.

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