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Updated: Jul 12, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

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为识别事件中风的ICD-10代码的衍生和验证

Jesse A Columbo1,2, Natalie Daya3, Lisandro D Colantonio4

  • 1Geisel School of Medicine at Dartmouth, Dartmouth College, Hanover, New Hampshire.

JAMA neurology
|July 1, 2024
PubMed
概括

疾病国际统计分类第十次修订 (ICD-10) 代码可以在Medicare索赔中识别中风事件,具有中度敏感性和高特异性. 这种验证对于使用声明数据进行准确的临床研究至关重要.

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Ischemic stroke is an acute cerebrovascular condition in which blood flow to a brain region is suddenly interrupted, leading to tissue infarction. Neurons depend on continuous oxygen and glucose supply, so even brief reductions in perfusion cause energy failure, ionic imbalance, and irreversible injury. Ischemic strokes are classified into thrombotic and embolic types based on their underlying mechanisms.Thrombotic MechanismsThrombotic stroke develops when a clot forms within a cerebral artery.
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A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...