在中风代码患者中,在急诊医疗服务中与中风预告相关的因素:回顾性分析
Yuan Li1, Sidarrth Prasad2, Suzanne Stone2
1Nursing Department, Affiliated Hospital of Zunyi Medical University, 149 Dalian Road, Huichuan District, Zunyi, Guizhou 563003, People's Republic of China.
紧急医疗服务中风预告 (EMS-SP) 改善了中风护理. 年龄较大,非白人种族,失言症评估和更高的透析血压预测EMS-SP,突出显示了医院前中风管理教育的需要.
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:
- 紧急医疗服务中风预告 (EMS-SP) 提高了抵达急诊室 (ED) 的患者的中风护理.
- 确定EMS-SP的预测因子对于优化医院前中风管理至关重要.
- 脑中风代码激活是紧急中风护理中的一个关键过程措施.
研究的目的:
- 确定预测EMS-SP.使用的患者人口统计和临床特征.
- 了解患有中风症状的患者在医院前中风通知相关的因素.
主要方法:
- 在5个月内对成人中风代码激活的回顾性分析.
- 利用多变量逻辑回归模型来评估关联.
- 来自大学医院质量改善项目的数据.
主要成果:
- 非白人种族 (OR,2.44) 和失言症评估 (OR,6.89) 与更高的EMS-SP.的几率有显著的相关性.
- 增加的年龄 (OR,1.11每5年) 和舒张血压 (OR,1.24每10mmHg) 显示了EMS-SP.更高的几率的趋势.
- 没有发现有和没有EMS-SP.患者之间的显著的人口差异.
结论:
- 患有失言症评估,年龄较大,非白人种族和更高的透析血压的患者更有可能接受EMS-SP.
- 医院前中风管理需要加强对紧急医疗服务的教育和反.
- 优化EMS-SP可以改善中风过程的测量和患者的治疗结果.
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