在急诊室治疗和释放访问后,中风风险为秋季的下降
Jed H Kaiser1, Cenai Zhang1, Hooman Kamel1
1Clinical and Translational Neuroscience Unit, Department of Neurology, Feil Family Brain and Mind Research Institute (J.H.K., C.Z., H.K., B.B.N., A.L.L.), Weill Cornell Medicine, New York, NY.
Stroke
|July 12, 2024
概括
跌倒的急诊室访问与缺血性中风的更高风险有关. 认识到这种关联可以改善中风诊断和治疗在紧急情况下.
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:
- 之前的研究指出,在最初被诊断为跌倒的住院患者中,延迟的缺血性中风诊断.
- 这项研究调查了急诊室 (ED) "治疗和释放"秋季访问和随后的缺血性中风风险之间的联系.
研究的目的:
- 评估是否因跌倒而访问急诊室 (ED),导致退院,与短期缺血性中风风险增加有关.
主要方法:
- 一个案例交叉设计利用了来自10个州的行政数据 (2016-2020年).
- 疾病国际分类,第十次修订,临床修改代码确定ED治疗和释放的秋季访问和缺血性中风住院.
- 条件后勤回归分析了几率比率和95%的置信区间.
主要成果:
- 在90,592名缺血性中风患者中,5.8%的患者先前接受过ED治疗和释放的秋季访问.
- 这些患者年龄较大,女性更常见,血管并发病率更高.
- 在中风前15天内,ED秋季访问明显更常见 (OR,2.7;95% CI,2.4-3.1),随着时间的推移,相关性下降.
结论:
- 紧急部门 (ED) 治疗和释放倒的访问与短期缺血性中风风险的增加有显著的关联.
- 这些访问代表了提高ED中风诊断准确性和治疗的潜在机会.
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