在卡塔尔急性中风中使用紧急医疗服务 - 一项观察性队列研究
Zain A Bhutta1,2, Naveed Akhtar3, Tim Harris4,5,6
1Department of Emergency Medicine, Hamad Medical Corporation, Doha, Qatar. Zain.bhutta@helsinki.fi.
International journal of emergency medicine
|April 1, 2025
概括
急诊医疗服务 (EMS) 在急性中风患者的使用率很高,并且与更快的治疗有关. 然而,某些人口统计和不太严重的症状与EMS使用率较低相关,需要针对性的公共卫生举措.
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:
- 对急性缺血性中风 (IS) 结果来说,及时的再通道化是至关重要的,但许多患者错过了治疗窗口.
- 紧急医疗服务 (EMS) 可以减轻医院前的延误,增加重新开通的机会.
- 了解急性中风中的EMS利用模式对于优化紧急护理至关重要.
研究的目的:
- 调查使用EMS的疑似急性中风患者的特征和变异.
- 为了比较EMS与非EMS运输的患者在人口统计学,临床特征和治疗结果方面.
主要方法:
- 在卡塔尔对疑似急性中风患者进行了回顾性观察性研究 (2014年1月 - 2020年9月).
- 分析EMS和非EMS群体之间的人口统计,临床表现和治疗影响.
- 评估与急性中风患者使用EMS相关的因素.
主要成果:
- 在11892名疑似中风患者中,有65.1%使用EMS.
- 使用EMS的患者出现症状的时间显著缩短到急诊室 (ED) 的时间 (41.0%在4.5小时内vs24.3%).
- 电子输送系统的运输与更高的血栓溶解率 (82.4%与17.6%) 和更短的门到针的时间 (56.4分钟与75.7分钟) 相关.
- 出血性中风患者使用EMS的比例较高 (82.4%).
- 单边的软弱,失言症,疏忽,脱节症,失去意识和发作增加了使用EMS的可能性.
结论:
- 在急性中风患者中,EMS的高利用率与快速和增加的治疗干预相关.
- 年龄较小,阿拉伯族裔,以及较少明显的中风症状与EMS使用率较低有关.
- 需要有针对性的公共卫生干预措施,以提高特定人群中EMS激活率.
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